Vice President, Revenue Recovery - DRG & DRGV (REMOTE)

📋 Description

• Acts as SME for Revenue Recovery products (DRG & DRGV) and Medical Necessity Denials.
• Defines departmental goals, financial targets, and KPIs aligned with company objectives.
• Leads strategic direction of Revenue Recovery and continuous improvement.
• Oversees quality and productivity metrics and benchmarks.
• Leads process changes and training of operational best practices within Revenue Recovery.
• Ensures processes and inventory hit monthly, quarterly, and annual revenue targets.

🎯 Requirements

• Bachelor’s degree in health information management, nursing, healthcare administration, or business; Master’s preferred.
• Active CCS, RHIT, or RHIA strongly preferred.
• 7-10 years leadership in healthcare reimbursement; 5+ years in clinical denials or inpatient claims.
• Experience in client-facing roles with internal teams.
• Strong understanding of inpatient coding, DRG reimbursement, and payer guidelines.
• Experience navigating hospital revenue cycle environments and data/reporting tools.