Melissa Frierson MBA

Chief Healthcare Financial Operations & Strategy Officer

 

 

My role is comprehensive and enterprise‑wide. I oversee all financial operations, ensuring every function, from external accounting to reimbursement to internal controls, aligned,    accurate, and strategically positioned.

 

Beyond day‑to‑day oversight, I direct strategy, compliance, insurance, and controls, bringing structure, clarity, and audit‑defensible alignment to every financial and operational decision your facility makes.

 

 I am accountable for the entire financial health of the facility, ensuring stability, integrity, safeguarding compliance, strengthening operational performance, and positioning your facility for measurable, lasting success.

Credentials: 

MBA | NPI: 1821979683 (NPPES Contractor | EIN: 39-21889990 | 

Healthcare Government Award Contract Specialist Cert# CAGE:16UH9 

IRS Approve Preparer and Filer IRS: P02461680 |

EMAIL: melissa@friersoncfo.com   Phone: (404) 494-6077  

Website: WWW.FRIERSONCFO.COM

 

ABOUT 
MELISSA & Liberty Healthcare Financial Strategist

Let me explain how I actually work, because when you’re ready to hire, you don’t need theory. You need someone who will step in, take ownership, and work alongside you to make the numbers right.

What I do lives between the back end and the front end, and that’s the bridge most healthcare organizations are missing. I come in as a Chief-level Controller and Financial Strategist, taking shared ownership of your financials with your team, from accounting, controls, tax awareness, and compliance on the back end, all the way through cash flow, analytics, and executive decision support on the front end.

Liberty Healthcare Financial Strategist is the firm I founded to deliver the work I’ve been doing for over 23 years inside healthcare organizations. Every result, every recovery, every improvement referenced here reflects my direct leadership and hands-on experience prior to and leading into the launch of Liberty.

I work with healthcare organizations that are ready to move forward, acute care and nonprofit hospitals, surgical and specialty hospitals, trauma centers, academic medical centers, IDNs, behavioral health and psychiatric facilities, post-acute and long-term care, FQHCs and community health centers, urgent care, retail clinics, imaging and diagnostic centers, and ASCs. Different structures and reimbursement models, but the same expectation: the numbers must be right, defensible, and usable.

Most clients come to me when they’re saying things like, “We don’t trust our reports,” “Our close takes too long,” “Cash flow doesn’t make sense,” or “An audit is coming and we need to be ready.” That’s where I step in.

One thing that’s important to me as I’m doing strategic research and pulling analytical data together is this: I don’t leave people behind.
If I uncover an issue, a gap, or a risk, I don’t point fingers or make anyone feel exposed. I take ownership of the numbers with your team, making sure they understand what I’m seeing, why it matters, and how to carry it forward themselves. That way, the fix doesn’t live only with me, it becomes part of how your organization operates long after the engagement ends.

That’s how the numbers stay right.

When people understand the why behind the data, reporting improves, controls hold, and the work stands up under scrutiny. You don’t have to worry about whether a report will survive an audit or whether questions will surface later, because the foundation is solid. My goal is always the same: strong people, clean numbers, defensible reporting.

Over the course of my 23-year career, I’ve worked inside healthcare organizations ranging from $50M to $1.2B, stepping into environments where finance was reactive, fragmented, or overwhelmed. I bring structure, accountability, and clarity, fast. I’m hands-on, analytical, and decisive. I connect accounting reality to economic impact and leadership decisions. I don’t just make the numbers balance, I make them mean something.

My experience includes recovering significant cash, improving operating performance, and maintaining clean regulatory outcomes, earned through controller discipline, strategist perspective, and executive accountability. I work side-by-side with CEOs, CFOs, Controllers, operations leaders, revenue cycle teams, tax and compliance functions, and boards, ensuring everyone is operating from the same financial truth.

Just as important, your organization is protected. Liberty Healthcare Financial Strategist carries comprehensive Hartford insurance coverage, so you can engage with confidence knowing your organization is safeguarded while critical financial work is being performed.

From the back end to the front end, you’re covered. When audits arise, you’re ready. When decisions need to be made, you have clarity. And when you bring me in, you’re not handing the numbers off, you’re gaining a partner who owns them with you.

If you’re ready for a financial leader who will step in, take shared ownership, and make it work, I’m ready to partner with you, through Liberty Healthcare Financial Strategist, from the ledger all the way to the boardroom.

Education

Master of Business Administration -Ashworth College, Norcross, GA

23 Years in the Healthcare Entities & Industries

Credentials: MBA | IRS Approve Preparer and Filer IRS: P02461680 | EIN: 39-21889990 | NPI: 1821979683 | Healthcare Award Contract Specialist CAGE:16UH9

Technical & Systems Proficiency

I work fluently across the core financial, clinical, and analytical systems used in healthcare today, and I’m comfortable stepping into existing environments without disruption. My experience includes hands-on leadership within:

Epic (HB/PB) – revenue integrity, reporting alignment, operational and financial insight

Meditech & Cerner – financial reporting, reconciliation, and cross-system data validation

Oracle Healthcare ERP – general ledger, consolidation, and enterprise financial controls

Sage Intacct – multi-entity accounting, close management, and reporting structure

Power BI & Tableau – executive dashboards, KPI frameworks, and board-ready analytics

SQL – data extraction, validation, and analytical modeling across source systems

Advanced Excel – complex modeling, reconciliation support, forecasting, and scenario analysis

I use these tools to connect accounting reality to operational and economic insight, ensuring leadership decisions are grounded in accurate, defensible data—from the ledger to the boardroom.

Why healthcare leaders choose libertyS My APPROACH DIFFERENT

Across the U.S., many firms can deliver finance strategy, revenue cycle optimization, compliance auditing, or systems implementation. Liberty is built to solve the complete challenge:

We connect the entire operational and financial ecosystem:

clinical workflow → charge capture → claim submission → cash collections → 

financial reporting → regulatory compliance → audit defense → strategic decision-making

The Liberty Difference:       Strategic + Analytical + Compliant

Strategic Vision: Understanding where your organization needs to go and building the financial roadmap to get there

Analytical Precision: Leveraging advanced analytics, business intelligence tools, and data-driven insights to inform every decision

Operational Compliance: Ensuring every improvement maintains regulatory adherence and audit defensibility

This is controller-level operations excellence, the complete integration of strategy, execution, and compliance that healthcare organizations need but rarely find in traditional consulting engagements.

 

 

Controller + Revenue Cycle Integration 

Most advisory firms separate "controller operations" and "revenue cycle management" into different service lines with different consultants. I bring both capabilities together, creating seamless integration from patient registration through financial statement consolidation.

Why This Matters:

  • Revenue cycle issues often stem from controller-level problems (weak controls, poor reconciliation, inadequate documentation)
  • Controller effectiveness depends on revenue   cycle performance (cash flow, A/R aging, reimbursement accuracy)
  • Organizations need someone who understands both the operational workflow AND the financial accounting to solve root causes, not just symptoms

What You Get: Complete visibility and accountability across the entire revenue-to-reporting continuum, no gaps, no finger-pointing between departments, no consultants who only understand half the picture.

Systems-First Execution

Many consultants deliver PowerPoint recommendations and leave implementation to your overwhelmed team. I translate strategic findings into executable systems, workable processes, documented controls, configured dashboards, governance frameworks, and staff accountability structures your team can actually operate.

Why This Matters:

  • Recommendations without implementation infrastructure fail within 90 days
  • Your team needs tools they can use daily, not binders gathering dust
  • Sustainable change requires system design, not just behavior change

What You Get:

  • Documented workflows with clear roles, responsibilities, and handoffs
  • Automated controls built into your Epic, ERP, or business intelligence systems
  • Executive dashboards providing real-time KPI visibility with drill-down capability
  • Governance frameworks establishing who reviews what, when, and with what authority
  • Training programs and SOPs ensuring your team can sustain improvements independently

Audit-Defensible by design

I build documentation, evidence trails, and regulatory compliance into every process from day one, as if CMS, HRSA, Joint Commission, or external auditors will review our work tomorrow.

Why This Matters:

  • Operational improvements that create compliance risk are dangerous, not valuable
  • Audit findings cost millions in remediation, penalties, and leadership distraction
  • Regulatory agencies increasingly focus on billing practices, documentation integrity, and internal controls

What You Get:

  • Compliance-integrated process design: Every workflow includes regulatory checkpoints and documentation requirements
  • Audit-ready documentation: Policies, procedures, supporting evidence, and compliance monitoring reports prepared to regulatory standards
  • Proactive issue identification: We find and fix compliance gaps before regulators discover them
  • Zero adverse findings track record: 50+ healthcare organizations served with zero regulatory sanctions or adverse audit findings

 

MELISSA FRIERSON MBA 

THE LIBERTY ADVANTAGE

Most consulting firms fragment your challenges into separate engagements: one team for finance strategy, another for revenue cycle, a third for compliance, and a fourth for systems. You're left coordinating multiple vendors, reconciling conflicting advice, and watching improvements fall apart because nobody connected the dots.

Liberty is built differently. I deliver complete integration:

From Patient Registration → Cash Collection → Financial Reporting → Regulatory Compliance → Strategic Decision-Making

One expert. One accountability. One sustainable outcome.

LIBERTY HEALTHCARE FINANCIAL STRATEGIST

PAYOR-PERSPECTIVE + FORENSIC RECOVERY

Claims adjudication experience combined with Epic/Meditech/Cerner revenue cycle mastery helps me identify underpayments and denial patterns that remain invisible in standard reporting.

What This Means for You

  • I review your contracts through the payor's lens—spotting the edits, bundling logic, and payment rules they're using to reduce reimbursement
  • I analyze three years of remittance data to find systematic underpayment patterns worth $500K-$3M annually
  • I build forensic appeals with documentation that actually gets claims paid, not just re-denied
  • I identify which denial codes indicate process problems vs. payor gaming, so you fix root causes

Results Clients Achieve

  • $2M-$7M recovered through underpayment identification and successful appeals
  • 40-60% reduction in denial rates within 6-12 months
  • Payor contract renegotiations supported by irrefutable underpayment evidence

PROCUREMENT STEWARDSHIP

Many finance advisors ignore procurement, treating it as an operational issue disconnected from financial performance. I treat procurement as margin protection strategy—tying supplier performance, KPIs, and audit trails directly to financial outcomes.

What This Means for You:

  • Vendor contracts evaluated for total cost of ownership, not just unit pricing
  • GPO compliance monitoring ensuring you're receiving committed discounts and rebates
  • Utilization analytics identifying standardization opportunities worth 12-18% savings
  • Supplier scorecards measuring quality, service levels, and financial impact—not just price
  • Capital equipment ROI analysis ensuring investments deliver promised productivity and revenue

Results Clients Achieve:

  • $1.5M-$4M annual supply chain savings through strategic sourcing and utilization management
  • 15-25% reduction in surgical preference card costs through physician engagement and standardization
  • Vendor contract renegotiations recovering $300K-$800K in unbilled rebates and discounts

WRITTEN-FIRST DELIVERY YOU CAN USE INTERNALLY

You receive board-ready narratives, operational playbooks, detailed work plans, and comprehensive SOPs that leadership can act on immediately and teams can sustain long-term.

What This Means for You:

  • Executive summaries distilling complex analysis into 2-3 page decision documents for busy leaders
  • Board presentations with clear financial narratives, compelling visuals, and anticipated questions answered
  • Implementation playbooks with step-by-step workflows, accountability assignments, and timeline milestones
  • Standard operating procedures documenting every improved process so staff can execute consistently
  • Training materials enabling your team to onboard new hires and cross-train existing staff
  • Dashboard user guides teaching your team to interpret analytics and take action on insights

Results Clients Achieve:

  • Zero post-engagement confusion about "what do we do next"—you have complete implementation roadmaps
  • Sustainability beyond my engagement—your team operates improved processes independently
  • Audit readiness—comprehensive documentation satisfying external auditors and regulators
  • Leadership alignment—board and executives understand financial situation and strategic options clearly

LIBERTY HEALTHCARE FINANCIAL STRATEGIST 

BUILT FOR URGENCY

When payroll, close deadlines, covenant reporting, or regulatory timelines are at risk, I prioritize immediate cash recovery and create executable 30-60-90 day action plans that stabilize operations fast.

What This Means for You

What This Means for You:

  • Week 1: Cash assessment identifying immediate collection opportunities ($500K-$2M typically available)
  • Days 1-30: Emergency cash recovery—accelerated A/R collections, denial appeals, charge capture cleanup
  • Days 30-60: Process stabilization—close acceleration, critical control implementation, reporting accuracy
  • Days 60-90: Sustainable infrastructure—documented workflows, team training, performance monitoring

When You Need This:

  • Unexpected CFO/Controller departure leaving finance operations unstable
  • Cash crisis threatening payroll, vendor payments, or debt covenant compliance
  • Regulatory survey findings requiring immediate remediation with tight deadlines
  • Lender concerns demanding rapid financial improvement and enhanced reporting
  • Board pressure for turnaround results with accountability and transparency

Results Clients Achieve

  • $2M-$7M recovered through underpayment identification and successful appeals
  • 40-60% reduction in denial rates within 6-12 months
  • Payor contract renegotiations supported by irrefutable underpayment evidence

PROCUREMENT STEWARDSHIP

Many finance advisors ignore procurement, treating it as an operational issue disconnected from financial performance. I treat procurement as margin protection strategy—tying supplier performance, KPIs, and audit trails directly to financial outcomes.

What This Means for You:

  • Vendor contracts evaluated for total cost of ownership, not just unit pricing
  • GPO compliance monitoring ensuring you're receiving committed discounts and rebates
  • Utilization analytics identifying standardization opportunities worth 12-18% savings
  • Supplier scorecards measuring quality, service levels, and financial impact—not just price
  • Capital equipment ROI analysis ensuring investments deliver promised productivity and revenue

Results Clients Achieve:

  • $1.5M-$4M annual supply chain savings through strategic sourcing and utilization management
  • 15-25% reduction in surgical preference card costs through physician engagement and standardization
  • Vendor contract renegotiations recovering $300K-$800K in unbilled rebates and discounts

WRITTEN-FIRST DELIVERY YOU CAN USE INTERNALLY

You receive board-ready narratives, operational playbooks, detailed work plans, and comprehensive SOPs that leadership can act on immediately and teams can sustain long-term.

What This Means for You:

  • Executive summaries distilling complex analysis into 2-3 page decision documents for busy leaders
  • Board presentations with clear financial narratives, compelling visuals, and anticipated questions answered
  • Implementation playbooks with step-by-step workflows, accountability assignments, and timeline milestones
  • Standard operating procedures documenting every improved process so staff can execute consistently
  • Training materials enabling your team to onboard new hires and cross-train existing staff
  • Dashboard user guides teaching your team to interpret analytics and take action on insights

Results Clients Achieve:

  • Zero post-engagement confusion about "what do we do next"—you have complete implementation roadmaps
  • Sustainability beyond my engagement—your team operates improved processes independently
  • Audit readiness—comprehensive documentation satisfying external auditors and regulators
  • Leadership alignment—board and executives understand financial situation and strategic options clearly
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Contact us

Telephone: (404) 494-6077

E-mail: melissa@friersoncfo.com

 Florence SC 29505

Serving Clients Across United States

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