Michael Johnson

**** ****** **., #**** ● Frisco, TX 75034 ● 214-***-**** ● ad47q7@r.postjobfree.com

Objective

Self-directed, highly skilled, and experienced risk adjustment manager with a broad range of clinical experience and proven record of success in optimizing risk adjustment processes. Seeking to bring skills to an organization with an emphasis on dedication and results where I can utilize my expertise to drive accurate risk coding and compliance.

KEY STRENGTHS

Risk Adjustment methodologies and coding guidelines ● Teamwork ● Management ● Exceptional Communicator ● Data Analysis ● Problem Solving ● Clinical Environments ● Healthcare

PROFESSIONAL EXPERIENCE

Catalyst Health Group, Plano, TX, March 2015 - March 2024

A 1,000 physician, independent, primary care-based clinically integrated Network.

1 million unique patients in value-based contracts.

Manager of Risk Adjustment Operations

●Led a team of 6 risk adjustment professionals, and 3 clinical administrators, in implementing risk adjustment strategies to ensure accurate coding and compliance.

●Developed and executed risk adjustment improvement initiatives resulting in a paid RAF of 1.38 with a documentation error rate of <5%.

●Provided leadership and administrative oversight, program development, and implementation of the Medicare risk adjustment program.

●Analyzed data from payers to identify opportunities and design strategies and processes to assist practice partners with accurate and compliant risk adjustment coding.

●Responsible for relationship management with all supported provider groups (32 Tax ID’s, with >300 primary care providers), fostering an environment of strong positive relationships and performance improvement.

●Responsible for coordinating and facilitating all Medicare risk adjustment provider education.

●Worked closely with the field operations team regarding strategic planning with provider groups to drive performance in risk adjustment key performance indicators (KPIs).

Village Health Partners, Plano, TX, June 2013 - March 2015

Clinical Externship

●Charged with interviewing patients and documenting notes in an electronic medical record during office visits

●Perform focused physical exam according to chief complaint and history of present illness.

●Utilize expertise to document prescriptions, orders, and ICD-9/CPT codes. Duties encompass documenting policies for medical assistants regarding controlled substance medication refills.

●Demonstrate skills as a team player while working closely with the peer review committee to document and ensure compliance of policies and procedures for refilling controlled medications.

●Review consultation notes, diagnostic reports, and lab reports. Tasks include discussing results with patients.

ADDITIONAL EXPERIENCE

Central Market, Cooking School Lead Instructor, Plano, TX, 2000-2002

More-O Corporation, Director of Training and Development, Dallas, TX, February 1999 – July 2000

University of North Texas, Teaching Assistant for Department of Behavioral Analysis, 1996-1997

Temple University, Teaching Assistant and Research Assistant, Department of Psychology, Philadelphia, PA, 1995 - 1996

United States Air Force, In-flight Refueling Specialist/E4, Warner Robins Air Force Base, GA, 1985-1989

EDUCATION

Ross University School of Medicine, Doctor of Medicine, Dominica, West Indies

Temple University, BA, Psychology, 3.75 GPA, Magna Cum Laude, Dean’s List – 8 semesters Philadelphia, PA

CERTIFICATIONS

American Acadamy of Professional Coders (AAPC)

Certified Professional Coder - CPC

Certified Risk Coder - CRC

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