--- title: 'Vice President, Revenue Integrity - DRG & DRGV (REMOTE) at EnableComp' canonical: 'https://feeny.ai/job/vice-president-revenue-integrity-drg-drgv-remote-enablecomp-franklin-znbszx7y0f43' type: 'job' last_seen: '2026-11-06' --- # Vice President, Revenue Integrity - DRG & DRGV (REMOTE) at EnableComp - **Company:** EnableComp - **Location:** Franklin, TN - **Employment:** full-time - **Work type:** remote - **Posted:** 2026-10-27 - **Last confirmed live:** 2026-11-06 - **Apply:** https://jobs.lever.co/enablecomp/9bafbcab-a773-4dc3-9a78-a7d8cbc675a9 ## Job description Job Responsibilities Include - Acts as a subject matter expert in EnableComp Revenue Integrity related products, including DRG & DRGV, and Medical Necessity Denials & ED Downgrades). - Define and establish departmental goals, financial targets, and key performance indicators that align with company objectives. - Assists in setting the strategic direction of the Revenue Recovery and identifies areas of continuous improvement in conjunction with the senior leadership team. - Oversee the development of quality and productivity metrics and benchmarks for Revenue Recovery functions based on industry standards and internal benchmarks. - Acts as a key resource with the creation, communication, and training of process changes, and operational best practices within Revenue Recovery. - Ensure the processes and inventory are in place to hit monthly, quarterly, and annual revenue expectations for the company. - Responsible for hiring, staff training, and oversight, including annual goal planning, performance reviews, workload distribution, and regular monitoring of team performance. Ability to direct and motivate staff. - Coordinate resources throughout the organization to address action plans for assigned clients and projects. - Collaborate cross-functionally with other senior leaders to guide corporate planning, resource allocation, and strategic partnerships. - Responsible for setting daily priorities to ensure the most impactful work is prioritized and appropriately staffed. - Measures and monitors key performance metrics and delivers concise performance reporting to stakeholders with corrective action plans for variances when appropriate. Ensures these metrics are cascaded throughout the organization. - Take the lead in explaining variances to management on a regular basis regarding DRG reviews, billing activity, and revenue metrics. - Researches and analyzes operational processes and systems to identify process improvement opportunities and SOP enhancements. - Participate in high-level client relationships and ensure client satisfaction through regular performance updates, collaboration, and resolution of escalated concerns. - Oversee the development of training materials and evaluates trends to support onboarding, ongoing education, and quality improvement. - Develops a high-performing team through effective leadership, coaching, and accountability to build a high-performing, scalable organizational structure. - Maintain a current working knowledge of all related regulatory and compliance requirements (including HIPAA and coding guidelines) and ensures staff adherence through training, process updates, and policy alignment. - Maintain a strong knowledge of DRG coding, clinical documentation, and reimbursement methodologies. - Other duties as required ## Requirements & Qualifications - Bachelor’s degree in health information management, Nursing, Healthcare Administration, Business, or related field required; Master’s degree preferred. - Active Certified Coding Specialist (CCS), RHIT, or RHIA strongly preferred. - 7-10 years’ of progressive leadership experience in healthcare reimbursement, with 5+ years in clinical denials or inpatient claims environments. - Experience working with internal teams while serving in a client facing or client support role. - Strong understanding of inpatient coding, DRG reimbursement methodology, medical record auditing, and payer guidelines. - Experience navigating hospital revenue cycle environments and working with large-scale data/reporting tools. - Demonstrated ability to operate effectively at both strategic and operational levels. - Timely and regular attendance. - Equivalent combination of education and experience will be considered - To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Special Considerations & Prerequisites - Practices and adheres to EnableComp’s Core Values, Vision and Mission. - Travel 0-10%; general office environment - Strong and professional written and oral communications skills. - Has worked in a production environment and can meet deadlines. Provide examples of goals measurement for yourself and your team. - Excellent people skills to interface with multiple internal stakeholders. - Proven success in obtaining quantifiable results from and setting priorities for direct reports. Describe how you manage to individual goals. - Organized and can handle multiple projects simultaneously. - Health care experience and familiarity with payer or provider data sets. - Ability to set and manage multiple priorities among several teams. - Experience communicating obstacles & challenges and developing action plans to present to management. Provide examples. ## About EnableComp ## Company Overview - **One-liner**: EnableComp is a healthcare revenue cycle management company that helps hospitals and health systems recover revenue from the most complex claims and denials. - **Entity Type**: Private (venture-backed; owned via parent company Argos Health per some sources, though EnableComp acquired Argos Health in 2021 — conflicting reports) - **Headquarters**: Franklin, Tennessee, United States - **Founded**: 2000 - **Founders**: Not publicly available ## Core Business - **Primary industry**: Healthcare revenue cycle management (RCM), healthcare technology, healthcare services - **Target customers**: Hospitals, health systems, and other healthcare providers (B2B, enterprise) - **Mission**: To redefine revenue cycle management by cutting through complexity, maximizing revenue, delivering clarity, and enabling better care — using decades of expertise and AI-driven technology. ## Products & Services - **e360 RCM® Platform**: AI-driven revenue cycle management platform that combines adaptive intelligence, precision automation, third-party system integration, and expert oversight to solve complex claims at scale. - **Complex Claims Suite**: Maximizes reimbursement on the hardest claims, including Veterans Affairs (VA), Workers’ Compensation, Motor Vehicle Accidents (MVA), and Out-of-State Medicaid. - **Complex Denials Suite**: Recovers denied revenue and prevents future denials (DRG downgrades, ED downgrades, medical necessity denials, coordination of benefits denials). - **Complex Revenue Recovery Suite**: Captures at-risk revenue that others leave behind (AR resolution, zero balance review, DRG validation). ## Market Standing - **Valuation/Market Cap**: Not disclosed (private company) - **Key Metric**: Annual Revenue (LinkedIn estimate): $24.4M — though this appears conservative vs. the company’s own claims of $3B in annual cash collections. Treat revenue figures with caution. - **Team size**: EnableComp’s website says “over 1,000 employees”; LinkedIn lists 307 employees (+10.9% YoY). Conflicting reports likely reflect different measurement approaches. - **Funding**: At least 3 rounds (2017 Venture Round led by Primus Capital Partners, 2021 Corporate Round, 2022 Venture Round); amounts not publicly disclosed. - **Notable Investors/Partners**: Primus Capital Partners; other undisclosed investors. - **Acquisitions**: ANI Healthcare Solutions (2024), Argos Health (2021), Health Resources Optimization. - **Growth Signals**: Named Black Book’s #1 Specialty RCM provider for complex claims and revenue integrity in 2024 and 2025; named a 2025 Top Workplace by USA TODAY; serves 1,000+ hospitals and health systems across all 50 states; SOC 2 Type II and HITRUST e1-certified. ## Competitive Advantages - Deep specialization in the most complex, “hard-to-collect” claims (VA, workers’ comp, MVA, out-of-state Medicaid) that most RCM firms avoid. - Proprietary AI-driven e360 RCM platform and “Complex Revenue Intelligence™” (CRI) data set built on 25+ years of claims and denials experience. - Proven outcomes: average 20% annual cash uplift and $3B in annual cash collections. - National footprint with 50-state coverage. - Strong industry recognition (Black Book, Top Workplaces) and trust certifications (SOC 2 Type II, HITRUST e1). ## Strategic Focus - Expanding Complex Revenue Intelligence™ (CRI) across denial prevention and revenue recovery. - Deepening AI and automation capabilities within the e360 RCM platform. - Continuing M&A strategy to broaden capabilities (e.g., ANI Healthcare Solutions acquisition). ## Why Work Here - **Culture**: Recognized as a 2025 Top Workplace by USA TODAY; multi-year Top Workplaces honoree; LinkedIn reviews give 4.5/5 overall (166 reviews) with high marks for work-life balance (4.8), culture (4.6), compensation (4.4), and career development (4.6). - **Remote-friendly**: Many positions are remote-first across the United States, including roles like DRG Auditor, Principal Engineer, and AI Security Architect. - **People-focused**: Company describes its culture as “the heartbeat” of the organization, emphasizing professional growth and development. - **Careers**: Active hiring across clinical, engineering, sales, and client success roles. ## Sources 1. [enablecomp.com](https://enablecomp.com/) 2. [enablecomp.com/about-us](https://enablecomp.com/about-us/) 3. [jobs.lever.co](https://jobs.lever.co/enablecomp) 4. [linkedin.com](https://www.linkedin.com/company/enablecomp) 5. [cbinsights.com](https://www.cbinsights.com/company/enablecomp) ## Other roles at EnableComp - [Senior Vice President, Implementation (REMOTE)](https://feeny.ai/job/senior-vice-president-implementation-remote-enablecomp-franklin-smmayzr62bzt) — Franklin, TN - [Senior AI Engineer (REMOTE)](https://feeny.ai/job/senior-ai-engineer-remote-enablecomp-franklin-s5b0rktq170x) — Franklin, TN - [Director of Client Success - Revenue Cycle Management - (MIDWEST)](https://feeny.ai/job/director-of-client-success-revenue-cycle-management-midwest-enablecomp-franklin-fwzqa6s3wz45) — Franklin, TN - [Revenue Specialist, MVA](https://feeny.ai/job/revenue-specialist-mva-enablecomp-franklin-hagwe4arwdc0) — Franklin, TN - [Client Delivery Manager - Revenue Cycle (REMOTE)](https://feeny.ai/job/client-delivery-manager-revenue-cycle-remote-enablecomp-franklin-bqxqegpbf8h8) — Franklin, TN - [Senior Manager of Commercial Systems (REMOTE)](https://feeny.ai/job/senior-manager-of-commercial-systems-remote-enablecomp-franklin-6snwsn4cgaq7) — Franklin, TN - [Data Analyst (Databricks) REMOTE](https://feeny.ai/job/data-analyst-databricks-remote-enablecomp-franklin-pf2st21p99yv) — Franklin, TN - [Coding Denials Auditor](https://feeny.ai/job/coding-denials-auditor-enablecomp-franklin-zmcw2a69d3jv) — Franklin, TN - [Revenue Specialist, Worker's Compensation (REMOTE)](https://feeny.ai/job/revenue-specialist-worker-s-compensation-remote-enablecomp-franklin-mfy6wf2arwcw) — Franklin, TN - [Resolution Analyst, Denials](https://feeny.ai/job/resolution-analyst-denials-enablecomp-franklin-b97s9wdr9etj) — Franklin, TN