The Director, Diagnosis-Related Group Validation (DRGV) will lead the development and launch of Revecore’s DRGV service offering, expanding our Billing and Coding Optimization (BCO) capabilities in response to client demand. This role combines deep DRGV expertise with service-line strategy and execution, translating industry knowledge into a scalable operating model, technology-enabled workflows, staffing and performance standards, pricing, and go-to-market support.

Impact you will make:

Define the operating model, workflows, staffing requirements, productivity metrics, quality standards, and industry benchmarks needed to scale the service line.

Provide subject matter expertise across all aspects of DRGV, including coding, Medicare Severity Diagnosis-Related Group (MS-DRG) methodology, revenue integrity, and claims.

Partner with Product, Data, AI, Development, and Operations teams to translate DRGV requirements into scalable processes and technology solutions.

Identify opportunities to use AI and automation to improve account selection, prioritization, processing, productivity, and overall service delivery.

Serve as the technical and operational liaison between DRGV subject matter experts and Product and Engineering teams, including supporting software development and complex code-table requirements.

Establish performance expectations and metrics for the service line and monitor progress against implementation, operational, and financial goals.

Advise on pricing models, marketing strategy, positioning, and sales enablement for the DRGV offering.

Support client-facing sales efforts by providing DRGV expertise during prospect and client discussions.

Partner with the BCO team responsible for delivering the service to clients.

Drive execution across a matrixed organization, building alignment and organizational knowledge around a new solution

Director, Diagnosis-Related Group Validation (DRGV)

Responsibilities

Qualification

Required

Preferred

Company

Revecore

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