Cheryl Rau
Dighton,MA
Summary
Results-driven Management professional with proven ability to lead teams to success. Strong focus on team collaboration, operational efficiency, and achieving measurable outcomes. Adept at strategic planning, process improvement, and fostering culture of accountability and excellence. Known for adaptability and consistently meeting changing organizational needs and deadlines with commitment to achieving results.
Overview
33
33
years of professional experience
Work History
Coding Education and Revenue Integrity Manager
Southcoast Hospitals
New Bedford, MA
10.2023 - Current
- Led departmental operations to enhance patient care and optimize resource allocation.
- Developed and implemented strategic initiatives to improve hospital efficiency and service delivery.
- Coordinated interdisciplinary teams to ensure compliance with healthcare regulations and standards.
- Mentored staff in best practices for patient management and operational excellence.
- Analyzed performance metrics to drive improvements in patient outcomes and workflow processes.
- Established protocols that enhanced communication between departments, improving overall patient experience.
- Managed and motivated employees to be productive and engaged in work.
- Maximized performance by monitoring daily activities and mentoring team members.
- Cross-trained existing employees to maximize team agility and performance.
Corporate Compliance Manager
Signature Healthcare Brockton Hospital
Brockton, MA
07.2021 - 10.2023
- Oversee Coding/Billing compliance operations by organizing correspondence, reports and internal audits.
- Assist the Chief Compliance Officer with establishment of annual Compliance Work Plans
- Stayed up to date on company requirements and related legal standards like the Anti-kick Statue and Fraud, Waste and Abuse regulations.
- Supported strategic development and objective setting by analyzing audit outcomes and generating actionable recommendations.
- Executed successful compliance monitoring and risk assessment programs.
- Created and managed training classes to educate provider new hires and existing employees about compliance concerns.
Director of Health Information Management
Good Samaritan Medical Center
Brockton, MA
07.2018 - 07.2021
- Directly responsible for a department of 41 employees through directing, planning, organizing and implementing the daily activities of the Health Information functions across the hospital.
- Daily reporting of the DNFB report and continued follow up to ensure timely coding measures while maintaining accuracy for coded claims
- Generated and monitored the weekly Physician Suspension Report to maintain adherence and compliance to hospital guidelines.
- Put new coding and billing procedures into practice, which helped to reduce number of claims that insurance companies denied.
- Interviewed and hired talented performers, bringing exemplary expertise and knowledge to job positions within organization.
- Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
- Maintained awareness of government regulations, health insurance changes and financing options.
- Worked closely with the IT department to initiate and implement an upgrade to our current EMR system.
Director of Health Information and Privacy Officer
Arbour Fuller Hospital
Attleboro, MA
01.2014 - 06.2018
- Supported internal and external auditing teams conducting impartial compliance reviews.
- Investigated reported and identified compliance issues against accepted standards.
- Verified documentation against compliance standards and communicated deficiencies to resolve issues.
- Applied appropriate ICD codes to all inpatient and outpatient encounters within 72 hours of admission and discharge.
- Enforced regulatory policies and procedures across different teams and programs.
- Managed the daily operations of the HIM department and Admissions department for consistent workflow including resource management and utilization of outside resources when necessary.
- Focused highly on meeting departmental targets, monitored budget variances and recommended plans for improvement.
Medical Assistant and Office Manager
Harry L. Shoemaker, DPM
Taunton, MA
04.1993 - 01.2014
- Developed plans to streamline patient flows, increase office and patient care efficiency and generate new revenues.
- Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
- Oversaw digital patient charting, data entry and administrative duties regarding insurance, billing and accounts receivable.
- Managed staff scheduling and set patient scheduling policy.
- Interviewed, hired and trained medical office teams and conducted performance reviews.
- Supervised patient billing, collection and financial counseling and assisted with cash posting.
- Developed and implemented office policies and procedures while adhering to HIPAA and OSHA regulations.
- Responsible for the ordering of supplies, equipment and instruments within the appropriate budget needs.
- Directed the installation of EMR to achieve agency objectives and improve reimbursement methodologies.
Education
Bachelor of Science - Health Information Management
Fisher College
Boston, MA01-2020
Skills
- Analytical Problem-Solving
- Regulatory Compliance Oversight
- Audit Oversight
- Financial Improvement Methodologies
- Team leadership
- Complex Problem-solving
Timeline
Coding Education and Revenue Integrity Manager
Southcoast Hospitals
10.2023 - Current
Corporate Compliance Manager
Signature Healthcare Brockton Hospital
07.2021 - 10.2023
Director of Health Information Management
Good Samaritan Medical Center
07.2018 - 07.2021
Director of Health Information and Privacy Officer
Arbour Fuller Hospital
01.2014 - 06.2018
Medical Assistant and Office Manager
Harry L. Shoemaker, DPM
04.1993 - 01.2014
Bachelor of Science - Health Information Management
Fisher College