Vice President of Revenue Cycle (VP Revenue Cycle)

Position Overview

We are seeking a highly experienced and strategic Vice President of Revenue Cycle to lead and optimize all revenue cycle management (RCM) operations across the organization. This executive role is responsible for overseeing end-to-end financial performance in healthcare operations, including patient access, billing, coding, claims management, collections, denial management, and revenue integrity.

The ideal candidate is a seasoned healthcare finance and operations leader with deep expertise in revenue cycle systems, payer relationships, regulatory compliance, and large-scale process optimization. This role is critical in ensuring financial sustainability while maintaining compliance and supporting high-quality patient care.

Location Requirement

To support executive leadership collaboration and operational oversight, candidates must currently reside in one of the following metropolitan areas in the United States:

• Dallas, Texas

• Houston, Texas

• Austin, Texas

• Atlanta, Georgia

• Jacksonville, Florida

• Miami, Florida

• Nashville, Tennessee

• Charlotte, North Carolina

• Phoenix, Arizona

Candidates outside of these locations will not be considered.

Key Responsibilities

Revenue Cycle Strategy & Leadership

• Lead the overall revenue cycle strategy across all healthcare facilities and service lines

• Align revenue cycle operations with organizational financial goals and patient care objectives

• Develop long-term strategies to improve cash flow, reduce denials, and increase revenue integrity

• Establish KPIs, benchmarks, and performance standards for revenue cycle performance

• Drive transformation initiatives across the end-to-end billing and reimbursement lifecycle

Financial Performance & Optimization

• Oversee accounts receivable (A/R), cash collections, and reimbursement processes

• Improve clean claim rates, reduce denials, and accelerate payment cycles

• Optimize charge capture, coding accuracy, and reimbursement performance

• Identify revenue leakage and implement corrective action plans

• Ensure financial forecasting accuracy and revenue predictability

Billing, Coding & Compliance

• Oversee medical coding, billing, and documentation accuracy across all departments

• Ensure compliance with CMS, HIPAA, payer requirements, and healthcare regulations

• Monitor and enforce coding integrity and audit readiness

• Collaborate with compliance teams to mitigate billing risks and errors

• Ensure adherence to ICD-10, CPT, and HCPCS coding standards

Patient Access & Front-End Operations

• Oversee patient registration, eligibility verification, and pre-authorization processes

• Improve patient access workflows to reduce delays and denials

• Enhance point-of-service collections and financial counseling programs

• Ensure accurate insurance verification and benefit coordination

• Improve patient financial experience and transparency

Denials Management & Revenue Integrity

• Lead denial prevention and resolution strategies across all payer types

• Analyze denial trends and implement corrective process improvements

• Establish root cause analysis frameworks for recurring denial issues

• Improve appeal processes and overturn rates

• Strengthen revenue integrity controls across clinical and billing operations

Payer Relations & Contract Management

• Collaborate with insurance payers to resolve reimbursement issues

• Support contract negotiations and reimbursement strategy optimization

• Monitor payer performance and compliance with contractual agreements

• Build strong relationships with commercial and government payers

• Identify opportunities for improved reimbursement models

Leadership & Team Development

• Lead and mentor Directors of Revenue Cycle, Billing Managers, and Coding Leaders

• Build high-performing, accountable revenue cycle teams across all functions

• Drive workforce development, training, and succession planning

• Establish performance management frameworks and accountability structures

• Foster a culture of continuous improvement and operational excellence

Technology, Systems & Automation

• Oversee revenue cycle systems (EHR, billing platforms, RCM software)

• Drive automation and digital transformation within revenue cycle operations

• Improve integration between clinical, financial, and billing systems

• Leverage analytics and reporting tools to drive decision-making

• Support implementation of AI and automation in billing and coding workflows

Compliance, Audit & Risk Management

• Ensure compliance with federal, state, and payer regulations

• Oversee internal and external audits related to billing and reimbursement

• Implement controls to reduce fraud, waste, and abuse risks

• Maintain documentation accuracy and audit readiness across all processes

• Collaborate with compliance and legal teams on regulatory matters

Qualifications

Required

• Bachelor’s degree in Healthcare Administration, Finance, Business Administration, or related field

• Master’s degree (MHA, MBA, or related) strongly preferred

• 10+ years of healthcare revenue cycle management experience

• 5+ years in senior leadership or executive-level RCM roles

• Deep knowledge of healthcare billing, coding, and reimbursement systems

• Strong experience with payer relations and contract management

• Proven success in large-scale revenue cycle optimization initiatives

• Strong analytical, financial, and leadership skills

• Must currently reside in one of the approved locations listed above

Preferred (Nice-to-Have)

• Certified Revenue Cycle Executive (CRCE) or HFMA certifications

• Experience in large hospital systems or multi-site healthcare organizations

• Strong background in EHR systems (Epic, Cerner, Meditech, etc.)

• Experience with automation, AI, and analytics in revenue cycle operations

• Familiarity with value-based care reimbursement models

• Experience leading enterprise-level financial transformation initiatives

• Strong regulatory expertise in Medicare, Medicaid, and commercial payer systems

• Experience managing offshore or shared service revenue cycle teams

Key Performance Indicators (KPIs)

Financial Performance

• Net revenue improvement and revenue capture rate

• Days in Accounts Receivable (A/R)

• Cash collection rate and net collection efficiency

• Reduction in revenue leakage

Billing & Claims Performance

• Clean claim rate

• Denial rate reduction and overturn success rate

• Claim submission turnaround time

• Coding accuracy and compliance rates

Operational Efficiency

• A/R aging improvement (0–30, 31–60, 60+ days)

• Cost to collect optimization

• Workflow automation and productivity improvements

• Reduction in billing cycle time

Patient Financial Experience

• Patient satisfaction with billing and financial services

• Point-of-service collection effectiveness

• Reduction in patient billing complaints

• Financial counseling engagement rates

Compliance & Audit Performance

• Audit findings and resolution rates

• Regulatory compliance adherence

• Reduction in billing errors and rework

• Internal control effectiveness

Reporting To

• Chief Financial Officer (CFO)

• Chief Executive Officer (CEO)

• Chief Operating Officer (COO)

• Chief Revenue Officer (CRO) (if applicable)

Employment Type & Work Setup

• Full-Time

• On-site / Hybrid executive healthcare leadership role

• Occasional travel to facilities, payer meetings, and executive sessions

• Participation in executive leadership and financial strategy meetings

• On-call availability for revenue cycle disruptions or system-wide issues

Work Environment & Conditions

• Executive-level healthcare finance environment

• High-impact role influencing organizational financial performance

• Collaboration with clinical, administrative, and payer stakeholders

• Fast-paced, data-driven operational setting

• Strong focus on financial sustainability, compliance, and operational excellence

• Opportunity to lead enterprise-wide revenue transformation initiatives