James T.
Healthcare professional with expertise in Medicare, data & documentation, and risk strategy
I’m a physician aligning cultural change agent, persuasive communicator, negotiator and public speaker. My expertise is in Medicare Advantage and data systems analysis, data mining, outpatient CDI, ph...see more
- Healthcare Wellness & Fitness
- Professional Services
- Consulting
- C-Level & Leadership
- ...
€400
/hr
- Pre-vetted expert
- Confirmed hourly rate
- Available on short notice
Experience
Consultant - Medicare Advantage/Physician Documentation/Value Based Care/
Principled Advantage, LLC2 years
Current position
Feb 2021 - PresentConsultant with expertise in Medicare Advantage, Physician Documentation, and Value Based Care.
National Medical Director (Houston and Kansas City Markets)
Partners in Primary Care1 year
Jan 2020 - Feb 2021
I developed materials and trained providers on Medicare Advantage model and documentation standards required by CMS. Additionally, I simplified query process used by coders, clarifying...see more
Medical Director of Medicare Risk Operations
Iora Health4 years
Feb 2016 - Jan 2020
Director, Medicare Risk Operations 2016 to 2019
I was recruited to implement training and guide EMR solutions, driving quality resulting in physicians receiving 95% documentation accura...see more
Chief Medical Officer
Colorado Access10 months
Apr 2015 - Feb 2016
I developed materials and trained providers on Medicare Advantage model and documentation standards required by CMS. Additionally, I simplified query process used by coders, clarifying...see more
Chairman Of The Board
Colorado Permanente Medical Group (CPMG)4 years
Jan 2009 - Dec 2012
2 of the 4 years as Board Chair. Helped lead a 1,000 MD group in the Denver metro area.
Medical Dir Revenue Cycle
Kaiser Permanente20 years
Jan 1995 - Apr 2015
Senior Medical Director – Revenue Cycle / MA 2012 to 2015
Here I led the implementation of strategy, transitioning traditional HMO into fee-for-service compatible organization, leading ...see more
Industries, roles and expertise
Industry experience
- Healthcare Wellness & Fitness
- Professional Services
Role experience
- Consulting
- C-Level & Leadership
- Healthcare Services