Inpatient Coding & Forensics Compliance Expert

Stout; Cleveland (OH); On-site; USD 74,000 - 135,000; Full time

Job summary

Stout is seeking a healthcare coding professional to contribute to complex inpatient coding engagements, focusing on coding audits, disputes, and regulatory responses. You will deliver accurate analyses and support litigation efforts with clear documentation.

The ideal candidate has a bachelor’s in Health Information Management, 5+ years inpatient coding experience, and professional credentials (CCS, CIC, RHIT or RHIA).

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, and 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 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.

Skills

Inpatient coding

Audits & denial management

Regulatory knowledge

MS Office

Analytical skills

Communication skills

Education

Bachelor's degree in Health Information Management or related field

Job description

Stout is seeking a healthcare coding professional to contribute to complex inpatient coding engagements, focusing on coding audits, disputes, and regulatory responses. You will deliver accurate analyses and support litigation efforts with clear documentation.

The ideal candidate has a bachelor’s in Health Information Management, 5+ years inpatient coding experience, and professional credentials (CCS, CIC, RHIT or RHIA).