Inpatient Coding, Forensics & Compliance Expert

Stout; Washington (District of Columbia); On-site; USD 74,000 - 135,000; Full time

Job summary

Stout is seeking an experienced inpatient coder to contribute to complex healthcare consulting engagements. You will review ICD-10 coding, analyze billing and reimbursement practices, and support audits and litigation efforts with a focus on MS-DRG/APC methodologies.

The role requires a health information management background, five years of inpatient experience, and knowledge of CMS/HIPAA regulations. Join a team committed to excellence and client service.

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 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

Analytical skills

Communication skills

Attention to detail

Regulatory knowledge

Education

Bachelor's degree in Health Information Management or related field, or equivalent experience

Tools

Microsoft Office

Job description

Stout is seeking an experienced inpatient coder to contribute to complex healthcare consulting engagements. You will review ICD-10 coding, analyze billing and reimbursement practices, and support audits and litigation efforts with a focus on MS-DRG/APC methodologies.

The role requires a health information management background, five years of inpatient experience, and knowledge of CMS/HIPAA regulations. Join a team committed to excellence and client service.