John R.

Medical Coding | Business Process Improvement | Healthcare

United States of America
English

Healthcare executive with over 35 years of health care management and consulting experience. Led numerous multi-system high profile engagements, including prospective payment system revenue optimizati...see more

  • Healthcare
  • Wellness & Fitness

450

/hr
  • Pre-vetted expert
  • Confirmed hourly rate
  • Available on short notice

Experience

Principal Population Health Management

Premier Inc.
3 years
Current position
Aug 2019 - Present
Uniting more than 4,400 hospitals and approximately 225,000 other providers and organizations to transform healthcare.

Director Consulting Solutions & Analytics

HCS Consulting Solutions
3 years
Sep 2016 - Aug 2019
Led start-up consulting division for Harmony Healthcare. Provided strategic consulting solutions that help improve clinical and financial outcomes. Specialized in population health and ...see more

Managing Director

Berkeley Research Group LLC
2 years
Sep 2014 - Aug 2016
Focusing on Computer Assisted Coding (CAC) consulting services, EMR Documentation management and workflow transformation. These services includes EMR CAC optimization consulting service...see more

Senior Director

Nuance Communications
1 year
Feb 2013 - Jul 2014
ICD-10 Practice leader for National Healthcare Technology and Solutions Consulting Company. Accomplished, results-driven senior management executive with significant consulting, techno...see more

Strategic Advisory Services Client Executive

Computer Task Group
2 years
Jun 2011 - Feb 2013
ICD-10 Practice Leader responsible for the development of methodologies and solutions for ICD-10 readiness. Full service consulting practice providing preparedness assessments, implemen...see more

Director

Navigant Consulting
11 months
Jul 2010 - Jun 2011
ICD-10 Practice leader for National Healthcare Consulting firm. Responsible for all aspects of I-10 practice including solution development, marketing, and business development. Respons...see more

Vice President

Precyse Solutions
1 year
Feb 2009 - Jul 2010
A senior executive with significant operational consulting, technical and healthcare experience selling and delivering products and services to hospitals and healthcare systems. Broad b...see more

Senior Manager

PricewaterhouseCoopers
2 years
May 2003 - Sep 2005
Conducted and managed consulting engagements including coding and clinical documentation medical record audits, AP-DRGs, APR-DRGs and MS-DRG assignment medical record audits, Case Mix I...see more

Director

PricewaterhouseCoopers
10 years
Mar 1999 - Feb 2009
A senior executive with significant operational consulting, technical and healthcare experience selling and delivering products and services to hospitals and healthcare systems. Broad b...see more

Manager

PricewaterhouseCoopers
5 years
Jan 1999 - Jan 2004
Conducted and managed consulting engagements including coding and clinical documentation medical record audits, AP-DRGs, APR-DRGs and MS-DRG assignment medical record audits, Case Mix I...see more

Manager

Cleveland Clinic
4 years
Apr 1995 - May 1999
Responsible for all aspects of coding quality, compliance and unbilled management for an organization with over 4.4.billion in annual revenue. IT implementation and management of proces...see more

Manager

Wintrop University Hospital
5 years
Jan 1990 - Jan 1995
Conducted inpatient coding and DRG assignment quality reviews. Responded to DRG assignment denials. Worked on the first New York State DRG creep investigation consulting with hospital l...see more

Industries, roles and expertise

Industry experience

  • Healthcare
  • Wellness & Fitness

Expertise

  • Business Strategy
  • Business Development
  • Analytics
  • Business Process Improvement
  • Process Improvement
  • EMR
  • Medicare
  • Practice Management
  • Medical Coding
  • Documentations
  • Revenue Cycle