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Eugenia Rabuka
0000 xxxxxx xxxx , xxxx , xxxxx 00000
xxx-xxx-xxxx
abc@xyz.com

Social Security Number:

Citizenship:

Veteran s Preference#

 

Vacancy Announcement:

Job Title:

 

 

 

CORE COMPETENCIES

 

 

Hospital Consultation, Project Management, Departmental Renovation, Quality Management, Systems/ Process Development, Policy/Procedure Development, Organizational Structuring, Regulatory/ Procedural Compliance, Human Resource Management, Strategic Business Planning, Communications, Consulting, Records Maintenance, Revenue Cycle Direction, Risk Management, Staff Leadership, Confidentiality Enforcement, Operations, Case Management, Departmental Reviews, Audits, Quality Control, Health Information Management, Utilization Management, Medical Record Administration, Integrated Case/Risk Management.

 

 

PROFESSIONAL EXPERIENCE

 

 

Month/2008-Present

Senior Consultant to H.I.Mentors, LLC.

Sub-Contractor, On Assignment, HIM Management

Rabuka and Associates

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

Actively serve as Independent Consultant to hospitals and health systems for Departmental Operations, Case Management and HIM Coding. Hand-selected to perform both short-term and long-term project management for clients of sub-contracted companies, including hospital HIM Department operations, electronic record applications and compliance with all regulatory bodies guidelines, federal and state. Consistently performed coding evaluations, validation and education programs for ICD-9-CM and CPT/4. Effectively reviewed issues and recommended improvements for department operations, resulting in revenue realization. Proficiently re-engineered department processes to improve electronic medical record efficiencies. Serve as national speaker for healthcare personnel on all process/procedural updates.

 

 

 

 

 

 

 

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Eugenia Rabuka                                                                Page 2 of 6

 

 

1/2008-7/2008

Interim Director, HIM                                                             

Long-Term Assignment

Southwest Memorial Health System, Inc.

Cortez, CO

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

Successfully applied dynamic leadership and communication skills toward delivering quality employee training in HIPPA privacy regulations and compliance. Effectively directed all policy changes and managed coding staff to reduce unbilled coding from 28 to 0 days within four weeks and consistently maintained zero unbilled coding days. Drove process and procedural improvements to dramatically boost revenue. Proficiently re-engineered HIM operational processes to ensure timely record processing and completion. Acting as Privacy Officer, corrected and rewrote patient information policies and procedures to ensure compliance with HIPPA and state regulations.

 

 

Month/2004-Month/2007

Corporate Director, Revenue Cycle and Risk Management

Resurgence Health Group, LLC.

Sugar Hill, GA              

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

Function as Corporate Director of Risk Management and Revenue Cycle on behalf of 4 Acute Care Hospitals. Hand-selected to rejoin Principles of Southern Health Corporation to form a new hospital company. As key member of operations group, tasked with the Project Management of the Hospital Revenue Cycle Management, including admission, billing processes, payment denials, and final payment. Actively applied extensive skills in interpersonal and intradepartmental management of a large staff across four medical facilities.  Efficiently obtained valuable information through a detailed analysis of financial reporting and individual staff interviews to implement complex process improvement techniques. Utilized dynamic communication skills in presenting information on sensitive issues to hospital administration and medical staff leadership to seek optimal resolutions. Proficiently identified legitimate opportunities to secure revenue in every site of service. Consistently ensured all Coding operations were performed in an accurate and timely manner. Responsible for a broad range of corporate duties, including HIM Operations, Case Management, Emergency Department and Physician Practice Coding and Revenue Cycle management.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Eugenia Rabuka                                                                Page 3 of 6

 

 

Month/2001-Month/2004

Sub-Contractor to 3M Health Information Systems and Nielsen Healthcare Group

Rabuka and Associates

City/State (or address if provided)

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

Actively served as HIM and Case Management Consultant to numerous hospitals and health systems, ranging from 2,000 to 40 beds in size, representing university teaching facilities and small rural facilities. Consistently reviewed and reported recommendations to improve department operations and optimize revenue. Effectively supervised Interim Management Services for Departmental Operations, Coding and Case Management. Consistently provided detailed reviews and employee education on HIM Coding. Served as national speaker for 3M User s Groups and employees, taught groups from 150 to 300 people in an open forum of question/answer.  User s groups consisted of highly trained, decision makers from National hospitals. Successfully re-engineered department processes to improve electronic medical record efficiencies. Proficiently improved the timeliness of discharge record completion, from two months to day of discharge. Effectively reviewed Case Management/UM Departments for opportunities to reduce length of stay and increase revenue on behalf of company. Short and long term assignments include; the Children s Medical Center in Dallas, Newton-Wellsley Medical Center in Boston, University of Nebraska, Loma Linda University in California, Suburban Hospital in Bethesda, MD, and the Mercy Hospital Medical Center in Chicago.

 

Month/1998-Month/2001

Corporate Director of Health Information and Case Management

Adventist Health System

Winter Park, FL                                             

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

Serving as Corporate Director of Health Information and Case Management Systems on behalf of 26 non-profit hospitals. Tasked with managing all profitable enterprise-wide operations of HIM, Coding Revenue and Case Management, with an annual net revenue in excess of $4B. Reported directly to the Corporate CFO, while also serving as key member of the Executive Financial Operations on behalf of the Company.  Successfully functioned as Corporate HIM/Case Management Liaison Officer between Executive Management, Hospital Administrators, Governing Bodies, and Medical Staffs to ensure quality operations. Proficiently supervised the review and implementation of corrective action plans for to improve processes and policies for HIM and Case Management Departments. Effectively trained all hospital coders, business office and IT personnel on the details of new legislation. Actively collaborated with the Chief Medical Officer in training physicians on all legislation updates. Successfully updated all facilities for billing on date of implementation of regulation changes. Tasked with personally reviewing cases and reporting coding accuracy for all facilities. Successfully provided corrective training based upon findings, improving facility Case Mix Index by 25% and improved one facility revenue by $15M.

 

 

 

 

 

 

 

 

 

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Eugenia Rabuka                                                                Page 4 of 6

 

Month/1997-Month/1998

Vice President of Consulting Division

Transcend Services, Inc.

Atlanta, GA

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

Spearheaded all aspects of the Consulting Division of Health Information Management outsourcing company, serving over 300 clients nationwide.  Successfully obtained and implemented nationwide Coding education contract. Effectively supervised the renovation of hospital Health Information Management systems, including reengineering, validation monitoring, and conversion to electronic patient records. Consistent provided individualized support for both sales and Transcend s 30 outsourced hospitals HIM departments.

 

Month/1991-Month/1997

Vice President of Health Information Management/Quality Improvement/Utilization  

Southern Health Corporation

Atlanta, GA

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No
                    

As Director, drove the improvement of quality assurance, utilization and information management operations on behalf of 8 hospitals and 4 nursing homes. Traveled across the region over 60% of the time. Successfully designed, implemented, directed, and controlled an innovative and integrated quality, utilization and information management program.  Promote the realization of legitimate reimbursement, systematic evaluations and continuous improvement of patient care. Successfully reduced financial loss for the hospitals owned and operated by the corporation. DRG validation and improvement program implementation resulted in the significant increase in Medicare reimbursement from 1992 to 1996. Successfully increased CMI increased by 30% in three facilities. Actively collaborated with Hospital CEO s and Medical Staffs to decrease length of stay and increase profitability through innovative and proactive coding reviews/education of UR staff. Effectively established corporate policies and designed continuing education courses for HIM, Quality, Utilization management, Risk Management, and Physician Credentialing, ensuring program success. Consistently ensured compliance with JCAHO, Medicare and State Licensure requirements, resulting in four healthcare facilities receiving first JCAHO accreditation. Successfully obtained accreditation in all facilities surveyed.

 

Month/1988-Month/1991

Administrative Director of Medical Records Integrated Case/Risk Management

Huguley Memorial Hospital

Fort Worth, TX

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

Hand-selected to serve as Director and Administrator of the Medical Record Department for a 220 bed Not-for-Profit Hospitals. Promoted for exceptional performance to handle integrated coding, case management and quality /risk review operations. Effectively directed the integration of seven previous departments and realized significant cost savings.  Actively collaborated with hospital financial group in all managed care activities and corporate computer user groups. Efficiently established an innovative quality control and audit program for the hospital charge system, effectively preventing the loss of charges and documentation of services.  Recipient of the 1990 Claims Eagle Award from Adventist Health System Risk Management for the most diligent and effective loss control program in Adventist Health System/US.

Page 4 of 6

Eugenia Rabuka                                                                Page 5 of 6

 

Month/1987-Month/1988 

Administrative Director of Professional Services

Dallas/Fort Worth Medical Center

Grand Prairie, TX

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

377 beds, Teaching Hospital, Not for Profit

Successfully managed all aspects of Medical Record Services, Quality Assurance, Utilization Review, Medical Staff Services, and Infection Control Departments, including both Allopathic and Osteopathic practitioners.

 

Month/1986-Month/1987

Chief of Medical Record Services

County of San Diego; Mental Health Division

San Diego, CA

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

Serving as Chief of Medical Record Services for two hospitals and five outpatient clinics, effectively brought Medical Record Departments up to professional practice standards after revocation of Medicare funding.  Successfully restructured, re-classified and re-hired for all medical record positions. Consistently followed up with Medicare surveys, revealing no deficiencies in medical record standards.  Responsible for 258 FTE s, including Ward Clerks and all other clerical positions.

 

Month/1981-Month/1986

Medical Record Consultant

Organization/Employer

San Diego, CA

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

Actively served as Consultant to hospitals and clinics on JCAHO compliance for Medical Record, Medical Staff Services and Quality Assurance Departments. Consistently ensured compliance with all JCAHO regulations to maintain hospital accreditation.

 

Month/1978-Month/1980

Director of Medical Records and QA Coordinator

Humana Hospital

Petersburg, FL

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

Serving as the Director of Medical Records and Coordinator of Quality Assurance for 200 bed hospital.

 

 

 

 

 

 

 

 

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Eugenia Rabuka                                                                Page 6 of 6

 

 

Month/1974-Month/1978

Medical Record Department Clerk

Florida Hospital

Orlando, FL

Hours per Week:
Salary:
Supervisor: Name Phone: xxx-xxx-xxxx  May Contact:  Yes or No

Tasked with handling medical records for 800-bed tertiary care hospital, included all departments. Consistently ensured medical record accuracy and completeness.

 

 

EDUCATION

 

University of Central Florida

Bachelors of Science

Major in Health Information Management

1978

GPA:

Credits Earned:

 

San Diego State University

Coursework in the Graduate School of Business

1988

GPA:

Credits Earned:

 

High School:
Degree: Diploma

Date Earned:

 

 

TRAINING and PROFESSIONAL DEVELOPMENT

 

Continuous Education in Performance Improvement and Federal/State Health Care Legislation

 

 

CERTIFICATIONS/CREDENTIALS

 

RHIA, American Health Information Management Association, # 0218588, October 1978

Current Continuous AHIMA CE hours and Membership, 1978-Present

ABQAUR, Diplomat, American Board of Quality Assurance and Utilization Review, March 1988

ABQUAR Membership and CE hours inactive, still eligible

 

 

 

 

 

 

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