John Tomas Email & Phone Number

Knowledge in Risk Adjustment Coding, experience working under a Patient-Centered Medical Home model, member of a Chronic Care Management Team alongside RNs, LPNs, and Care CoordinatorsDay-to-day application of HCC/MRA, HEDIS, STAR ratings, MIPS quality metrics, and Official ICD-10 CM GuidelinesFamiliarity with RA Models: CMS-HCC, HHS-HCC, and other forms of hybrid or capitation modelsUnderstanding of the medical record as a legal document in accordance with the importance of proper documentationComprehension of RA and how it relates to medical financial mattersIdentification and rectification of clinical documentation barriersClinician and clinical staff education pertaining to RA methodologies and the likeAttestation and care-gap platforms, e.g. AvailityNavigation of eClinicalWorks, a cloud-based EHR, in an efficient manner- hot-keysA hardworking, motivated, dedicated, and professional individual who is adept in serving clients in a conscientious and pleasant mannerOutstanding oral and written dictionExtensive knowledge of data entryOrganized, disciplined, and detail-orientedMedical software knowledge: eClinicalWorks, Availity, Practicode by Aviacode, CPT-4 coding, ICD-9 coding, ICD-10 CM coding, CMS 1500 forms, Microsoft Office, and Auditing

Listed skills include Medical Coding, Hcc, Healthcare Effectiveness Data And Information Set, Mips, and 13 others.