Janeika Jones
Columbia,SC
Summary
Precision-driven Medical Coder with a proven track record of high productivity and efficiency in coding tasks. Specialized expertise in ICD-10-CM, CPT coding, and medical terminology. Strong analytical problem-solving skills and effective time management ensure accurate and timely submission of medical claims across various healthcare environments.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Data Breach Review - Contract
MBO Partners
Remote
01.2023 - 10.2024
- Leveraged advanced technical skills to diagnose complex issues and execute effective solutions.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Updated and maintained databases with current information.
- Maintained updated knowledge through continuing education and advanced training.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Worked effectively in team environments to make the workplace more productive.
- Identified needs of customers promptly and efficiently.
Virtual Legal Support Assistant
Gordon Rees Scully Mansukhani
Remote
06.2023 - 06.2024
- Organized files, scheduled appointments, and managed calendars for attorneys.
- Compiled financial records relevant to specific cases.
- Generated internal reports summarizing progress of cases.
- Conducted quality control by proofreading documents prior to processing.
- Verified accuracy of data entry and ensured completion of required fields.
- Collaborated with departments to confirm accuracy of documentation.
- Prepared document activity reports upon request.
- Analyzed customer needs and guided on document preparation requirements.
Client Data Coordinator
Computershare Limited
Remote
12.2021 - 06.2023
- Processed customer requests for access or removal of personal information from databases.
- Extracted and analyzed large datasets to identify trends and patterns.
- Maintained accurate records of all data activities, including entry and retrieval.
- Prepared documents for archiving by organizing files into specified formats.
- Reviewed existing datasets for accuracy before system entry.
- Conducted regular audits on database to ensure data integrity.
- Provided staff training on effective data entry and management practices.
- Coordinated filing of timesheets and documents to comply with data retention requirements.
Business Analyst
Next Level Solutions
Columbia, SC
11.2020 - 08.2021
- Evaluated business processes to identify improvement opportunities through automation and streamlining.
- Prepared documentation summarizing findings from stakeholder meetings and workshops.
- Drafted functional specifications outlining project scope, objectives, and deliverables.
- Analyzed existing systems to pinpoint areas for enhancement and cost savings.
- Collaborated with stakeholders to define requirements for new projects across departments.
- Presented complex technical concepts clearly to non-technical audiences.
- Gathered end-user feedback to address usability issues related to applications.
- Translated user needs into actionable items for IT teams.
Client Intake Specialist
Ogletree Deakins
Columbia, SC
09.2018 - 11.2020
- Ensured confidentiality of client information at all times.
- Communicated progress on client intakes to supervisors regularly.
- Collaborated with staff to optimize client intake procedures.
- Maintained accurate records of client intakes per regulations.
- Gathered and documented comprehensive details about clients' needs and backgrounds.
- Responded to inquiries from potential clients regarding organizational services.
- Reviewed applications for accuracy and completeness before departmental submission.
- Tracked data related to incoming inquiries and completed intakes.
Claims Investigative Clerk
Blue Cross Blue Shield of South Carolina
Columbia, SC
01.2017 - 09.2018
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Transcribed data to worksheets and entered data into computer to prepare documents and adjust accounts.
- Prepared and reviewed insurance-claim forms and related documents for completeness.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Maintained confidentiality of patient information according to HIPAA regulations.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Validated accuracy of diagnosis codes as well as modifiers used on claims before final submission to payer and insurance companies.
- Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
Claims Processing Clerk
Kelly Services
Columbia, SC
07.2015 - 12.2016
- Validated accuracy of diagnosis codes as well as modifiers used on claims before final submission to payer and insurance companies.
- Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Analyzed physician's reports, hospital records, laboratory results, operative reports, diagnostic tests. to assess medical necessity of services rendered.
- Submitted electronic claims through various clearinghouses when necessary.
- Processed a high volume of claims on a daily basis using established time frames.
- Verified accuracy of provider data entered into the system including tax ID numbers, NPI numbers, address changes .
Education
Bachelor of Science - Computer And Information Sciences
ECPI University
Virginia Beach, VA10-2023
Associate of Applied Science - Computer And Information Sciences
ECPI University
Virginia Beach, VA11-2020
Skills
- ICD-10 coding
- CPT coding
- Data entry
- Claims processing
- HIPAA compliance
- Attention to detail
- Team collaboration
- Customer service
- Database management
- Problem solving
- HCPCS coding
Certification
- Penn Foster Career School : Medical Coding Professional Training : Completion Year: 2025
References
References available upon request.
Timeline
Virtual Legal Support Assistant
Gordon Rees Scully Mansukhani
06.2023 - 06.2024
Data Breach Review - Contract
MBO Partners
01.2023 - 10.2024
Client Data Coordinator
Computershare Limited
12.2021 - 06.2023
Business Analyst
Next Level Solutions
11.2020 - 08.2021
Client Intake Specialist
Ogletree Deakins
09.2018 - 11.2020
Claims Investigative Clerk
Blue Cross Blue Shield of South Carolina
01.2017 - 09.2018
Claims Processing Clerk
Kelly Services
07.2015 - 12.2016
Bachelor of Science - Computer And Information Sciences
ECPI University
Associate of Applied Science - Computer And Information Sciences
ECPI University
Similar Profiles
Carmel PetersonCarmel Peterson
Fraud Investigator at MBO PartnersFraud Investigator at MBO Partners
Patrick EckborgPatrick Eckborg
Quality Control Analyst at MBO PartnersQuality Control Analyst at MBO Partners
April SadlerApril Sadler
AML Quality Review & QC (QR/QC) at MBO PartnersAML Quality Review & QC (QR/QC) at MBO Partners
D'Asia FavorD'Asia Favor
Dental Assistant at Dr. Ellis, Green & Jenkins Pediatric DentistryDental Assistant at Dr. Ellis, Green & Jenkins Pediatric Dentistry
Calvin BoydCalvin Boyd
Custody Officer at Recovery SolutionsCustody Officer at Recovery Solutions