Assistant Vice President - Revenue Cycle

The University of Iowa; Iowa City (IA); On-site; USD 180,000 - 250,000; Full time

Job summary

The University of Iowa Health Care seeks an Assistant Vice President (AVP) of Revenue Cycle to provide strategic leadership and operational oversight for all revenue cycle functions, including patient access, billing, coding, claims processing, collections and revenue integrity across the health system.

The AVP will align financial performance with regulatory requirements, lead multi-site teams, drive data‑driven improvements, and collaborate with clinicians, administrators, and payers to

Qualifications

• Master’s degree in hospital administration, public administration, or business administration (or equivalent).
• 10+ years of experience relating to the revenue cycle.
• 5+ years of experience with CDM and hospital reimbursement.
• Comprehensive knowledge of CPT, HCPCS, ICD-10, and third‑party billing requirements.
• Experience with CMS rules and regulations, and coding and billing compliance.
• Experience with billing, coding, and collections across clinical and physician services.

Responsibilities

• Provide strategic leadership and direction to all Revenue Cycle departments, ensuring alignment with organizational goals and financial performance targets.
• Drive system-wide collaboration to integrate financial strategies with clinical, operational, and technological initiatives.
• Oversee revenue cycle operations, including patient access, billing, coding, charge capture, denials management, and collections.
• Establish and maintain a robust performance management framework with clear KPIs and expectations.
• Lead technology integrations and automation to improve efficiency, transparency, and cash performance.
• Develop and implement a comprehensive compliance framework for billing, coding, and reimbursement practices.
• Collaborate with senior leadership to align revenue cycle goals with quality, safety, and patient satisfaction.

Skills

Leadership

Data-driven insights

Strategic leadership

Cross-functional collaboration

Communication skills

Education

Master’s Degree in Hospital Administration, Public Administration or Business Administration

Job description

Reporting to the Chief Financial Officer, the Assistant Vice President (AVP) of Revenue Cycle provides strategic leadership and operational oversight for all revenue cycle functions acrossUniversityof Iowa Health Care. This roleeffectively managespatient access, billing, coding, claims processing, collections, and revenue integrity, aligning with institutional goals and regulatory requirements.

The AVP of Revenue Cycle is a strategic leader responsible for overseeing the end-to-end revenue cycle operations, focusing on optimizing financial performance, ensuring regulatory compliance, and enhancingthe patient financial experience. This position requires exceptional leadership, operational expertise, and advanced communication skills to effectively manage complex and sensitive financial matters. The AVP serves as a key liaison among patients, physicians, hospital executives, and third-party payers, fostering collaborative relationships and maintaining high standard of public relations and service excellence.

Leadership and People Development

• Foster a culture of accountability, continuous improvement, and high performance across multi-site teams.
• Facilitate team building and collaboration across departments to break down silos and improve cross-functional performance.
• Use data-driven insights to guide leadership decisions, evaluate team effectiveness, and identify areas for improvement.

Strategic Leadership

• Provide strategic leadership and direction to all Revenue Cycle departments, ensuring alignment with organizational goals and financial performance targets.
• Drive system-wide collaboration to integrate financial strategies with clinical, operational, and technological initiatives.
• Drive organizational strategy through actionable revenue cycle initiatives with measurable outcomes.

Operational Oversight

• Provide executive oversight for all revenue cycle operations, including patient access, billing, coding, charge capture, denials management, and collections.
• Ensure consistent application of standardized processes, policies, and procedures across the health system to promote operational excellence.
• Use benchmarking and comparative analytics to identify opportunities for operational improvements and best practice adoption.

Performance Management

• Establish and maintain a robust performance management framework for all revenue cycle functions, with clear KPIs and performance expectations.
• Use data-driven analysis to identify performance trends, variances, and root causes of underperformance.
• Analyze payer performance and denial trends to optimize reimbursement and inform contract negotiation strategies.

Technology & Innovation

• Lead the strategic integration of technology solutions that enhance efficiency, transparency, and accuracy across the entire revenue cycle.
• Lead system optimization efforts following EHR or revenue cycle platform upgrades, acquisitions, or integrations.
• Champion the adoption of automation, AI, and machine learning tools to streamline workflows, reduce manual processes, and improve cash performance.

Compliance & Risk Management

• Oversee internal controls, audit readiness, and risk mitigation strategies across all revenue cycle functions.
• Monitor and interpret evolving healthcare regulations, reimbursement models, and payer requirements to ensure timely organizational adaptation.
• Develop and implement a comprehensive compliance framework for billing, coding, charge capture, and reimbursement practices.
• Serve as a trusted advisor and collaborator to senior leaders on financial performance, operational strategies, and process improvement initiatives.
• Lead interdepartmental initiatives that align revenue cycle goals with broader organizational strategies, such as quality, safety, and patient satisfaction.
• Ensure effective communication channels are established to disseminate information, share best practices, and reinforce alignment across all sites.

Education Requirements

Master’s Degree in Hospital Administration, Public Administration or Business Administration or an equivalent combination of education and experience is required.

Experience Requirements

• Demonstrated experienceworking effectively in a welcoming and respectful workplace environment.
• 10+ years of experience relating to the revenue cycle process.
• 5+ years of experience with CDM and hospital reimbursement.
• Comprehensive knowledge of complex health care systems including state and federal policies.
• Advanced understanding of CPT, HCPS, ICD-10, and third-party billing requirements.
• Experience with CMS rules and regulations, and coding and billing compliance.
• Previous experience with third party billing/collections, patient billing, and collections.
• Previous experience with billing and coding of both clinical and physician services
• Previous experience with pre-access functions such as insurance eligibility and verification, pre-certification, referral/authorization.

Desired Qualifications

• Proven ability to drive performance and foster a culture of accountability across teams and the broader organization.
• Proven ability to drive strategic, operational, and financial success across complex healthcare systems.
• Skilled collaborator and consensus builder with demonstrated success in engaging and aligning stakeholders.

Job openings are posted for a minimum of 7 calendar days. Successful candidates must self-disclose any conviction history and will be subject to a criminal background check and education verification. This position is not eligible for University sponsorship for employment authorization.

Additional Information

• Appointment Type: Professional and Scientific
• Schedule: Full-time

Compensation

Contact Information

Equal opportunity employer

The University of Iowa is an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, religion, national origin, age, sex, pregnancy (including childbirth and related conditions), disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, or associational preferences.

Persons with disabilities who need assistance or accommodations with the application or interview process may contact University Human Resources/Faculty and Staff Disability Services, [phone] or [e-mail] . For jobs in UI Health care, please contact UI Health care Leave & Disability Administration at 319-356-7543 .