Healthcare Coding & Revenue Audit Consultant

Stout Risius Ross, LLC; Chicago (IL); On-site; USD 74,000 - 135,000; Full time

Job summary

Stout is seeking a healthcare coding and reimbursement expert to contribute to complex audits and analytics across inpatient and outpatient facilities. You will review records, contracts, and billing data to ensure accuracy, compliance, and defensible findings.

The role involves evaluating Medicare, Medicaid, and payor-specific rules, and presenting actionable recommendations to clients. You will collaborate with clinicians, payors, and engagement teams, leveraging your experience in coding,

Qualifications

• Bachelor's degree in health information management, nursing, healthcare administration, business, or related field.
• 5-10+ years of healthcare coding, billing, auditing, or related revenue cycle experience.
• Active HIM, coding, or auditing credentials preferred.

Responsibilities

• Review medical records, claims, and contracts for accuracy and compliance.
• Audit ICD-10-CM/PCS, CPT, HCPCS, and related coding requirements across settings.
• Analyze reimbursement methodologies and identify risks in payor contracts and policies.
• Prepare client-ready deliverables and support regulatory responses or expert reports.

Skills

Healthcare coding

Billing auditing

Revenue cycle

Regulatory compliance

Data analysis

Education

Bachelor's degree in HIM/Healthcare

Tools

HIM credentials

Job description

Stout is seeking a healthcare coding and reimbursement expert to contribute to complex audits and analytics across inpatient and outpatient facilities. You will review records, contracts, and billing data to ensure accuracy, compliance, and defensible findings.

The role involves evaluating Medicare, Medicaid, and payor-specific rules, and presenting actionable recommendations to clients. You will collaborate with clinicians, payors, and engagement teams, leveraging your experience in coding,