Stefanie Cramer Email & Phone Number

Gypsum, Co, Us

Eagle, Colorado, United States

Gypsum, Colorado

Fayetteville, North Carolina Area

Eagle, Colorado• Actively maintain current working knowledge of CPT and ICD-9 coding principles, governmentregulation, protocols and third party requirements regarding coding/billing by utilizing various codingbooks, procedure manuals, on-line encoders, academy, coding/third-party carrier websites andthrough continuing education and certification renewal. Research CPT and ICD-9 codingdiscrepancies for compliance and reimbursement accuracy. Receive, organize, maintain andmanage all coding and reimbursement periodicals and updates.• Conscientiously and consistently ensure proper coding, sequencing of diagnoses and proceduresaccording to CMS LCDs/NCDs and third-party carrier clinical/reimbursement and compliance policies.• Manage and mentor three recently Certified Professional Coders.• Ensure timely and accurate charge submission through electronic charge capture.• Confidently complete the handling of coding claim denials and/or appeals.• Maintain, manage and perform all aspects of the internal chart audits by evaluating the accuracy ofprovider charges, including dates of service, procedures (CPT), level of care (E/M), locations,diagnoses (ICD-9) and provider signature; identifying inconsistencies, deficiencies and discrepanciesin medical documentation according to coding guidelines set by CMS and/or third-party carriers.Reviewing results and educating providers for quality improvement.• Assist the Director of Clinical Applications in the maintenance of medical charts and/or electronicmedical records.

Rapid City, South Dakota• Conscientiously and consistently ensured proper coding, sequencing of diagnoses and proceduresaccording to CMS LCDs/NCDs and third-party carrier clinical/reimbursement and compliance policiesfor over 40 multi-specialty physicians.• Performed internal chart audits by evaluating the accuracy of provider charges, including dates ofservice, procedures (CPT), level of care (E/M), locations, diagnoses (ICD-9) and provider signature;identifying inconsistencies, deficiencies and discrepancies in medical documentation according tocoding guidelines set by CMS and/or third-party carriers. Reviewing results and educating providers forquality improvement. Continued education to include physicians and medical support staff.• Confidently completed the handling of coding claim denials and/or appeals.

Started at an entry level position of receptionist. Soon being promoted to multiple higher level businessoffice positions and then eventually being solely responsible for all billing office functions to include, butnot limited to; ensuring timely and accurate filing and following up on third party claims; evaluatingpatients' financial status and establishing appropriate payment plans; carefully preparing, reviewing andsubmitting patient statements; confidently and adeptly handling claim denials and/or appeals; submittingrefund requests for claims paid in error; applying payments, adjustments and denials into the practicemanagement system and preparing end-of-month reports.

Certified Professional Coder

High School Diploma

High School Diploma