Open to opportunities

Fay W

@fayw

Message

Medical Coding & Billing Specialist translating clinical records into accurate reimbursements.

Kenya

Message

What I'm looking for

I’m looking for a role where I can code and bill accurately, manage claim follow-ups and denials, and help improve reimbursement outcomes—within a compliant, fast-paced healthcare setting that values attention to detail and clear communication.

I’m a Medical Coding and Billing Specialist supporting pharmacy billing workflows by reviewing prescriptions and patient documentation, verifying services delivered, and assigning accurate ICD-10 diagnostic codes and HCPCS/CPT procedure codes for medication claims. I process insurance claims through electronic billing systems, confirm demographics and eligibility before submission, and follow up on unpaid or denied claims to support timely reimbursement. I also investigate discrepancies, payment delays, and rejected claims, coordinating corrections with pharmacists and insurers.

Alongside coding and billing, I lead pharmacy operations as a Store Manager, maintaining regulatory compliance with Pharmacy and Poisons Board requirements and internal procedures while overseeing stock control, expiry monitoring, and returns management. Known for strong attention to detail, organized record handling, and clear communication with patients, providers, and payers, I translate clinical documentation into standardized codes and maintain audit-ready records.

Experience

Work history, roles, and key accomplishments

Current

Medical Coding & Billing Support

Current

Goodlife Pharmacy Limited

Jan 2024 - Present (2 years 5 months)

Reviewed prescriptions and patient documentation to confirm services delivered and ensure accurate ICD-10, CPT, and HCPCS coding for pharmacy billing. Processed electronic insurance claims, verified eligibility, followed up on unpaid/denied claims, and maintained compliant billing documentation.

ICD 10 Coding CPT Coding CPT HCPCS Medical Claims Processing Insurance Verification Documentation Review

Current

Store Manager

Current

Goodlife Pharmacy Limited

Jan 2024 - Present (2 years 5 months)

Led daily operations of a retail pharmacy, coordinating dispensing support, OTC services, and customer care while supervising staff and maintaining workflow efficiency. Ensured compliance with Pharmacy and Poisons Board regulations, managed stock control (ordering, expiry monitoring, returns), and supported prescription processing with accurate documentation.

Pharmacy Operations Staff Supervision Workflow Management Pharmacy Compliance Stock Control Returns Management Dispensing Support OTC Patient Guidance

Assistant Store Manager

Goodlife Pharmacy Limited

Jun 2023 - Dec 2023 (6 months)

Assisted with pharmacy operations and patient interactions by supporting workflow coordination, maintaining accurate stock records, and contributing to pharmacy documentation processes. Provided OTC guidance, escalated clinical concerns to the pharmacist, and supported store reporting, record keeping, and compliance documentation.

Pharmacy Operations OTC Record keeping Compliance Customer Care