Inpatient Coding, Forensics and Compliance - Disputes, Claims & Investigations

About the role

At Stout, we’re dedicated to exceeding expectations in all we do – we call it Relentless Excellence®. Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators.

Impact You'll Make

• Contribute to complex healthcare consulting engagements involving coding audits, disputes, claims analysis, and investigations.
• Deliver accurate coding analyses that inform client decisions, regulatory responses, and litigation support.
• Identify billing, coding, reimbursement, and compliance risks.
• Support defensible findings through detailed documentation and analysis.
• Apply inpatient coding and reimbursement expertise to deliver exceptional client service.

Responsibilities

• Review inpatient medical records for ICD-10-CM/PCS coding accuracy.
• Analyze coding, billing, and reimbursement practices.
• Support forensic analyses and compliance reviews.
• Assist with audits, investigations, and litigation support.
• Evaluate MS-DRG, APR-DRG, and APC assignments.
• Prepare reports and client-ready deliverables.
• Monitor coding trends and regulatory updates.
• Collaborate with clients, legal counsel, and engagement teams.

Requirements

• Bachelor's degree in Health Information Management or related field, or equivalent experience.
• Five years of acute-care inpatient coding experience.
• Active CCS, CIC, RHIT, or RHIA credential.
• Knowledge of MS-DRG, APR-DRG, APC reimbursement methodologies.
• Experience with coding audits and denials preferred.
• Knowledge of CMS, HIPAA, and the False Claims Act.
• Strong Microsoft Office, analytical, and communication skills.

How You'll Thrive

• Interpret complex clinical and coding information accurately.
• Collaborate effectively with clients and colleagues.
• Take ownership and deliver high-quality work.
• Adapt to evolving regulations and priorities.
• Demonstrate integrity and embody Stout's core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and Great Communicators while delivering Relentless Excellence®.

Benefits

At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.

Learn more about our benefits and commitment to your success.

Pay

A reasonable estimate of the current range is $74,000.00 - $135,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan.