Manager, DRG Review (REMOTE)

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.  Position Summary The Manager, DRG Review leads a team of DRG Reviewers while continuing to perform hands-on inpatient claim reviews to identify and validate missed reimbursement opportunities. This role oversees daily workflow, provides training and guidance on coding accuracy, and ensures departmental quality and productivity standards are met. Leveraging deep expertise in ICD-10 coding and DRG reimbursement methodology, the Manager partners closely with leadership to optimize hospital reimbursement, drive revenue opportunities, and support client success. This position requires a Certified Coding Specialist (CCS) credential and proven experience in DRG validation, as well as the ability to balance leadership responsibilities with ongoing case review work. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.