Stephanie L. Klein
Carlisle
Summary
Seeking employment opportunities utilizing my coding, regulatory and governmental compliance experience.
Experienced in both the hospital and managed care environments utilizing my coding knowledge. Highly analytical with the ability to communicate with clinical and non-clinical professionals. Proficient in official coding guidelines, governmental rules and regulations including the Office of Inspector General’s Work Plan (OIG), Centers for Medicare and Medicaid Services (CMS), National and Local Coverage Determinations (NCD and LCD).
Overview
41
41
years of professional experience
1
1
Certification
Work History
Compliance Coordinator
Kettering Health
Miamisburg
07.2018 - 08.2025
- Conducted comprehensive audits of inpatient and outpatient records following OIG guidance and CMS regulations.
- Reviewed hospital claims for outpatient departments, including emergency room and cardiopulmonary rehab services.
- Evaluated inpatient records for conditions such as malnutrition and sepsis to ensure compliance.
- Identified inconsistencies in documentation and billing related to fraud, waste, and abuse.
- Reported discrepancies to central business department for timely correction.
- Collaborated with clinical staff to resolve compliance issues regarding documentation practices.
- Monitored compliance violation trends to mitigate potential organizational risks.
- Prepared detailed reports of audit findings and recommendations for management evaluation.
Certified Coder – Inpatient
Kettering Health
Miamisburg
02.2018 - 07.2018
- Ensured compliance by coding and abstracting inpatient medical records accurately.
- Clarified specific diagnoses with physicians and clinical documentation specialists.
- Utilized 3M Encoder and Epic for precise assignment of diagnoses and procedures.
Outpatient Coding Auditor/Consultant
MedPartnersHIM
Remote
10.2015 - 02.2018
- Conducted comprehensive audits of outpatient medical records to ensure compliance with Official Coding Guidelines.
- Worked closely with management to discuss external audit results and action plans.
- Education of coding staff utilizing official coding guidelines.
- Maintained positive working relationship with fellow staff and management.
Compliance Analyst
Premier Health
Dayton
10.2001 - 10.2015
- Performed regulatory compliance-based audits, including directives from the Office of Inspector General Work Plan, other governmental guidance, application of billing policies and procedures and assignment of MS-DRGs.
- Analyzed and reported audit findings in audit summaries.
- Investigated potential compliance violations, reported via Compliance Hotline or other internal measures.
- Presented the Compliance Program including Information Security and Privacy to new employees and high-risk departments.
- Monitored and analyzed compliance violation trends to proactively address potential risks.
- Assisted in the development and implementation of organizational compliance training programs.
- Conducted risk assessments to identify compliance vulnerabilities and develop mitigation strategies.
- Performed detailed documentation reviews to ensure accuracy and adherence to compliance standards.
- Monitored changes in legislation that could affect the organization's operations.
- Collaborated with various departments within the organization to develop effective solutions for ensuring ongoing compliance.
- Conducted research on laws, regulations, and industry trends related to the organization's operations.
- Performed regular compliance audits and presented findings to management.
- Led training sessions for staff on compliance practices and regulatory requirements.
- Maintained detailed database of compliance data, activities and actions taken.
Outpatient Coder
Miami Valley Hospital (Premier Health Network)
Dayton
03.2000 - 10.2001
- Reviewed outpatient medical records for accurate coding and documentation per Official Coding Guidelines.
- Responsible for coding radiation oncology and emergency room records.
- Identified charging and documentation inconsistencies and made recommendations for correction based on billing and coding guidelines.
- Maintained compliance with HIPAA regulations during the coding process and patient data handling.
- Analyzed clinical documentation against established standards for quality improvement initiatives.
- Collaborated with healthcare providers to clarify documentation and ensure appropriate coding practices.
Provider Systems Analyst
United Health Group
Centerville
10.1998 - 02.2000
- Translated hospital and ancillary contract language into systems language.
- Drafted and submitted contract requests for the accurate processing of claims.
- Assigned fees for new medications using a proprietary formula.
- Monitored system performance and to identify trends and recommend enhancements.
- Provided support for end users in troubleshooting system issues.
Appeals Coordinator
United Health Group
Centerville
05.1997 - 10.1998
- Managed and coordinated the preparation of appeal documentation for all levels of member appeals to ensure adherence to regulatory guidelines.
- Collaborated with clinical teams to gather necessary information for the appeals process, enhancing case accuracy.
- Facilitated formal member appeal hearings.
- Responded to complaints from the Ohio Department of Insurance.
- Exceeded all critical timelines for appeal process.
- Coordinated efforts with all state divisions for appeal process.
Provider Educator
United Health Group
Centerville
05.1996 - 05.1997
- Educated providers exhibiting overutilization of services to promote appropriate care practices.
- Reviewed provider appeals in collaboration with Medical Director to ensure compliance.
- Analyzed provider reports to identify potential abuse and mitigate risks.
- Assisted provider offices with coding inquiries and clarifications on coverage benefits.
Review Analyst
Wright Health Associates (Division of Anthem)
Miamisburg
10.1995 - 05.1996
- Reviewed and coded referrals for data entry.
- Considered a resource person for data entry and claims personnel.
- Conducted detailed evaluations of multiple surgery claims for accuracy in coding practices.
- Monitored trends in review outcomes to address potential compliance risks.
Inpatient Coder
Franciscan Medical Center
Dayton
03.1995 - 10.1995
- Reviewed inpatient medical records to ensure accurate coding and compliance with industry standards.
- Collaborated with physicians to clarify diagnoses and enhance documentation accuracy.
- Analyzed physician documentation for completeness, accuracy, and compliance with coding guidelines.
- Monitored changes in national regulations impacting diagnostic and procedural coding requirements.
Medical Analyst
United Health Group
Centerville
06.1993 - 02.1995
- Reviewed surgical claims for Dayton division, ensuring adherence to coding standards and reimbursement guidelines.
- Assessed coding accuracy of all surgical claims in South Carolina division to enhance financial outcomes.
- Analyzed claims data to detect discrepancies, providing recommendations for improvement.
Research and Review Analyst
United Health Group
Centerville
05.1990 - 06.1993
- Conducted thorough reviews of medical claims to ensure adherence to regulatory standards.
- Reviewed physician claim appeals in collaboration with Provider Relations department.
- Served as resource person for physician claims staff, providing guidance and expertise.
- Calculated fees for unlisted procedure codes using proprietary formula to ensure accuracy.
- Assigned appropriate fees for hospital procedures not covered under hospital contracts.
Inpatient Coder
Franciscan Medical Center
Dayton
06.1984 - 05.1990
- Reviewed inpatient medical records to ensure accurate coding and compliance with industry standards.
- Audited monthly report for quality assurance.
- Collaborated with physicians to clarify diagnoses and enhance documentation accuracy.
- Attended educational seminars related to disease processes, anatomy and physiology, pharmacology, pathology, radiology.
- Provided feedback on clinical documentation deficiencies that impact accurate code assignment.
Education
Associate Degree - Applied Science
Sinclair Community College
Skills
- Epic
- Meditech
- Cerner
- MosiaQ
- 3M Encoder
- Microsoft Office programs
Certification
- American Health Information Management Association, Registered Health Information Technician (RHIT), 24708, 12/31/26
- American Health Information Management Association, Certified Coding Specialist (CCS), C99143, 12/31/26
- Health Care Compliance Association, Certified in Healthcare Compliance (CHC), 11/30/26
Timeline
Compliance Coordinator
Kettering Health
07.2018 - 08.2025
Certified Coder – Inpatient
Kettering Health
02.2018 - 07.2018
Outpatient Coding Auditor/Consultant
MedPartnersHIM
10.2015 - 02.2018
Compliance Analyst
Premier Health
10.2001 - 10.2015
Outpatient Coder
Miami Valley Hospital (Premier Health Network)
03.2000 - 10.2001
Provider Systems Analyst
United Health Group
10.1998 - 02.2000
Appeals Coordinator
United Health Group
05.1997 - 10.1998
Provider Educator
United Health Group
05.1996 - 05.1997
Review Analyst
Wright Health Associates (Division of Anthem)
10.1995 - 05.1996
Inpatient Coder
Franciscan Medical Center
03.1995 - 10.1995
Medical Analyst
United Health Group
06.1993 - 02.1995
Research and Review Analyst
United Health Group
05.1990 - 06.1993
Inpatient Coder
Franciscan Medical Center
06.1984 - 05.1990
Associate Degree - Applied Science
Sinclair Community College