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Medical Management

Location:
Ithaca, NY, 14850
Posted:
August 23, 2011

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Resume:

Ms. Susan L. Schell

*** ***** ****

Ithaca, New York 14850

607-***-****

E-mail: ******@*********.***

Summary of Qualifications

Twenty years of progressively responsible healthcare financial management experience

with expertise acquired in both physician practice and hospital environments.

Self-directed, hands-on leader with vision, energy, perspective, and demonstrated

capacity to effect positive change. Dynamic communicator, motivator, negotiator and

mentor. Established history of strategic restructuring and revitalization to achieve

operational excellence.

Experience

Pikeville Medical Center, Pikeville, KY

Assistant Chief Financial Officer – Physician Practices (2009 – 2011)

Financial leadership for physician enterprise employing 78 physicians, 38 non-physician

practitioners and 158 practice staff in 55 practice locations, 33 distinct specialties, 4

primary care offices, 3 retail clinics and 3 provider based departments. Manages annual

net revenues and operating expenses of 184M and 133M, respectively. Supervision of 21

FTEs within physician coding, revenue, and billing.

• Developed and implemented documentation, coding and charge entry program for

all inpatient, outpatient, and ambulatory professional services and procedures.

• Created physician practice reporting tools to analyze, plan, manage, and sustain

physician integration including statistical measures, productivity reports,

compensation analyses, financial projections and physician financial statements.

• Engaged practice managers and physicians in financial oversight of practice

operations.

• Provided compliance guidance for all physician services including; research and

interpretation of State and Federal regulations and Commercial contracts,

coordination of internal audits, impact analysis and communication with providers

and third party payors. Discovered and resolved non-compliant billing of locum

tenens services (+$150,000). Corrected inappropriate modifier usage (+$100,000

per year), discovered and resolved non-compliance with Medicare “incident to”

and “split shared visit” regulations.

• Evaluated Medical Center’s practice management system. Provided written

assessment and justification for purchase of new product.

• In process of converting several office practices to “provider based” status

(+700,000 per year).

Berkshire Health Systems, Pittsfield, MA

Associate Vice President (2007 – 2009)

Provided financial leadership for all Health System entities, including: Berkshire Medical

Center, a 306 bed teaching hospital affiliated with the University of Massachusetts;

Fairview Hospital, a 25 bed critical access hospital; Berkshire Faculty Services, a 30

group physician practice organization employing over 100 physicians; and an

administrative management company. Managed annual net revenues and operating

expenses of 390M and 380M, respectively. Supervision of 28 FTEs within payor

contracting, reimbursement, business development, budgeting and general accounting.

• Identified, negotiated and recovered claims underpayments totaling 2.2M.

• Identified, researched and corrected billing inaccuracies (+600,000 per year).

• Identified, developed and implemented significant changes to improve

accountability, transparency, clarity and timeliness of the Health System’s

financial information.

• Negotiated improved contract language and payment rates with third party payors.

• Planned and successfully implemented major restructuring of finance division.

Cortland Regional Medical Center, Cortland, NY

Controller (2002 – 2004)

Director of Finance (1998 – 2002)

Accounting, financial reporting, budgeting, financial planning, reimbursement, and grant

administration for 166 bed acute care hospital and 80 bed residential care facility.

• Financial representative for legislative meetings. Provided President with

overview of regulatory reimbursement issues, impacts, and course of action.

• Educated and mentored clinical managers to facilitate their understanding of the

financial operations of their respective departments.

• Improved MEDITECH efficiencies and capabilities across numerous modules.

Cayuga Medical Center at Ithaca, Ithaca, NY

Director of Finance (1990 – 1998)

Director of General Accounting (1988 –1990)

Education

Master of Health Administration In Progress

Saint Joseph’s College of Maine, Standish, ME

Bachelor of Science - Accounting 1985

Ithaca College, Ithaca, NY

Affiliations

Healthcare Financial Management Association

Medical Group Management Association



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