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

Stout • Washington, DC

8d • $74,000 - $135,000

About The Position

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.

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.
• Knowledge of CMS, HIPAA, and the False Claims Act.
• Strong Microsoft Office, analytical, and communication skills.

Nice To Haves

• Experience with coding audits and denials preferred.

Responsibilities

• 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.
• 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.

Benefits

• Competitive compensation
• Benefits and wellness options tailored to support employees at every stage of life
• Flexible work schedules
• Discretionary time off policy
• Ongoing training
• Mentorship
• Employee resource groups
• Clear performance feedback
• Annual bonus plan

What This Job Offers

• Job Type: Full-time
• Career Level: Senior