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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 Ann.#:      

Position:

 

 

KSA ESSAY RESPONSES

 

FACTOR 1:   Knowledge of the organization and structure of healthcare delivery systems or managed care networks. Knowledge of laws and regulations governing business practices and standards in the healthcare industry.

 

I have over 25 years of experience in the Healthcare Industry as a Consultant to improve HIM, Revenue Cycle, Case Management, and individual healthcare projects. I offer solid expertise in effectively translating information between HIM disciplines, finance/administration departments and medical staff in language valuable to each party. Actively served as Consultant to hospitals and clinics to ensure JCAHO compliance for Medical Record Departments, Medical Staff Services, and Quality Assurance Operations. Consistently reorganized healthcare operations and implemented procedures to ensure compliance with JCAHO, Medicare and State Licensure requirements, resulting in four facilities received first JCAHO accreditation.

I effectively standardized medical malpractice insurance coverage for corporate hospitals including umbrella coverage for corporation. Serving as Consultant on both short-term and long-term hospital projects, I revamped HIM Department Operations, updated electronic record applications and facilitated compliance with all regulatory bodies guidelines, federal and state. I oversaw the design, management and implementation of an integrated quality, utilization and information management program, resulting in the realization of legitimate reimbursement, continuous improvement of patient care and reduction of financial loss for the hospitals.

I successfully served as Project Manager for the Hospital Revenue Cycle Management, from admission, through billing process, payment denials and final payment utilizing both HIM skills and financial knowledge. I efficiently drove all aspects of the profitable enterprise-wide operations of HIM, Coding Revenue and Case Management in an organization with annual net revenue in excess of $4 Billion.

I served as the Corporate HIM/Case Management Liaison Officer between Executive Management, Hospital Administrators, Governing Bodies and Medical Staff to ensure optimal healthcare operations. I consistently collaborated with company computer system to ensure optimal facility readiness, resulting in complete facility readiness for billing on date of implementation of regulation changes. I personally reviewed cases and reported coding accuracy for all facilities, effectively improving Case Mix Index by 25%.

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

Social Security Number:

Citizenship:

Veteran s Preference#


Vacancy Ann.#:      

Position:

 

 

KSA ESSAY RESPONSES

 

FACTOR 2:   Knowledge of the healthcare system operations sufficient to identify privacy risks relative to specific service lines, functional units or individual positions and the interrelationships of healthcare system service lines or departments to address compliance and privacy issues that may span several departments resulting in increased risk.

 

I offer over 18 years hands-on experience in as a Healthcare Risk Management Director and Project Manager. Hand-selected to handle all integrated coding, case management and quality /risk reviews for healthcare system. I efficiently directed the integration of seven departments to improve quality of patient care and realize significant cost savings.  Served as key member of the hospital financial group, managed care activities and corporate computer user group to ensure optimal patient care and informational confidentiality.  I successfully established a quality control/audit program for charge system to prevent loss of charges and documentation of services, eliminating risk of complain/lawsuit for the hospital.

I was responsible for developing and implementing safe and effective patient care practices, preserving financial resources and maintaining safe working environments for all employees. Actively maintained optimal standards of health care risk management administration. I assisted in the development of methods for integrating patient safety and enterprise risk management into a comprehensive risk management program.

I received 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.

 

 

 
 
 
 
 
 

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

Social Security Number:

Citizenship:

Veteran s Preference#


Vacancy Ann.#:      

Position:

 

 

KSA ESSAY RESPONSES

 

FACTOR 3:   Knowledge of and experience using Quadra med software to include Encoder+, CCM module, PCE, PTF, CPRS and VISTA applications including surgery package, load/edit eligibility screens and other screens used to oversee PTF and MCCF billing output.

 

I possess sharp technical proficiencies in a broad range of medical software including HIM Director of Privacy, Coding and Computer Applications including electronic records. I offer specific expertise in Information Systems hardware and software including E-HIM, Meditech and MS Office Suite.

 

 

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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

Social Security Number:

Citizenship:

Veteran s Preference#


Vacancy Ann.#:      

Position:

 

 

KSA ESSAY RESPONSES

 

FACTOR 4:   Ability to initiate, develop and draft written policies and procedures consistent with VISN and VACO privacy directives to ensure local compliance is addressed.

 

I possess strong skills as an HIM operations manager, including the identification of procedural problems, development of new/revamped policies and ensuring compliance with company/federal regulations. I successfully developed and implemented improved HIM productivity standards and best practice innovations to streamline employee work process. Serving as effective Coding Manager, I identified process issues and developed improvements to correct DFNB and maintained zero days in uncoded records as a statistical average. Hand-selected to re-engineer company processes, effectively decreasing number of days for physician availability from 28 days to under 24 hours. Actively developed policies and procedures to improve the core measure compliance. I possess experience in evidence-based case management and medical record documentation compliance operations. I successfully re-engineered HIM operational processes for timely record processing and completion within compliance guidelines. Successfully re-engineered all department processes for electronic medical record efficiencies. 

I was responsible for directing policy changes and effectively managed coding staff to reduced unbilled coding from 28 days to zero within four weeks and maintained zero unbilled coding days, dramatically improving revenue stream. Acting as Privacy Officer, I was responsible for rewriting and correcting problematic patient information policies and procedures, ensuring compliance with HIPPA and state regulations.  I was tasked with training employees in the intricate details of HIPPA privacy regulations.  I drove the establishment of corporate policy and provided continuing education on HIM, Quality, Utilization Management, Risk Management, and Physician Credentialing policies and procedures.

 

 

 

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

Social Security Number:

Citizenship:

Veteran s Preference#


Vacancy Ann.#:      

Position:

 

 

KSA ESSAY RESPONSES

 

FACTOR 5:   Knowledge of VA and Joint Commission guidelines and regulations governing medical and financial records to perform qualitative analysis, audits and record reviews.

 

I consistently apply detailed understanding of the complexity of Uniform Bill and all related billing issues to all medical record operations. Utilized extensive knowledge of PFS computer billing systems, procedure codes, charge master, and revenue codes to improve processes and procedures. I was hand-selected by the Unionized County to bring Medical Record Departments up to professional practice standards after revocation of Medicare funding.  Tasked with restructuring, re-classifying and hiring for all medical record positions. I administered follow-up Medicare surveys, to reveal any deficiencies in medical record standards. I was responsible for 258 FTE s, including ward clerks and general clerks.

I successfully directed project management and implementation of MS-DRG s: APC s in twenty-six hospitals, resulting in complete facility readiness to bill on go-live date. I have a strong background in the identification of legitimate opportunities to secure revenue in every site of service. I consistently performed coding evaluation, validation and education programs for ICD-9-CM and CPT/4. I consistently performed qualitative analysis, audits and record reviews on HIM Operations, Case Management, Emergency Department and Physician Practice Coding and Revenue Cycle Management. Responsible for consistently ensuring all Coding was performed in an accurate and timely manner through frequent audits.

I successfully served as National Speaker on HIM Coding Reviews/Training for User s Groups and employees, from 150 to 300 people. Serving as manager of the Consulting Division of Health Information Management outsourcing company serving over 300 clients nationwide, I successfully obtained and implemented nationwide a Coding Education contract, which included reengineering, validation monitoring, and conversion to electronic patient record.

 

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