From 2017 to 2020, she contributed her expertise as a senior recovery analyst at Blue Cross & Blue Shield of Rhode Island, focusing on recovering overpayments and contributing to cost-saving measures.
WARWICK, RI, June 26, 2024 /24-7PressRelease/ -- Ketty J. Cousino, CCS-P, has been included in Marquis Who's Who. As in all Marquis Who's Who biographical volumes, individuals profiled are selected on the basis of current reference value. Factors such as position, noteworthy accomplishments, visibility and prominence in a field are all taken into account during the selection process.
Ms. Cousino has been serving as a clinical concept analyst and consultant at Lyric since 2022, where she plays a pivotal role in analyzing health care payer data to identify discrepancies and optimize payment policies. Her work involves meticulous data analysis of paid claim data to detect overpayments and underpayments, identifying new opportunities for efficiency and collaborating with sales teams to onboard new clients by explaining the company's value.
Prior to this role, Ms. Cousino was a payment accuracy advisor at Change Healthcare from 2020 to 2023, where she honed her skills in ensuring payment accuracy across health care systems. From 2017 to 2020, she contributed her expertise as a senior recovery analyst at Blue Cross & Blue Shield of Rhode Island, focusing on recovering overpayments and contributing to cost-saving measures. Her tenure at Blue Cross & Blue Shield of Rhode Island also included serving as a medical policy analyst and ClaimsXten analyst from 2015 to 2017, where she was instrumental in developing and implementing medical policies that ensured accurate claim payments.
Ms. Cousino's career in the health care industry began with roles that provided her with foundational knowledge and skills, including positions as a HEDIS coordinator at Centene Corporation from 2014 until 2015, a senior care options navigator at Fallon Health from 2012 until 2014 and a care adviser at Caregiver Homes in 2012. She previously worked as a program coordinator and referral specialist at Centene Corporation from 2011 to 2012, as well as a medical assistant and medical records specialist at RI Colorectal Clinic between 2007 and 2011.
Ms. Cousino's early career experience at a physician's office, where she volunteered to assist with the transition from paper medical records to an electronic system, stands out as a significant achievement. This initiative not only modernized the practice but also equipped her with invaluable project management skills and a deep understanding of health care software applications.
Laying the groundwork for Ms. Cousino's professional success is academic background. She earned an Associate of Science in medical and health management in 2007 and an associate degree in health, health care administration and management from the Penn Foster College in 2017. She subsequently earned a Bachelor of Arts in health, health care administration and management from the University of Arizona in 2021 and is currently pursuing a master's degree from the same institution.
Ms. Cousino has been certified as a Certified Coding Specialist – Physician-based (CCS-P) by the American Health Information Management Association (AHIMA) since 2018 and previously earned her Certified Coding Associate certification in 2015. She is also an esteemed member of several industry-related organizations, including AHIMA, the American Academy of Professional Coders and the Golden Key International Honor Society, organizations that underscore her commitment to professional development and excellence in the field of health care administration.
Beyond her professional endeavors, Ms. Cousino is dedicated to giving back to her community through annual volunteer service days with local organizations. Looking ahead, she aspires to secure a leadership position within her field and join an organization's board, aiming to leverage her extensive experience and insights for broader impact within the health care industry.
About Marquis Who's Who®:
Since 1899, when A. N. Marquis printed the First Edition of Who's Who in America®, Marquis Who's Who® has chronicled the lives of the most accomplished individuals and innovators from every significant field of endeavor, including politics, business, medicine, law, education, art, religion and entertainment. Who's Who in America® remains an essential biographical source for thousands of researchers, journalists, librarians and executive search firms around the world. The suite of Marquis® publications can be viewed at the official Marquis Who's Who® website, www.marquiswhoswho.com.
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