Contact this Expert Witness
- Company: James Ji MD, Inc
- Phone: (347) 880-1575
- Cell: (347) 880-1575
- Fax: (347) 880-1575
Specialties & Experience of this Expert Witness
General Specialties:
Internal Medicine and HospitalistKeywords/Search Terms:
Medical Director, HMO, Medicare Advantage, Insurance, HCC, RAF, Coding, Billing, ContractsEducation:
MD, Columbia University College of Physicians and Surgeons; BS, The Johns Hopkins UniversityYears in Practice:
10Additional Information
Dr. Ji is a Los Angeles based board certified internal medicine physician with experience as a medical director and practicing hospitalist physician since graduating residency in New York in 2013 (Columbia University/New York Presbyterian Hospital). Since then he has had: 10+ years of experience as a hybrid hospitalist and office based internal medicine physician in active practice 7+ years of medical director experience for two large medical groups (Regal Medical Group and Caremore) Additional experience and expertise include clinical and management expertise in: -value based care and risk bearing models of care -PCP/specialist and hospital contracting -HCC/RAF coding -STARS/HEDIS -High risk population management (inpatient and outpatient) -Insurance based bed day management (inpatient/observation determination, and out-of-network and patient transfer management) -Extensive case review experience with physician quality/standards, hospital coding, appeals determination including legal review cases (VA hospitals)