Chief Revenue Cycle Officer

WVU Medicine

About The Position

The Chief Revenue Cycle Officer (CRCO) provides enterprise-wide leadership and strategic oversight for all revenue cycle and health information management (HIM) functions, ensuring alignment with the health system’s financial, operational, and clinical objectives. This includes hospital, clinic, post-acute, and professional revenue cycle activities as well as coding, documentation integrity, and HIM governance. This role is responsible for optimizing revenue cycle operations through patient access, revenue integrity, billing, collections, and denials management while also ensuring health information governance, compliance, and data integrity. The CRCO leads enterprise-wide policies and best practices for coding, CDI, HIM operations, and data stewardship to ensure financial performance and regulatory compliance. As a key executive leader, the CRCO collaborates with finance, operations, IT, compliance, and clinical leadership to enhance financial outcomes, optimize patient experience, and drive system-wide improvements in revenue cycle and HIM functions.

Requirements

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.

Nice To Haves

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.

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.