Lucy Njau
@lucynjau
Experienced health system professional with a focus on patient care.
What I'm looking for
I am a dedicated health system professional with over 10 years of experience in patient care and medical coding. My journey has been marked by a commitment to developing and coordinating wellness programs that enhance the quality of healthcare services. I possess a strong proficiency in managing teams, ensuring quality assurance, and negotiating cost-effective health services that yield positive outcomes.
Throughout my career, I have excelled in interpreting medical reports and translating them into accurate medical coding, while also identifying cost containment opportunities. My role as a Medical Review Claims Associate at Cigna Healthcare has honed my analytical skills, allowing me to maintain a coding accuracy of 95% or higher. I am passionate about contributing to health promotion and continuously developing my skills as a health system coordinator.
Experience
Work history, roles, and key accomplishments
Medical Claims Analyst
Kenya Kazi Services Ltd (KK Security)
Jul 2015 - Sep 2023 (8 years 2 months)
Validated medical claims for staff reimbursement, reviewed medical billings, and maintained accurate medical records. Provided professional assistance and education on health matters to staff members.
Medical Review Claims Associate
Cigna Healthcare
Jun 2022 - Present (3 years)
Responsible for interpreting medical reports and invoices, translating them into medical coding, and analyzing invoices to identify cost containment opportunities. Ensured coding accuracy and collaborated with various teams to improve workflows.
Clinical Officer In Charge, First Aid Trainer
Knight Support Limited
Aug 2012 - Apr 2015 (2 years 8 months)
Managed clinical operations, provided patient care, and conducted training on basic and advanced life support. Ensured follow-up on patients' progress and maintained medical documentation.
Clinical Officer In Charge
ACK Prisca Wakarima Dispensary
Nov 2011 - Jun 2012 (7 months)
Supervised health projects, coordinated with the Ministry of Health, and managed community health initiatives. Facilitated outreach services and community awareness programs.
Clinical Officer Intern
Muranga County Referral Hospital
Nov 2010 - Nov 2011 (1 year)
Gained practical experience in clinical operations, assisting in patient care and management under supervision. Developed foundational skills in healthcare delivery.
Education
Degrees, certifications, and relevant coursework
The George Washington University
Certification, Healthcare Quality
2021 -
Certification in Leading Healthcare Quality and Safety, focusing on improving healthcare quality and patient safety practices.
Kenya Methodist University
Bachelor's Degree, Health Systems Management
2016 -
Undergraduate Degree in Health Systems Management, focusing on the principles and practices of managing health systems effectively.
Kenya Medical Training College
Diploma, Clinical Medicine
2010 -
Diploma in Clinical Medicine and Surgery, providing comprehensive training in clinical practices and patient care.
St. Anne’s Secondary School-Lioki
KCSE, Secondary Education
2004 -
Kenya Certificate of Secondary Education (KCSE), completing secondary education with a focus on foundational knowledge for further studies.
Fairlawn’s Primary School
KCPE, Primary Education
2000 -
Kenya Certificate of Primary Education (KCPE), marking the completion of primary education.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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