John Kelly Jones
Santa Rosa
Summary
Seasoned Physician Advisor with a robust background in healthcare transformation at PwC, specializing in ICD-10 coding and documentation. Demonstrated leadership in transitioning Wesley Health Centers to electronic records and enhancing patient care protocols. Expert in strategic planning and training, with a strong focus on improving clinical outcomes and operational efficiency.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Physician Advisor and Senior Manager, Healthcare Transformation - Coding and Documentation Team
PwC
08.2017 - 06.2024
- Led physician coding and documentation training for ICD-10 implementation
- Involved in multiple engagements for medical records review focusing on clinical indicators, validation, and documentation
- Conducted quarterly coding clinic presentations for medical staff
- Served as a physician expert for clinical reviews, preparing clients for audits and medical reviews
- Played an integral role in the development and marketing of PwC SMART (coding accuracy tool), providing content for the professional component
Medical Director, OB/GYN and Family Planning Services
Wesley Health Centers
Los Angeles
09.2010 - 07.2017
- Company Overview: Multispecialty FQHC Clinic System, Los Angeles
- Developed and led the training of physicians and mid-level practitioners during the transition from paper-based to electronic health records
- Implemented and oversaw Comprehensive Perinatal Services Programs in underserved communities in Southeast and South Central Los Angeles
- Collaborated with local officials to organize health fairs and marketing strategies to raise community awareness of FQHC clinic services
- Multispecialty FQHC Clinic System, Los Angeles
Owner/Medical Director
Solo Practice
Southern California
09.2002 - 08.2010
- Company Overview: Southern California
- Provided comprehensive clinic, outpatient, and hospital inpatient services in the community in the field of Obstetrics/Gynecology
- Assisted hospital administration in integrating policies and bylaws to improve patient care
- Worked with a task force to enhance operating room safety procedures
- Southern California
Education
M.D. - Obstetrics and Gynecology
Baylor College of Medicine
Houston, TX06-1990
M.D. - Animal Physiology
University of California, San Diego
La Jolla, CA06-1986
Bachelor of Science - Animal Physiology
University of California, San Diego
La Jolla, CA06-1982
Skills
- ICD-10 physician coding
- Documentation
- Leadership
- Training
- Electronic health record systems
- Communication
- Presentation
- Strategic planning
- Marketing
Certification
- Physician and Surgeon Medical License, California, active
- Drug Enforcement Administration (DEA) License, active
- The American Congress of Obstetricians and Gynecologists, active member
- American Medical Association (AMA), active member
References
available upon request
Relevant Experience
- CDI Physician Presenter and peer-to-peer educator.
- Board Member, San Francisco Community Health Center (FQHC).
- Developed marketing strategies and organized health fairs to increase clinic visibility.
- Partnered with FQHC clinics to improve perinatal care services.
Affiliations
- Avid tennis and pickle ball player
- Movie watching enthusiast
- Pro and college football fan
- Winner contestant on Wheel of Fortune
Languages
English
Native/ Bilingual
Spanish
Limited
References
References available upon request.
Timeline
Physician Advisor and Senior Manager, Healthcare Transformation - Coding and Documentation Team
PwC
08.2017 - 06.2024
Medical Director, OB/GYN and Family Planning Services
Wesley Health Centers
09.2010 - 07.2017
Owner/Medical Director
Solo Practice
09.2002 - 08.2010
M.D. - Obstetrics and Gynecology
Baylor College of Medicine
M.D. - Animal Physiology
University of California, San Diego
Bachelor of Science - Animal Physiology
University of California, San Diego
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