Download PDF


Role - Lead Director Inpatient Coding / SMART

Tom is a Director with 30 years of experience in providing inpatient coding classification (ICD-9-CM, ICD-10-CM , ICD-10-PCS) and prospective payment system (PPS) consulting, as well as, case-mix evaluation and health information management (HIM) operations advice.His experience includes serving as Associate Director; Health Information Management for acute care hospitals including tertiary care and community based services.

Work experience

Jan 1993Present

Director, Advisory

PricewaterhouseCoopers LLP
  • Developed application logic to assist clients with monitoring, reporting and evaluating hospital inpatient administrative data and its relationship to billing, reimbursement, compliance and regulatory reporting.
  • Is responsible for the inpatient SMART development, including monitoring of regulatory and other industry changes affecting content and services.
  • Monitors the coding compliance reports and directives from the Office of the Inspector General (OIG), Department of Health & Human Services (HHS) for incorporation into the SMART flags and reports.
  • Provides PwC Health Industry Advisory (HIA) clients with relevant reference and educational information using social networking and web 2.0 technologies, e.g., wikis, blogs, Really Simple Syndication (RSS), instant messaging (IM), etc.
  • Develops HIM coding and instructional material for advanced International Classification of Diseases Ninth Edition, Clinical Modification (ICD-9-CM, ICD-10-CM, ICD-10-PCS) modules and inpatient prospective payment system (IPPS) learning and education. 
  • Works with IT developers to evaluate, modify and improve PwC software applications and deployment methods.
  • Uses administrative databases, e.g., Medicare Provider Analysis and Review (MEDPAR), Healthcare Cost and Utilization Project (HCUP) and others to help improve coding data quality and reliability
Jun 1986Dec 1992

Associate Director, Health Information Services

Albany Medical Center

I was responsible for the day-to-day HIS operations in this 650 bed, tertiary care teaching hospital. I worked with inpatient coders, quality assurance, case managers and other professionals in the Medical Affairs division.


Sep 1979May 1981


Rockland Community College
Sep 1973May 1976

State University College at Oswego


May 1982Present