Moab Healthcare
Vice President of Revenue Cycle Management
Job Description : Vice President of Revenue Cycle Management
Position Summary
The Vice President of Revenue Cycle Management (RCM) provides executive leadership and strategic direction for all revenue cycle functions across the hospital or health system. This role is responsible for optimizing the end-to-end revenue cycle—patient access, clinical documentation integrity, coding, billing, claims management, reimbursement, and collections—to ensure financial sustainability while supporting high-quality patient care and an exceptional patient financial experience.
Key Responsibilities Strategic Leadership & Management
Develop and execute the organization’s revenue cycle strategy to support financial goals, regulatory compliance, and operational efficiency.
Lead, mentor, and develop RCM leaders and teams across patient access, HIM/coding, CDI, billing, and collections.
Drive continuous improvement initiatives, leveraging technology, automation, and best practices.
Operations Oversight
Oversee all revenue cycle operations to ensure accurate, compliant, and timely billing and reimbursement.
Ensure effective processes for insurance verification, authorization, scheduling, registration, and financial counseling.
Monitor and optimize key performance indicators (KPIs), such as DNFB, AR days, clean claim rate, denial rate, and cash collections.
Partner with the CFO and finance teams to forecast revenue, analyze financial trends, and identify opportunities to improve cash flow.
Develop and manage the revenue cycle budget.
Lead initiatives to reduce denials, improve charge capture, and enhance payer performance.
Compliance & Quality
Ensure compliance with federal, state, and payer regulations, including CMS, HIPAA, and hospital accreditation standards.
Oversee audit readiness, including documentation, coding accuracy, and internal controls.
Drive quality and consistency in patient financial communications and processes.
Collaborate with IT to evaluate and optimize RCM systems, workflow tools, and automation solutions.
Champion digital transformation to improve patient experience, staff efficiency, and revenue integrity.
Cross-Functional Collaboration
Work closely with clinical leaders, finance, legal, IT, and operational departments to ensure cohesive workflows and accurate revenue capture.
Partner with managed care contracting teams to support payer negotiations and reimbursement strategies.
Qualifications Education
Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required.
Experience
10+ years of progressive leadership in healthcare revenue cycle management, including at least 5 years in a senior or executive role.
Deep knowledge of hospital and physician billing, coding, compliance, and payer regulations.
Demonstrated success leading large teams and improving financial performance in a complex healthcare environment.
Strong strategic planning and organizational leadership skills.
Expertise in revenue cycle KPIs, analytics, and benchmarking.
Excellent communication and relationship-building skills.
Ability to lead change, manage complexity, and leverage technology solutions.
High integrity and commitment to patient-centered financial practices.
Seniority Level Executive
Employment Type Full-time
Job Function Management and Manufacturing
Industry Hospitals and Health Care
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Position Summary
The Vice President of Revenue Cycle Management (RCM) provides executive leadership and strategic direction for all revenue cycle functions across the hospital or health system. This role is responsible for optimizing the end-to-end revenue cycle—patient access, clinical documentation integrity, coding, billing, claims management, reimbursement, and collections—to ensure financial sustainability while supporting high-quality patient care and an exceptional patient financial experience.
Key Responsibilities Strategic Leadership & Management
Develop and execute the organization’s revenue cycle strategy to support financial goals, regulatory compliance, and operational efficiency.
Lead, mentor, and develop RCM leaders and teams across patient access, HIM/coding, CDI, billing, and collections.
Drive continuous improvement initiatives, leveraging technology, automation, and best practices.
Operations Oversight
Oversee all revenue cycle operations to ensure accurate, compliant, and timely billing and reimbursement.
Ensure effective processes for insurance verification, authorization, scheduling, registration, and financial counseling.
Monitor and optimize key performance indicators (KPIs), such as DNFB, AR days, clean claim rate, denial rate, and cash collections.
Partner with the CFO and finance teams to forecast revenue, analyze financial trends, and identify opportunities to improve cash flow.
Develop and manage the revenue cycle budget.
Lead initiatives to reduce denials, improve charge capture, and enhance payer performance.
Compliance & Quality
Ensure compliance with federal, state, and payer regulations, including CMS, HIPAA, and hospital accreditation standards.
Oversee audit readiness, including documentation, coding accuracy, and internal controls.
Drive quality and consistency in patient financial communications and processes.
Collaborate with IT to evaluate and optimize RCM systems, workflow tools, and automation solutions.
Champion digital transformation to improve patient experience, staff efficiency, and revenue integrity.
Cross-Functional Collaboration
Work closely with clinical leaders, finance, legal, IT, and operational departments to ensure cohesive workflows and accurate revenue capture.
Partner with managed care contracting teams to support payer negotiations and reimbursement strategies.
Qualifications Education
Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required.
Experience
10+ years of progressive leadership in healthcare revenue cycle management, including at least 5 years in a senior or executive role.
Deep knowledge of hospital and physician billing, coding, compliance, and payer regulations.
Demonstrated success leading large teams and improving financial performance in a complex healthcare environment.
Strong strategic planning and organizational leadership skills.
Expertise in revenue cycle KPIs, analytics, and benchmarking.
Excellent communication and relationship-building skills.
Ability to lead change, manage complexity, and leverage technology solutions.
High integrity and commitment to patient-centered financial practices.
Seniority Level Executive
Employment Type Full-time
Job Function Management and Manufacturing
Industry Hospitals and Health Care
#J-18808-Ljbffr