Jenny Johnson

Background

About Jenny Johnson

I’m a dedicated Clinical Review Nurse with over 14 years of nursing experience, including 7 years focused on Medicare claims, appeals processing, and medical necessity review. My work sits at the intersection of clinical care and regulatory compliance—I evaluate complex case types, interpret federal and state coverage policies, and ensure the integrity of claim adjudications. Certified as a Professional Coder (CPC), I bring deep knowledge of ICD-10, CPT, and HCPCS coding to every review. At First Coast Service Options, I’m a trusted resource for high-complexity reviews involving overpayments, infectious disease, and genetic testing. I’ve also served as a mentor to new staff and helped our team pass multiple CMS audits with zero errors. I’m passionate about accuracy, collaboration, and continuous improvement in clinical review operations—and always eager to connect with healthcare professionals, auditors, and case management leaders.