Jan McReynolds
Surprise,AZ
Summary
Hardworking Certified Coder who applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services to physician E/M and surgical services. Professional, reliable individual who adheres to data confidentiality and privacy rules, and collaborates well with others.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Sr. Coder, Physician Coding
Phoenix Children's
10.2021 - Current
- Physician coding of E/M and surgical services for Orthopedics, Plastics, and Neurosurgery.
- Makes recommendations to Coding Leadership to improve workflow.
- Collaborates effectively with Coding Leadership, Team-members, and providers.
- Maintains coding productivity and quality standards.
- Demonstrates commitment to ongoing professional development
- Mentors junior coders, providing guidance on best practices and code standards.
- Developed and updates training manuals to streamline onboarding processes for new staff members.
- Works with Coding Audit/Compliance Teams to ensure appropriate documentation standards are met.
- Utilizes advanced coding software to assign appropriate ICD-10, CPT, and HCPCS codes efficiently.
Coder II, Physician Coding
Phoenix Children's
04.2017 - 10.2021
- Physician coding of E/M and surgical services for Orthopedics and Plastics.
- Reviewed payer coding denials and make correction recommendations, as appropriate.
- Collaborated effectively with team-members and physicians.
- Maintained department productivity and quality standards.
- Managed time effectively while working remote.
- Assisted with onboarding new coders
Medical Record Coder
Cigna Medical Group
01.2017 - 04.2017
- HCC coding for Risk Adjustment
- Resolved payer denials and billing system edits.
- Participated in training and provider education sessions.
Medical Coder
AllianceMed, LLC
11.2015 - 01.2017
- ASC facility and outpatient physician coding for multiple specialties.
- Researched and recommended appropriate coding for new services.
- Participated in client meetings.
- Reviewed medical records for accurate coding assignments and compliance with regulations.
- Collaborated with healthcare providers to clarify documentation and ensure precise coding practices.
Medical Biller
Self Employed
09.2011 - 11.2015
- Managed the billing function for multiple small physician practices.
- Completed physician payer credentialing
- Coordinated software updates.
- Processed and submitted medical claims to insurance companies for timely reimbursement.
- Reviewed patient accounts for accuracy and completeness before billing.
- Resolved billing discrepancies by communicating with healthcare providers and patients.
- Maintained up-to-date knowledge of medical coding and billing regulations.
- Communicated with insurance providers to resolve denied claims.
- Collected payments and applied to patient accounts.
- Generated monthly billing and posting reports for management review.
Education
Bachelor of Arts - Sociology
California State University
Northridge, CASkills
- CPT coding
- ICD-10 coding
- Coding productivity & quality standards
- Software proficiency in coding tools
- Strong communication skills
- Teamwork and collaboration
- Training and mentoring
- Medical billing
Certification
- CPC Certified Professional Coder - AAPC
- COC Certified Outpatient Coder - AAPC
- COSC Certified Orthopedic Surgery Coder - AAPC
- CPMA Certified Professional Medical Auditor - AAPC
Timeline
Sr. Coder, Physician Coding
Phoenix Children's
10.2021 - Current
Coder II, Physician Coding
Phoenix Children's
04.2017 - 10.2021
Medical Record Coder
Cigna Medical Group
01.2017 - 04.2017
Medical Coder
AllianceMed, LLC
11.2015 - 01.2017
Medical Biller
Self Employed
09.2011 - 11.2015
Bachelor of Arts - Sociology
California State University