Inpatient Coding & Forensics Compliance Specialist

Stout; Arlington (VA); On-site; USD 74,000 - 135,000; Full time

Job summary

Stout is seeking an experienced healthcare coder to join our team in Arlington, VA. The role emphasizes inpatient ICD-10-CM/PCS coding accuracy and deep expertise in MS-DRG, APR-DRG, and APC reimbursement methodologies.

Ideal candidates will have five years of acute-care inpatient coding experience, active CCS/CIC/RHIT/RHIA credentials, and strong analytical and communication skills. You will support audits, investigations, and litigation, preparing client-ready deliverables and keeping pace

Qualifications

• Bachelor's degree in Health Information Management or related field; equivalent experience accepted.
• 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

Education

Bachelor's degree in Health Information Management or related field

Tools

Microsoft Office

Job description

Stout is seeking an experienced healthcare coder to join our team in Arlington, VA. The role emphasizes inpatient ICD-10-CM/PCS coding accuracy and deep expertise in MS-DRG, APR-DRG, and APC reimbursement methodologies.

Ideal candidates will have five years of acute-care inpatient coding experience, active CCS/CIC/RHIT/RHIA credentials, and strong analytical and communication skills. You will support audits, investigations, and litigation, preparing client-ready deliverables and keeping pace