Michelle McPherson
Damascus,OR
Summary
Professional with extensive experience in revenue integrity and charge description master (CDM) management. Proven track record in analytical problem solving and service line optimization. Expertise in training development and enhancing charging workflows to improve quality and operational efficiency.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Charge Description Master Specialist
Providence Health & Services
Renton, Washington
06.2013 - Current
- Act as CDM RI subject matter expert for assigned service lines including surgical services, CVL, IR, anesthesia, and supplies.
- Monitor, fix, and educate on service line workflows, ensuring accuracy in WQ charges, accounts, errors, and audits.
- Process owner for CDM RI lead projects within my service line.
- SME/lead for Epic deployments, DOWs, Optimization projects.
- Manage Service Now tickets to ensure timely resolution of user issues.
- Collaborate with LRI to fix issues related to service line.
- Partner with RN Auditors on resolving issues.
- Develop training materials to enhance operational excellence across service lines.
- Implement quality improvement initiatives across service lines.
- Provide support for regulatory compliance.
- Analyze report data to identify issues and trends, driving corrections and improvements in charging workflows.
- Coordinate with application analyst teams to troubleshoot, resolve issues and ensure efficient and compliant charging workflow processes.
- Provide support for end users in resolving complex issues.
Supervisor Revenue Integrity Surgical Services
Providence St. Vincent Medical Center
Portland, Oregon
12.2012 - 06.2013
- Supervised daily operations of staff workflow, ensuring timely and accurate task completion.
- Trained staff on charging policies and procedures.
- Facilitated communication between departments and surgery business staff.
- Monitored staff performance to ensure compliance with company policies and procedures.
- Developed training materials to improve team knowledge and compliance.
- Coordinated team meetings to assess progress, generate ideas, troubleshoot issues, and devise solutions.
- Conducted performance evaluations for staff to support professional development and provided feedback for improvement.
- Reviewed existing processes to identify opportunities for workflow streamlining and efficiency enhancement.
- Assisted with recruitment activities by interviewing potential candidates for open positions.
- Processed, verified and audited and patient charges.
- Prepared specialized monthly reports for business and finance manager.
- Coordinated and worked to troubleshoot issues in Epic.
- Served as mentor for motivating productivity, employee processes, employee morale and commitment to the organization.
Lead Revenue Integrity Surgical Services
Providence St. Vincent Medical Center
Portland, Oregon
08.2004 - 12.2012
- Oversaw daily operations of surgical business specialist team, ensuring high standards.
- Coordinated various business functions for surgical services departments to enhance operational efficiency.
- Conducted surgical case auditing and processed patient charges accurately.
- Collected and recorded statistical data for all surgery departments to support decision-making.
- Prepared monthly reports for management to highlight departmental performance.
- Collaborated closely with clinical staff, charge nurses, materials management, and regional business office.
- Mentored team members to boost productivity, employee morale, and commitment to organizational goals.
- Assisted with recruitment activities by interviewing potential candidates for open positions.
Education
Some College (No Degree) - Nursing Education
Mt Hood Community College
Troutdale, ORSome College (No Degree) - Biblical Studies
Multnomah University
Portland, ORSkills
- CDM management
- Quality improvement
- Regulatory compliance
- Epic certified
- Data analysis
- CPT and HCPCS coding
- MS office
- Medical Billing Requirements
- Epic deployments
- Medicare Reimbursement
Accomplishments
Mission Leadership Academy Program
Certification
Epic Certification Resolute Hospital Billing Charging Administration
Timeline
Charge Description Master Specialist
Providence Health & Services
06.2013 - Current
Supervisor Revenue Integrity Surgical Services
Providence St. Vincent Medical Center
12.2012 - 06.2013
Lead Revenue Integrity Surgical Services
Providence St. Vincent Medical Center
08.2004 - 12.2012
Some College (No Degree) - Nursing Education
Mt Hood Community College
Some College (No Degree) - Biblical Studies
Multnomah University