carolyn m rubin

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Carolyn M Rubin 9836 Bowman Dr Fort Worth, TX 76244 Cell Phone: 817-964-6587 Email: [email protected] Attributes: Accomplished healthcare professional with 23 years expertise in end-to-end revenue cycle optimization, implementation of ‘Best Practices’ and operational efficiencies, reimbursement, managed care, process improvement, billing and coding education and recognized for outstanding leadership and commitment within her profession. Experienced consultant focused on improving facilities, physicians’ and practice efficiencies to minimize risk and increase patient access to care. Demonstrates expertise in revenue cycle operations, implements and monitors wide portfolio operations, compliance systems and initiatives to enable organizational compliance with all applicable CMS, federal, and state regulations. Proven educator and public speaker for the last 20 years. Recognized as a ‘subject matter expert’ in her field with the ability to mentor and knowledge transfer to students, conference attendees, providers, and employees CORE COMPETENCIES Patient Access Services Patient Financial Services Project Management ICD-10 Implementation, RAC Audit, ICD-9, CPT, HCPCS/ APC Scheduling, Insurance Verification and Financial Counseling Charge Capture/ CDM, Revenue Integrity Cashier Refunds & Receipt/ Adjustment Posting Billing and Claim Submission Third Party Follow-up Clinical Documentation Improvement and Audits Process improvement and operational efficiencies Current Employment: Vice President Revenue Cycle Innovations – Anthelio Healthcare – 5400 LBJ Freeway Suite 200, Dallas, TX Aug 2014 – present Responsible for building new service line offering of end-to-end revenue cycle services Work with IT to build revenue cycle analytic dashboards and tools Educational support for physicians, clinical and business staff in the area of coding and revenue cycle efficiencies. Revenue cycle consultant and subject matter expert with implementation of best practices for the complete revenue cycle continuum resulting in increased revenue for clients Providing practice/facility support and assistance with their revenue cycle metrics Speaker for HAHIMA, TXHIMA, AHIMA, SOAP, TCFA, NYSMOH for revenue cycle, ICD-10, and clinical documentation improvement Subject matter expert and author of “Best Practices to Achieve Revenue Cycle

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Page 1: Carolyn M Rubin

Carolyn M Rubin 9836 Bowman Dr Fort Worth, TX 76244

Cell Phone: 817-964-6587 Email: [email protected]

Attributes:

Accomplished healthcare professional with 23 years expertise in end-to-end revenue cycle optimization,

implementation of ‘Best Practices’ and operational efficiencies, reimbursement, managed care, process

improvement, billing and coding education and recognized for outstanding leadership and commitment

within her profession. Experienced consultant focused on improving facilities, physicians’ and practice

efficiencies to minimize risk and increase patient access to care.

Demonstrates expertise in revenue cycle operations, implements and monitors wide portfolio

operations, compliance systems and initiatives to enable organizational compliance with all applicable

CMS, federal, and state regulations.

Proven educator and public speaker for the last 20 years. Recognized as a ‘subject matter expert’ in her

field with the ability to mentor and knowledge transfer to students, conference attendees, providers,

and employees

CORE COMPETENCIES

• Patient Access Services • Patient Financial Services • Project Management • ICD-10 Implementation, RAC Audit, ICD-9, CPT, HCPCS/ APC • Scheduling, Insurance Verification and Financial Counseling • Charge Capture/ CDM, Revenue Integrity • Cashier Refunds & Receipt/ Adjustment Posting • Billing and Claim Submission • Third Party Follow-up • Clinical Documentation Improvement and Audits • Process improvement and operational efficiencies

Current Employment:

Vice President Revenue Cycle Innovations – Anthelio Healthcare – 5400 LBJ Freeway Suite 200, Dallas,

TX Aug 2014 – present

• Responsible for building new service line offering of end-to-end revenue cycle services • Work with IT to build revenue cycle analytic dashboards and tools • Educational support for physicians, clinical and business staff in the area of coding and

revenue cycle efficiencies. • Revenue cycle consultant and subject matter expert with implementation of best practices

for the complete revenue cycle continuum resulting in increased revenue for clients • Providing practice/facility support and assistance with their revenue cycle metrics • Speaker for HAHIMA, TXHIMA, AHIMA, SOAP, TCFA, NYSMOH for revenue cycle, ICD-10, and

clinical documentation improvement • Subject matter expert and author of “Best Practices to Achieve Revenue Cycle

Page 2: Carolyn M Rubin

Optimization”, web exclusive article in “ForTheRecord” • Responsible for complete end-to-end revenue cycle assessment, implementation of best

practices and dashboard reporting for CEO’s/CFO’s and physician presidents

Previous Employment:

Director Reimbursement Support Services – McKesson Specialty Health – 10101 Woodloch Forest, The

Woodlands, TX Jan 2012 – Aug 2014

• Educational support for physicians, clinical and business staff in the area of E/M, coding/billing and compliance

• ICD-10 Overall Project Lead for assessment of the US Oncology Network • Built the Coding Certification program based on the AAPC curriculum • Created and recorded ICD-10 on demand course • Created ICD-10 live instructor courses and 2 day boot camp materials for coding staff.

Created podcasts for ICD-10 provider education • ICD-10 Certified Instructor and Project Lead for the education of the US Oncology Network • Speaker for: Onmark, Research, Radiation, SOAP, MOPS, TCFA, Decision Health, New

Physician Workshop, Ohio/Kentucky Medical Society, POHMS, NYOSS, Michigan Oncology Society

Practice Administrator – Texas Oncology – SWFW, Weatherford, Granbury, Azle, Glen Rose June 2010 –

Jan 2012

• Day-to-day operations of five locations • Create new business with the new outreach in Glen Rose and expansion of Azle to a full-day

clinic • Assist liaisons with marketing opportunities for the practices • Improved processes for new patient processing • Revenue Cycle Management for five practices including an end-to-end assessment on week

1 and implementation of best practices and education which provided significant increase in revenue

Associate Director Reimbursement/Health Information – US Oncology – 10101 Woodloch Forest, The

Woodlands, TX, Jan 2007 – June 2010

• Provided revenue cycle support for US Oncology practices to include end-to-end assessments with implementation of best practices to improve their front office/back office processes

• Educational support for physicians, clinical and business staff in the area of E/M, drug administration and revenue cycle efficiencies

• Revenue cycle management subject matter expert and instructor for the Leadership Institute

• Operational support for the west/southwest regional practices • Revenue cycle metrics, dashboards and reports to SVP and ED of the practice • Presenter for Oncology Institute – subject medical oncology and chemotherapy

administration

Page 3: Carolyn M Rubin

Revenue Cycle/Reimbursement Manager – Oncology Hematology West – Omaha, Ne, May 2001- Dec

2006

• Provided revenue cycle support for include end-to-end assessments with implementation of best practices to improve their front office/back office processes

• Educational support for physicians, clinical and business staff in the area of E/M, drug administration and revenue cycle efficiencies

• Revenue cycle management subject matter expert and liaison for managed care discussions with IPA

• Revenue cycle metrics, dashboards and reports to ED, Practice President and partners of the practice

Adjunct Faculty – Omaha College of Health Careers, Alegent Health School of Medical Assisting, and

Iowa Western Community College, 1998 – 2007

• Taught A&P, medical terminology, coding, transcription, injections, surgical instruments, lab, clinical documentation and scheduling to medical assistant and nursing students

• Created and taught coding course curriculum for Iowa Western Community College

Public Speaker, Educator, Consultant and Author – Amgen, Ortho, Novartis, Pharmacia, US Oncology

‘Oncology Reimbursement Services’, Elsevier, The Coding Institute, AAMA, AAPC, AHIMA, SOAP, TCFA,

NYSMOH, DFWHIMA, TXHIMA, and HAHIMA, 1998 – Current

• Medicare reimbursement for medical oncology • Consultant and Author Monthly “Ask Carolyn” Column • Consultant for “Billing Tips” for OPS practices • Instructors Resource Manual, Adams Guide to Coding, Elsevier Publishing • Billing and Coding for medical and radiation oncology, appeals process, revenue cycle,

Medicare programs • Accurate Clinical Documentation • Critical Activities For Provider Reimbursement • Patient Engagement • ICD-10 – Coding and Clinical Documenation

Leadership Studies

Crucial Conversations Emotional Intelligence Fierce Conversations Influencer Lean Six Sigma Yellow and Green Belt Training Leadership Institute 100, 101, 200 GEAR Virtual Classroom Training

Professional Memberships and Societies

American Academy of Professional Coders American Health Information Management Association

Page 4: Carolyn M Rubin

Practice Management Institute Healthcare Financial Management Association Medical Group Management Association National Association of Professional Women The International Women’s Leadership Association

Educational Activities

Curriculum/Course Development Professional Medical Coding Curriculum, McKesson Specialty Health Toolkits/Tutorials – Clinical Trials and Revenue Cycle Management – US Oncology On-Line Tutorials – Revenue Cycle, E/M, Drug Administration – US Oncology Medical Assisting program, Alegent Health School of Medical Assisting Professional Medical Coding Curriculum, Iowa Western Community College Continuing Education Seminars, Iowa Western Community College Instructors Resource Manual, Adams Guide to Coding, Elsevier Publishing

Volunteer Work / Supporter

Arts and Culture Mentoring Through Education Health Fairs American Cancer Society Susan G. Komen for the Cure The Leukemia & Lymphoma Society Muscular Dystrophy Association Bass Performance Hall / Performing Arts Fort Worth

Education:

• Omaha College of Health Careers - Omaha, NE Diploma, Jan 1994 - Jun 1995 G.P.A. 3.8 Degree in Medical Assisting Certified in August 1995.

• Rock Port R-II - Rock Port, MO High School Diploma, May 1981

• Certifications: CPC – Certified Professional Coder; American Academy of Professional Coders CPC-I – Certified Professional Coder – Instructor; American Academy of Professional Coders Professional Medical Coding Curriculum

• Certified ICD-10 Instructor – American Academy of Professional Coders Achievements:

• 02/2004 – Manchester Who's Who Executive and Professional Registry 04/2004 – American Biographical Institute Woman of the Year for Outstanding Accomplishments to Date

• 11/2005 – American Biographical Institute Woman of the Year Honoring Community Service and Professional Achievement

Page 5: Carolyn M Rubin

• 11/2005 – Cambridge Who's Who Executive and Professional Registry 02/2006 – American Biographical Institute Woman of the Year in Education - Medical Billing and Compliance

• 07/2007 – Cambridge Who's Who Executive and Professional Registry • 02/2009 – American Biographical Institute Woman of the Year in Education • 02/2009 – Continental Who's Who Registry of National Business Leaders • 09/2009 – US Oncology Customer Service Award • 03/2012 – National Association of Professional Women ‘Woman of the Year’ • 04/2012 – Worldwide Who’s Who Honored Member Registry of Executives & Professionals • 10/2012 – Worldwide Who’s Who VIP Member Registry of Executives & Professionals • 10/2012 – Recognition International Women’s Leadership Association • 03/2013 – Delegate International Women’s Leadership Association • 02/2015 – Recipient ‘Top Female Executive Award’ • 02/2015 – Recipient ‘Executive, Professional and Entrepreneur of the Year’ • 05/2015 – National Association of Distinguished Professionals ‘Distinguished Professional in

Healthcare’ • 09/2015 – Inclusion ‘Women of Distinction Magazine’ • 10/2015 – Cover ‘Women of Distinction Magazine’ • 11/2015 – Appearance ‘Frank McKay Spotlight Television’