Ravi Moses brings extensive expertise in revenue cycle management, clinical documentation improvement, and healthcare informatics, shaping the next generation of healthcare professionals. Join me in welcoming him and get to know him better below!
Thank you Marjorie Rosen for the nomination!
Mr. Ravi Moses is a highly experienced leader in Revenue Cycle Management (RCM) with over two decades of expertise in coding validation, clinical documentation improvement (CDI), healthcare informatics, and data-driven financial strategies. His deep knowledge of MS-DRG, APR-DRG, AP-DRG, HCC coding, and Risk Adjustment Data Validation has positioned him as a trusted expert in optimizing healthcare reimbursement processes.
Currently serving as the HIM Program Coordinator and Instructor at Molloy University, Mr. Moses has been instrumental in shaping future professionals in health information management. He teaches ICD-10-CM/PCS coding principles, CPT-4, DRG validation, and clinical documentation improvement, ensuring that students are well-equipped with technical expertise and industry best practices.
Prior to his academic role, Mr. Moses served as Director of Coding, DRG, and Clinical Validation at MedReview Inc., where he oversaw more than 60 DRG validators and managed onshore and offshore vendors. His role involved physician education, quality assurance, Power BI analytics, and DRG validation audits, ensuring compliance with Medicare, Medicaid, and other payer regulations.
His leadership extends to roles such as Assistant Director of Coding, DRG Validation, and CDI at NYC HHC Elmhurst Hospital Center, where he supervised inpatient and outpatient coders, led Epic EMR financial implementations, and maintained low Discharged Not Final Billed (DNFB) rates. His expertise in Epic Financial Services, 3M 360 Computer-Assisted Coding (CAC), and revenue cycle optimization has contributed to streamlining billing, enhancing compliance, and reducing claim denials.
With experience at PricewaterhouseCoopers (PwC) Healthcare Advisory, Mr. Moses has also worked with hospitals and healthcare organizations to refine revenue cycle policies, conduct coding audits, and implement health informatics solutions. His proficiency in Power BI, SMART tools, and data analytics enables informed decision-making that drives financial and operational efficiency.
A visionary in healthcare administration and RCM, Mr. Moses continues to bridge the gap between clinical and financial operations, ensuring sustainable revenue management in the evolving healthcare landscape.
#healthdatamangement #RevenueCycleOptimization #ClinicalDocumentationImprovement #HealthcareInformatics