Vice President, Revenue Cycle and Revenue Integrity

The Vice President for Revenue Cycle and Revenue Integrity is responsible for the strategic leadership, oversight and optimization of hospital and ambulatory revenue cycle operations. This leader provides visionary leadership while fostering strong partnerships to ensure the accuracy and integrity of revenue processes. The VP partners with the Chief Revenue Cycle Officer to establish and deliver on the Revenue Cycle strategic vision.

• Develops short- and long-term strategic goals and plans ensuring alignment with broader organization priorities.
• Utilizes metrics and organization vision to lead and direct revenue management activities.
• Provides strategic vision to revenue cycle operations.
• Challenges assumptions and standards of business in an effort to improve overall operational effectiveness and service to customers.

• Develops and implements strategic initiatives to enhance revenue cycle operations while ensuring the accuracy and integrity of revenue processes.
• Oversight and management of coding, coding education, Health Information Management (HIM), Revenue Integrity to include CDM, Accounts Receivable, Cash Management, and Denial Management to ensure compliance with regulatory standards and optimize reimbursement.
• Develops and implements strategies for denial management to minimize revenue loss.
• Fosters strong partnerships with internal and external stakeholders to drive revenue cycle improvements.
• Analyzes and reports on revenue cycle performance, identifying areas for improvement, and implementing corrective actions. Works with SSM leadership and vendors to continuously improve revenue cycle performance and collections while enhancing service to patients and optimizing relationships with business partners. Identifies opportunities and makes recommendations for process improvement. Serves on various task forces and quality improvement teams.
• Thought partner with Net Revenue, Information Technology, Finance, Clinical Operations and other stakeholders in continuous revenue improvement.
• Exhibits superior management skills that emphasize team building and strong leadership with the ability to provide clear vision and direction.
• Leadership development and career pathing to ensure next level leadership readiness.
• Creates a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability utilizing a participative management style to ensure staff retention.
• Recruits, motivates, develops, and retains a superior functional leadership team. Implements a management system that is customer-focused, encourages efficiency and automation, drives performance, and effectively develops and rewards key talent.
• Serves as a member of the leadership team providing strategic direction on revenue cycle management (RCM) related issues. Works effectively as a team member in a dynamic executive environment in a matrix organization and promotes teamwork within and across the organization by maintaining positive relationships and utilizing effective problem-solving skills.
• Develops and manages the operating and capital budgets for operations, analyzes variances, develops plans and takes appropriate actions for productivity and performance improvements.
• Coordinates with leaders on all technology related initiatives, including system implementation and upgrades/optimizations. Facilitates business partner relationships with vendor technology resources.
• Balances centralized enterprise revenue cycle services with regional leadership needs and priorities. Works closely with regional and facility leadership and the health system revenue cycle team to promote good stewardship of RCM resources.
• Provides thought leadership and strategic and operational direction for patient-facing, clinician-facing, and payer-facing aspects of the revenue cycle.
• Collaboratively leads in shaping and modernizing SSM’s revenue cycle and related functions.
• Works with the CRO to develop a contemporary, growth-focused approach to the people, processes, and systems associated with the revenue cycle. Evolves from legacy systems into a cohesive operation utilizing contemporary tools and techniques.
• Oversees human resource management for the assigned area creating a culture of employee engagement. Ensures HR policies are administered consistently across functions. Organizes departmental areas through appropriate structure and delegation of functions. Identifies succession planning needs.

SSM Health