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WVU Medicine · 18 hours ago

Chief Revenue Cycle Officer

Morgantown, WV

Full-time

Onsite

Director/Executive

10+ years exp

WVU Medicine is a leading health system, and they are seeking a Chief Revenue Cycle Officer to provide enterprise-wide leadership and strategic oversight for all revenue cycle and health information management functions. The role focuses on optimizing revenue cycle operations, ensuring compliance, and collaborating with various departments to enhance financial outcomes and patient experience.

Health CareHospitalMedical

Responsibilities

Oversees system-wide revenue cycle operations, including patient access and pre-arrival, clinical revenue cycle, revenue integrity, Health Information Management, and billing and collections to ensure revenue optimization and compliance

Leads enterprise HIM functions, including coding, clinical documentation improvement (CDI), release of information, and HIM governance to ensure data integrity, compliance, and optimal reimbursement

Drives revenue cycle transformation initiatives, leveraging technology, process automation, and workforce optimization to improve collections, reduce denials, and enhance financial performance

Develops and enforces standardized policies and best practices for both revenue cycle and HIM operations to ensure efficiency, accuracy, and regulatory compliance

Collaborates with finance, operations, IT, and compliance leaders to integrate revenue cycle and HIM strategies with organizational goals

Establishes and monitors key revenue cycle and HIM metrics, including denials, A/R days, cash flow, coding accuracy, and documentation integrity, ensuring accountability and continuous improvement

Oversees financial assistance, financial clearance, and collections guidelines, maintaining compliance with local and federal regulations while balancing financial stewardship with patient-centered care

Optimizes revenue cycle technology, including EHR integration, automation tools, and analytics platforms to improve performance and decision-making

Serves as the system-wide leader for HIM governance, ensuring integrity and compliance of health information records

Works with legal, compliance, and risk management to proactively address billing, coding and HIM matters, ensuring system-wide adherence

Leads Epic HB, PB, and ADT transitions, making critical operational decisions to streamline revenue cycle and HIM functions

Defines and manages vendor strategy for revenue cycle and HIM, ensuring strong performance, compliance, and service levels

Champions a culture of continuous improvement and innovation, implementing best practices to enhance revenue cycle efficiency and HIM effectiveness

Engages with external stakeholders, including payers, auditors, and regulatory agencies, advocating for best practices and appropriate reimbursement

Ensures HIM compliance with evolving federal and state regulations, proactively implementing necessary changes to maintain integrity

Qualification

Revenue Cycle ManagementHealth Information ManagementEpic ExpertiseData-Driven Decision MakingRegulatory ComplianceContinuous ImprovementFinancial StewardshipLeadershipCollaboration

Required

Bachelor's degree in Accounting, Finance, Business, Health Information Management, or a related field required

Ten (10+) years of progressive leadership experience in revenue cycle and HIM operations, including patient access, billing, collections, coding, documentation integrity, payer contracting, and regulatory compliance

Five (5+) years in a senior leadership role within a complex, multi-hospital healthcare system

Strong expertise in Epic or other enterprise revenue cycle and HIM platforms

Proven success in leading revenue cycle optimization, HIM integration, and leveraging data-driven decision-making

Preferred

Master's degree (MBA, MHA, or equivalent) preferred

Relevant certifications such as Certified Revenue Cycle Executive (CRCE), Certified Professional Coder (CPC), or Registered Health Information Administrator (RHIA) highly desirable