3h ago
Vice President, DRG
Franklin, TN
โจ $170k-$220k / yearest.
full-timesenior Remotehealthcare
๐ผ About This Role
You'll lead Revenue Recovery products including DRG and Medical Necessity Denials, driving operational performance and client satisfaction for a specialty RCM company. You'll set strategic direction, manage teams, and ensure regulatory compliance in a remote-first environment.
๐ฏ What You'll Do
- Define departmental goals, financial targets, and KPIs aligning with company objectives.
- Oversee development of quality and productivity metrics for Revenue Recovery.
- Lead hiring, training, performance reviews, and workload distribution.
- Collaborate cross-functionally with senior leaders on strategic planning.
- Participate in high-level client relationships and ensure satisfaction.
๐ Requirements
- Bachelor's degree in Health Information Management, Nursing, or related field.
- 7-10 years progressive leadership in healthcare reimbursement.
- 5+ years in clinical denials or inpatient claims environments.
- Strong understanding of inpatient coding and DRG reimbursement methodology.
โจ Nice to Have
- Master's degree preferred.
- Active CCS, RHIT, or RHIA certification strongly preferred.
- Experience with large-scale data/reporting tools.
๐ Benefits & Perks
- ๐๏ธ Remote work flexibility
- ๐ฅ Health insurance (medical, dental, vision)
- ๐ฐ Performance bonuses
- ๐ Professional development opportunities
- ๐ Top Workplaces award-winning culture
๐จ Hiring Process
Estimated timeline: 2-4 weeks ยท AI estimate
- 1Phone screenยท 30 min
- 2Hiring manager interviewยท 45 min
- 3Panel interviewยท 60 min
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