MARGARET NJERI
@margaretnjeri
Quality Assurance Auditor with expertise in healthcare billing and coding.
What I'm looking for
I am a dedicated Quality Assurance Auditor currently working at Coronis Health, where I perform regular audits of billing, coding, and payment posting processes. My role involves ensuring accuracy and compliance, identifying potential risks, and providing detailed audit findings. I thrive in environments that challenge my skills and allow me to contribute to organizational success.
With a strong background in Sustainable Tourism and Hospitality Management, I have honed my analytical and problem-solving skills through various roles in the healthcare sector. My experience includes working as a Charge Entry Specialist and Payment Poster, where I developed a keen eye for detail and a commitment to maintaining high standards of accuracy in financial transactions.
I am passionate about continuous improvement and actively participate in developing and updating audit policies to reflect best practices. My ability to communicate effectively in English, Kiswahili, and Kikuyu enhances my interactions with diverse teams and clients, making me a valuable asset in any organization.
Experience
Work history, roles, and key accomplishments
Quality Assurance Auditor
Coronis Health
Jan 2025 - Present (5 months)
Performed regular audits of billing, coding, charge entry, and payment posting processes to ensure accuracy and compliance. Identified billing and coding errors, trends, and potential compliance risks, providing detailed audit findings and recommendations.
Charge Entry Specialist
STI/Azalea Health
Sep 2023 - Dec 2024 (1 year 3 months)
Accurately entered patient demographics, insurance information, and charges into the medical billing system. Reviewed and input CPT, ICD-10, and HCPCS codes based on provided documentation, ensuring clean claim submission.
Payment Poster and Refunds Specialist
US Radiology
Sep 2022 - Aug 2023 (11 months)
Accurately posted insurance and patient payments to appropriate accounts, ensuring proper allocation to corresponding dates of service and procedure codes. Processed and reconciled Electronic Remittance Advice and Paper Explanation of Benefits forms, managing refunds accurately.
Front Office Assistant
Kasarani Sports View
Feb 2021 - May 2022 (1 year 3 months)
Provided excellent customer service in the front office department, managing inbound and outbound calls. Handled customer inquiries, resolved complaints, and maintained accurate records while providing administrative support.
Travel and Tours Consultant
Philander Fleet Safaris
Jan 2020 - Jan 2021 (1 year)
Planned detailed travel itineraries and analyzed travel industry trends to provide optimal solutions. Handled customer inquiries, resolved complaints, and assisted with marketing and promotional activities.
Education
Degrees, certifications, and relevant coursework
Dedan Kimathi University of Technology
MSC in Sustainable Tourism and Hospitality Management, Sustainable Tourism and Hospitality Management
Pursued a Master of Science degree focusing on sustainable practices within the tourism and hospitality sectors. Gained advanced knowledge in managing and developing eco-friendly and socially responsible tourism operations.
Dedan Kimathi University of Technology
Bachelors Degree in Sustainable Tourism and Hospitality Management, Sustainable Tourism and Hospitality Management
Completed a Bachelor's degree in Sustainable Tourism and Hospitality Management. Developed a strong foundation in tourism principles, hospitality operations, and sustainable management practices.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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