Qualifications:
• Bachelor of Science, Nursing
• Certified Risk Adjustment Coder (CRC-AAPC)
Specialization Focus:
• Patient Standard of Care
• Risk Adjustment Coding
• DRG/Clinical Validation
• ICD 10/PCS Codes
• Healthcare Operations
• Clinical Operations
• Medicare & Medicaid
• Nursing Malpractice
Number of years as an expert: 12
• Bachelor of Science, Nursing
• Certified Risk Adjustment Coder (CRC-AAPC)
Specialization Focus:
• Patient Standard of Care
• Risk Adjustment Coding
• DRG/Clinical Validation
• ICD 10/PCS Codes
• Healthcare Operations
• Clinical Operations
• Medicare & Medicaid
• Nursing Malpractice
Number of years as an expert: 12
Mr. Juan Zayas is a recognized licensed registered nurse, certified risk adjustment coder, and expert witness. He consults in all aspects of risk adjustment coding, healthcare operations, clinical operations, medicare/medicaid, standard of care and nursing malpractice related litigation.
Mr. Zayas provides unbiased expert opinions, investigations, research, depositions, and testimony for both plaintiff and defense attorneys, in State and Federal courts. He bases his opinions on clinical/professional experience, academic expertise, research, and the evidence-based facts of each case.
Mr. Zayas is an invaluable asset to attorneys while navigating risk adjustment coding, nursing, and healthcare investigations. His diverse experience as a nurse, risk adjustment coder, and expert witness enables him to deliver clear & concise opinions to ensure that complex technical terminology and data can be understood by any audience. As a multi-subject matter expert, he is highly proficient in evaluating the accuracy, appropriateness, and reliability of other opposing experts' data & opinions, which increases efficiency and positive case outcomes.
Education:
• InterAmerican University-Metro Campus, B.S., Registered Nursing (2005-2007)
• AAPC, CRC, Medical Insurance Coding Specialist (2017)
Licensure & Certifications:
• CRC-AAPC
• BSN, Registered Nurse
Clinical, Professional & International Experience:
• UPMC Health Plan, Sr. Clinical & Risk Adjustment Coding Quality Assurance Operations Integrity Manager (2021-2022)
• CDPS Medicaid Vital Model, Clinical Coding Specialist (2019-2021)
• IMC Provider Healthcare, Clinical Coding Specialist (2019-2021)
• MMM Holdings LLC-Claims Division, Coding Specialist (2018-2019)
• Moda Health, HCC Coding Specialist (2017-2018)
• Inovalon Inc, Clinical Abstract Traveler (2012-2017)
• MAPFRE-Medicare Division, Quality Representative (2008-2011)
• Pavia Hospital, BSN, RN Nurse-Staff/Per Diem (2007-2013)
• Capitol Transportation, Inc., Account Executive, Project Manager (2004-2007)
Mr. Zayas provides unbiased expert opinions, investigations, research, depositions, and testimony for both plaintiff and defense attorneys, in State and Federal courts. He bases his opinions on clinical/professional experience, academic expertise, research, and the evidence-based facts of each case.
Mr. Zayas is an invaluable asset to attorneys while navigating risk adjustment coding, nursing, and healthcare investigations. His diverse experience as a nurse, risk adjustment coder, and expert witness enables him to deliver clear & concise opinions to ensure that complex technical terminology and data can be understood by any audience. As a multi-subject matter expert, he is highly proficient in evaluating the accuracy, appropriateness, and reliability of other opposing experts' data & opinions, which increases efficiency and positive case outcomes.
Education:
• InterAmerican University-Metro Campus, B.S., Registered Nursing (2005-2007)
• AAPC, CRC, Medical Insurance Coding Specialist (2017)
Licensure & Certifications:
• CRC-AAPC
• BSN, Registered Nurse
Clinical, Professional & International Experience:
• UPMC Health Plan, Sr. Clinical & Risk Adjustment Coding Quality Assurance Operations Integrity Manager (2021-2022)
• CDPS Medicaid Vital Model, Clinical Coding Specialist (2019-2021)
• IMC Provider Healthcare, Clinical Coding Specialist (2019-2021)
• MMM Holdings LLC-Claims Division, Coding Specialist (2018-2019)
• Moda Health, HCC Coding Specialist (2017-2018)
• Inovalon Inc, Clinical Abstract Traveler (2012-2017)
• MAPFRE-Medicare Division, Quality Representative (2008-2011)
• Pavia Hospital, BSN, RN Nurse-Staff/Per Diem (2007-2013)
• Capitol Transportation, Inc., Account Executive, Project Manager (2004-2007)
Owned By Juan Zayas
LinkedInhttps://www.linkedin.com/in/juan-zayas-bsn-rn-crc-19a665143
Phone787-504-5542
Whatsapp Business+1787-504-5542
Emailjgzayas@icloud.com
Juan Zayas -CV
Location:Tampa, Florida, United States