Cheryl Flaherty

One Scenic Drive Unit 1401

Highlands, New Jersey 07732
Phone: 732.708.1901
Email: cfb3eac2@westpost.net
________________________________________
Healthcare Revenue Cycle & Patient Financial Services Professional Management
Independent Contractor/Consultant
July, 2006 - Present
* Revenue cycle process improvement initiative, University of Arkansas for Medic
al Services, Little Rock, AR
Employed through (consulting firm) to assess and establish "quick hits" on a
team initiative to improve Point of
Service collections; improve registration data collection and integrity; intr
oduce a financial clearance model; and
develop ABN policies and procedures and additionally provide ABN training.
* System Business Office outsourcing initiative, St. Barnabas Healthcare System,
Oceanport, NJ
Contracted with (consulting firm) to provide support to (company). Interview
ed SBHCS employees to determine
competency and knowledge levels to assist in (company's) assessments for job
placement and determine
integration of (company's) proprietary software into the new business office
structure.
* Revenue cycle operational support to the Sr. Director of Revenue Cycle Managem
ent, Providence Health &
Services, Washington-Montana Region, Renton, WA
As a Consultant to (Consulting Firm), I represented the RCM Division at the P
H&S system level on a Task
Force to transition multiple entities in a corporate consolidation initiative
. I applied to Medicare for new provider
numbers for both Part A and Part B, applied to or updated provider enrollment
s with WA state Medicaid,
applied for new NPI numbers for all facilities, clinics and physicians, appli
ed for new tax identification numbers,
and updated business licenses with the WA State Department of Health.
Accomplishments also included:
* Cash flow integrity during consolidation was maintained. Ensured all third
party claims systems and applications were
modified with new tax ID numbers and new provider numbers and ensured that
claims processing was not delayed or
claims rejected.
* Assisted the System Legal Department in writing policies required by the O
ffice of Civil Rights for PH&S to
enter into a Regional OCR Agreement which ensures Medicare certification a
nd state licensing.
* Coordinated the transition to a new Washington State Medicaid claim proces
sing and payment system.
* Worked with the Region's hospitals to standardize processes for the accura
cy, timing, and input of data
into the Premier Clinical Advisor and Quality Measures components, assurin
g compliance with Medicare
 requirements for quality data
* Developed a Business Impact Plan for the Revenue Cycle Division in the eve
nt of a major business interruption.
* CDM and Charge Capture support to the Associate Vice President of CDM, Continu
um Healthcare Partners,
New York City, NY
Provided support in a system-wide, four hospital, charge master consolidation
initiative. Defined new charges
required to capture revenue for new service lines. Revised departmental charg
e capture forms and developed
procedures to ensure daily entry and reconciliation.

Cheryl Flaherty
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* 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.

Manager, Patient Accounts

Schuyler Hospital, Inc.
Montour Falls, NY
1988 - 1999
* Directed and supervised staff across the revenue cycle continuum at this rura
l setting hospital with
a large SNF and active outpatient departments.
* Coordinated efforts with HIM and Utilization Review to enhance DRG billing an
d payment, decreasing
inpatient bill hold to five days.
* Worked closely with the CFO in budget preparation, cost reporting assistance,
and the monitoring
of all outsourced functions and vendors.
* Responsible for Medicare bad debt and credit reporting and submitted monthly
A/R performance
reports to leadership on a timely basis.
* Composed the first regulatory compliance manual for the PFS Department based
on OIG guidelines.
* Developed a comprehensive quality assurance program specific to PFS key indic
ators.
* Successfully worked through a software/system conversion to enable electronic
claims submission
and electronic remittance posting and achieve a clean claim rate of 95%.
* Participated in the goal-setting of the hospital, which included the financia
l planning of new
service lines.
* Responsible for maintaining the facility Charge Master.
* Responsible for staff, physician, and community education.
Competencies:
Payment Inpatient DRG, Outpatient APC, Charge-based, Fee schedule
(professional), Managed Care,
Methodologies: Skilled Nursing RUG
Reimbursement Charge master maintenance, denial management, utilization of b
enchmarking and forecasting
Optimization: techniques, monitoring of A/R aging and underpayments and
overpayments, professional
billing - documentation review to enhance E and M co
ding; coordination with Utilization
Review for inpatient length of stay issues and days
to bill; managed care contract analysis
Claims: CPT, ICD9, and revenue coding for inpatient, outpatient,
clinic, SNF and physician services.
Data mining and electronic file submission proficienc
y, design and utilization of claims auditing
for Medicare and Medicaid billing and documentation c
ompliance.
Financial: Governmental reporting requirements and report preparatio
n, including cost reports;
budget preparation; rate and fee establishment; gener
al ledger accounting principles
Systems/ SMS, Meditech, Creative SocioMedics (customized for Behavi
oral Health)
Applications: MS Word, Excel, PowerPoint, Sharepoint, Vision, MS Project
, Craneware

Cheryl Flaherty
Page 4
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