John Pitsikoulis, RHIA

John Pitsikoulis

Director, HCS and Analytics

O: 484.678.6568

John serves as solutions and analytics advisor for HCS Consulting. John is an RHIA certified, results-driven leader with 30 years of management and consulting experience earned while working for Nuance Communications, PricewaterhouseCoopers and The Cleveland Clinic Health System.

A coding, clinical documentation and compliance expert, John has integrated his regulatory subject matter expertise and operational improvement experience with healthcare emerging technologies including the EHR, computer assisted coding (CAC) and NLP technologies. With the conversion to ICD-10, John has specialized in ICD-10 data analytics, EHR optimization, physician documentation and coding compliance, physician EHR workflow simplification redesign, outpatient clinical documentation improvement programs and physician practice EHR revenue cycle performance optimization. He is a Six Sigma Green Belt and AHIMA ICD-10 CM-PCS approved trainer, not surprising with 30 years of ICD-9 coding experience.

John has extensive experience as a documentation and coding expert for reimbursement and operational improvement services related to MS-DRGs, APR-DRGs, AP-DRGs, CMGs and Medicare Advantage HCCs reimbursement methodologies. John has provided compliance expertise to various health organizations including the nation’s largest acute inpatient rehabilitation CIA, Kyphoplasty OIG investigation, plus numerous DRG upcoding and inpatient observation / short stay regulatory engagements.

In his spare time, John has written numerous articles for Modern Healthcare, Physicians Practice, EHRIntelligence and AHIMA Journal, on topics including EHR optimization, compliance, ICD-10, CAC optimization and improving productivity through data analytics.

John’s strong problem-solving and analytical skills, and his ability to identify opportunities and develop the right solutions for the client and the client’s customer, spell success for any project the HCS Consulting team undertakes.

Connect with John on LinkedIn.


A consulting company providing solutions for Revenue Integrity to a diverse range of healthcare organizations nationwide. The company’s portfolio delivers quality solutions to empower healthcare organization success, enhance clinical and financial outcomes, and enable the transition to value-based healthcare.


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