Inpatient Coding, Forensics and Compliance - Disputes, Claims & Investigations
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. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.
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.
What You'll Do
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.
What You'll Bring
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®.
Why Stout?
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.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.
Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law.
Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.
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. Information about benefits can be found here -Recommended Jobs
Cook
Job Description Now Hiring Cooks – For new operation at the Quad Cities Airport Earn $16.00-$19.00 per hour , based on experience Sky Dine, Inc. is a fast-paced, high-volume restaurant new to…
Line Cook
Job Description Job Description For more than 47 years, Joe’s Pizza & Pasta has been serving up hand-tossed pizzas, hearty pastas, subs, salads, and Italian classics across Illinois. As a family-…
Sales Manager/Finance Manager
Job Description Job Description Arnie Bauer Chevy GMC is looking for a driven, hands-on Sales Manager to lead our day-to-day sales operations. This role offers a unique opportunity to grow with…
Principal Account Executive, STEM Talent Solutions
Impellam Group is a connected family of global workforce and STEM talent solutions brands, helping organizations future‑proof their business through access to deep technical talent communities and in…
Assistant Merchant (Hybrid)
: ***This will be a hybrid role that will be on-site two days per week in Hoffman Estates, IL*** Assistant Merchant About the Role The Assistant Merchant will be responsible for supporting t…
Net Revenue & Performance Specialist
Channel Sales | Naperville | Full Time | Permanent Wilton is a global heritage brand with a 95-year history in baking and decorating. As part of the Dr. Oetker family, Wilton aspires to be the m…
Class A Truck Driver /Dedicated / Home Weekly
Come haul meat for a major retail merchandiser and make some great money! Mainly no touch freight, but at times, smaller stores may need the driver to assist with unloading. Some shuttle work, but …
Travel Nuclear Medicine Technologist Job
Job Overview TLC Nursing Associates, Inc. is seeking a skilled Nuclear Medicine Technologist to prepare and administer radiopharmaceuticals, perform high?quality diagnostic and therapeutic imag…
Guest Services Manager
Job Description Job Description Job Summary The Guest Services Manager will be responsible for overseeing all aspects of the parking operations including, but not limited to, valet parking ope…
Landscape Laborer
LKM Mowing & Landscaping is a growing company dedicated to delivering high-quality landscaping services and transforming outdoor spaces for our clients. As a Landscape Laborer, you will play a key ro…