Inpatient Coding, Forensics & Compliance Analyst

Stout; Grand Rapids (MI); On-site; USD 74,000 - 135,000; Full time

Benefits offered by this job

Total Rewards program

Flexible work schedules

Discretionary time off policy

Job summary

Stout is a healthcare consulting firm hiring an experienced inpatient coder to contribute to complex engagements, including coding audits, disputes, and regulatory analyses. You will review inpatient records for ICD-10-CM/PCS accuracy and analyze coding and reimbursement practices to inform client decisions and litigation support.

You will also prepare client-ready deliverables, monitor regulatory updates, and collaborate with clients and counsel to ensure defensible findings while upholding

Qualifications

• 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.

Responsibilities

• Review inpatient 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.

Skills

Inpatient coding

MS-DRG/APR-DRG/APC knowledge

Coding credentials CCS/CIC/RHIT/RHIA

Microsoft Office

Communication skills

CMS/HIPAA knowledge

Education

Bachelor's degree in Health Information Management or related field

Equivalent experience

Job description

Stout is a healthcare consulting firm hiring an experienced inpatient coder to contribute to complex engagements, including coding audits, disputes, and regulatory analyses. You will review inpatient records for ICD-10-CM/PCS accuracy and analyze coding and reimbursement practices to inform client decisions and litigation support.

You will also prepare client-ready deliverables, monitor regulatory updates, and collaborate with clients and counsel to ensure defensible findings while upholding