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Revecore
Revecore
1,001 – 5,000 कर्मचारी
B2BSaaSस्वास्थ्य सेवा
Revecore स्वास्थ्य सेवा क्षेत्र में राजस्व वसूली करने वाली कंपनी है, जो अस्पतालों और स्वास्थ्य प्रणालियों को ऐसी प्रतिपूर्ति खोजने और प्राप्त करने में मदद करती है, जो अन्यथा छूट सकती है। इसका ReClaim™ प्लेटफ़ॉर्म स्वामित्व वाली कृत्रिम बुद्धिमत्ता, दावों से जुड़ी सूचनाओं, वर्कफ़्लो स्वचालन और भुगतानकर्ता नियम इंजन को नैदानिक, कानूनी और प्रतिपूर्ति विशेषज्ञता के साथ जोड़ता है। यह प्लेटफ़ॉर्म जटिल दावों की वसूली, जिनमें VA, वाहन दुर्घटना, श्रमिक मुआवज़ा और Medicaid दावे शामिल हैं, के साथ-साथ अस्वीकृत दावों का प्रबंधन, कम भुगतान की वसूली और प्राप्य खातों की वसूली में तेजी लाने की सुविधा देता है। Revecore का HIPAA-अनुरूप और SOC 2-प्रमाणित बुनियादी ढाँचा करोड़ों दावों पर प्रशिक्षित मशीन-लर्निंग मॉडल का उपयोग करता है और कंपनी 1,300 से अधिक अस्पतालों को सेवाएँ देती है। इसकी टीम में स्वास्थ्य सेवा प्रौद्योगिकी, राजस्व चक्र संचालन, नैदानिक सेवाओं, कानूनी विशेषज्ञता और प्रतिपूर्ति के क्षेत्र के विशेषज्ञ शामिल हैं।
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कंपनी की नौकरियाँ

Director of Diagnosis-Related Group Validation (DRGV)

Lead the launch of Revecore’s Diagnosis-Related Group Validation service for hospitals seeking to recover earned revenue. Shape its operating model, technology, staffing, performance measures, pricing, and go-to-market approach.

USसंयुक्त राज्यALअलबामाCTकनेक्टिकटFLफ़्लोरिडाIAआयोवाKSकंसासKYकेंटकीLAलुइज़ियानाMEमेनMAमैसाचुसेट्सMIमिशिगनMNमिनेसोटाMSमिसिसिपीMOमिसौरीNEनेब्रास्काNHन्यू हैम्पशायरNCउत्तरी कैरोलिनाOHओहायोOKओक्लाहोमाPAपेंसिल्वेनियाRIरोड आइलैंडSCदक्षिण कैरोलाइनाSDदक्षिण डकोटाTNटेनेसीTXटेक्सासVTवर्मोंटVAवर्जीनियाWVपश्चिम वर्जीनियाWIविस्कॉन्सिनरिमोटपूर्णकालिकलीडआवश्यक भाषा: अंग्रेज़ीनिदेशक

विवरण

  • Lead Revecore’s Diagnosis-Related Group Validation service launch and development
  • Establish the operating model, workflows, staffing plan, productivity measures, quality standards, and industry benchmarks
  • Serve as a DRGV, coding, MS-DRG, revenue integrity, and claims subject matter expert
  • Collaborate with Product, Data, AI, Development, and Operations teams to create scalable processes and technology solutions
  • Assess how AI and automation can improve account selection, prioritization, processing, productivity, and service delivery
  • Act as the technical and operational bridge between DRGV specialists and Product and Engineering teams
  • Contribute to software development and address complex coding-table requirements
  • Set performance expectations and metrics while tracking implementation, operational, and financial objectives
  • Provide guidance on pricing, marketing strategy, market positioning, and sales enablement
  • Participate in prospect and client conversations to support sales efforts
  • Work with the BCO team responsible for client service delivery
  • Coordinate execution across a matrixed organization and align stakeholders around the new solution

आवश्यकताएँ

  • Extensive Diagnosis-Related Group Validation expertise supported by hands-on coding experience
  • Expert knowledge of Medicare Severity Diagnosis-Related Group classification and reimbursement methodology
  • Strong knowledge of revenue cycle and revenue integrity, including charge capture, charging patterns, coding, and Clinical Documentation Integrity
  • Experience interpreting payer contracts, reimbursement provisions, and claim adjudication processes
  • Experience designing, leading, or making significant contributions to DRGV programs
  • Experience creating and maintaining complex coding or reimbursement code tables
  • Experience working with Product, Engineering, or software development teams to convert requirements into scalable technology solutions
  • Working knowledge of data, artificial intelligence, and automation applications in DRGV
  • Ability to lead cross-functional initiatives across technical, operational, and commercial teams
  • Strong communication and client engagement abilities
  • Preferred: Experience with Diagnosis-Related Group Downgrades
  • Preferred: Experience at a vendor-side DRGV, payment integrity, revenue integrity, or healthcare revenue cycle organization
  • Preferred: Experience launching or expanding a healthcare service line, product, or operational capability
  • Preferred: Experience with client solutioning, sales enablement, or healthcare industry thought leadership
  • Must live in the United States in one of the specified states
  • Authorization to work in the United States
  • Successful completion of a background check

लाभ

  • Work remotely from home
  • A quiet, distraction-free home office environment
  • A secure internet connection
  • Home internet service exceeding 20 Mbps download and 10 Mbps upload speeds
  • Workspace suitable for company-provided workstation equipment and related materials
  • Affirmative Action/Equal Opportunity Employer
  • Interview recording and transcription alternatives available upon request

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