Inpatient Coding, Forensics & Compliance Specialist

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

Benefits offered by this job

Flexible work arrangements

Discretionary time off

Wellness options

Job summary

Stout is seeking a healthcare coding expert to join our Chicago team. You will review inpatient records and perform coding accuracy analyses to support complex engagements.

You will evaluate MS-DRG/APC assignments, participate in audits and investigations, and deliver client-ready deliverables while staying current with CMS and HIPAA regulations.

A CCS/CIC/RHIT/RHIA credential and 5+ years inpatient coding experience are required, with strong MS Office and communication skills.

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

Collaboration

Education

Bachelor's degree in Health Information Management or related field

Active CCS/CIC/RHIT/RHIA credential

Tools

Microsoft Office

Job description

Stout is seeking a healthcare coding expert to join our Chicago team. You will review inpatient records and perform coding accuracy analyses to support complex engagements.

You will evaluate MS-DRG/APC assignments, participate in audits and investigations, and deliver client-ready deliverables while staying current with CMS and HIPAA regulations.

A CCS/CIC/RHIT/RHIA credential and 5+ years inpatient coding experience are required, with strong MS Office and communication skills.