Joseph Tucker

Risk Adjustment Consultant @CSI Companies

Jacksonville, FL, US

Worked with top Healthcare companies like Apixio, UnitedHealthcare Group, Allymar Health Solutions and VLMS Global Healthcare, demonstrated ability to work with diverse risk-adjustment models (Medicare, Medicaid, Commercial) by accurately reviewing patient medical records and identifying diagnosis codes aligned with HCC categories (e.g, Rx HCC, HSS HCC). This foundational knowledge supports data mapping, analytics, and algorithm tuning in Revenue Cycle IT systems that rely on accurate coding logic for financial forecasting and risk scoring.• Skilled in analyzing patient documentation and inputting data into encoder platforms like HCC Coder with precision—an essential capability for maintaining data integrity across electronic health records (EHR) and revenue cycle software applications.• Contributed to the refinement of AI coding systems for Apixio HCC Identifier by ensuring accurate clinical data input and validation of coding suggestions, reinforcing a high degree of proficiency in HCC coding. This supports informatics, natural language processing, and AI model training initiatives central to modern revenue cycle IT solutions and Implementation and Integration of AI in Medical Coding and Billing Workflows.

Ashworth College

Diploma

University of South Florida

Bachelor of Arts - BA