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Raycheal MuneneRM
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Raycheal Munene

@raychealmunene

Medical coder and biller at Kryptonite outsourcing, reducing claim denials by 40% through accurate coding and documentation review.

Kenya
Message

At Kryptonite outsourcing, I coded multi-specialty patient encounters using ICD-10-CM, CPT, and HCPCS Level II, while working in Epic EHR. I also verified coverage and reviewed clearinghouse reports, helping reduce claim denials by 40%.

I prepared and submitted clean CMS-1500 and UB-04 claims to insurance payers. My work contributed to a 95% claim acceptance rate and timely reimbursement.

At Mount Sinai Health System – Digital Health Services, I resolved coding ambiguities and supported provider queries by drawing on my nursing background to interpret documentation. I also supported revenue cycle management, contributing to a 15% improvement in productivity and quality outcomes.

I hold CPC and HIPAA certifications and a Bachelor of Science (BSC) Nursing degree. My experience includes medical coding and billing across E/M, surgery, radiology, lab, and diagnostic medicine.

Experience

Work history, roles, and key accomplishments

Education

Degrees, certifications, and relevant coursework

Udemy logoUD

Udemy

HIPAA Certified, Healthcare Compliance

HIPAA certification completed in February 2023.

AAPC logoAA

AAPC

CPC, Medical Coding

Certified Professional Coder (CPC) certification awarded by AAPC in May 2023.

KA

Kryptonite Academy

Certificate, Medical Coding

2022 - 2022

Relevant coursework in HIPAA, ICD-10-CM, CPT, HCPCS, and EMR/EHR.

Kenyatta University logoKU

Kenyatta University

Bachelor of Science, Nursing

2017 - 2021

Bachelor of Science in Nursing from Kenyatta University, completed in 2021.

NK

Nursing Council of Kenya

Registered Nurse, Nursing

Registered Nurse certification awarded by the Nursing Council of Kenya in November 2021.

Tech stack

Software and tools used professionally

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