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Cheryl Flaherty
Page 2
* Provision of on-site consulting services to Jersey City, Medical Center, Jerse
y City, NJ
Provided consulting services in PFS and Practice Management to the Behavioral
Health facility. Developed
procedures and job descriptions to improve revenue capture, work flow and sta
ff performance.
Employment Experience
Manager, Charge Description Master/Charge Capture
St. Vincent's Catholic Medical Center
New York City, NY
2005 - 2006
Managed and directed CDM Analysts of a 1,900 bed, five-facility system utilizing
SMS Invision in the maintenance
Of existing service and supply charge codes and the creation of new charge codes
. Provided direction to CDM
Technicians and operational control to system-wide daily charge capture activiti
es and revenue transactions. Responsible for application data integrity and inte
gration. Active in Revenue Cycle Improvement Groups; recommended and implemented
policies and procedures to attain revenue cycle improvements and efficiencies.
* Successfully utilized the MedAssets application for charge code creation and c
ompliance.
* Implemented procedures for daily charge reconciliation and interface of applic
ations from ancillary departments into
SMS and the general ledger.
* Formed beneficial relationships with clinical department heads and physicians
to optimize communication on
new product requests and new procedures to determine reimbursement and charge
code structure, including
CPT assignment and pricing.
* Ensured all revenue producing departments had updated charge capture documents
and charge software was
updated with current CPT codes and prices for correct billing.
* Contributed to the decrease in number of late charges by coordinating reconcil
iation and charge error correction
quality improvement initiatives with IT, transaction control, and point of se
rvice staff.
Director, Patient Accounts
University of Medicine & Dentistry of New Jersey
University Behavioral Healthcare
Piscataway, NJ
1999 - 2003
* Directed Assistant Managers and managed 50 employees in a unionized environme
nt to deliver
patient financial services within the largest state university health system
in the U.S.
* Successfully directed operations in Access, Financial Clearance, Billing/Clai
ms, and Collections in
the acute care setting and 15 clinics located throughout the state.
* Implemented processes and procedures and improved staff productivity to achie
ve a reduction
in A/R days from 110 to 70 in three months.
* Successfully planned and integrated staff into a centralized business office
to achieve efficiencies.
Performed a staff redesign to create dedicated teams in Medicare, Medicaid,
commercial,
managed care, self pay and denials.
* Implemented claims submissions process improvement efforts that resulted in a
92% clean claim
rate, with Medicare claim payment within 13 days and Medicaid payment at 7 d
ays from submission.
* Developed a quality assurance program, inclusive of key indicators for regist
ration/access, claims
and collections to monitor and measure reduction in self pay, bad debts, ben
efits exhausted,
Cheryl Flaherty
Page 3
denials, and write-offs for services not authorized.
* Instrumental in successfully converting to an A/R software system and achieve
d efficiencies in
electronic claims submission and electronic remittance posting, and introduc
ed an electronic
medical record module for clinic visits.
Cheryl Flaherty
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Education:
Bachelor of Arts, Potsdam College (SUNY), Potsdam, NY
Professional Certificate, Health Services Administration, Rochester Institute of
Technology, Rochester, NY
Affiliations: AAHAM, NY and NJ Chapters; HFMA-NJ; NJMHA Reimbursement Users Grou
p