Inpatient Coding & Forensics Compliance Specialist

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

Benefits offered by this job

Total Rewards program

Flexible work schedules

Discretionary time off

Job summary

Stout Risius Ross, LLC is seeking a healthcare coding professional to review inpatient records, analyze coding and reimbursement practices, and support audits and litigation engagements. You will evaluate DRG assignments, prepare client-ready reports, and monitor regulatory updates to deliver high-quality service.

The role requires a Bachelor's in Health Information Management or related field, plus five years of acute-care inpatient coding and credentials such as CCS/CIC/RHIT/RHIA.

Qualifications

• Bachelor's degree in Health Information Management or related field.
• 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

Acute-care inpatient coding experience

MS-DRG/APR-DRG/APC reimbursement

Coding audits and denials

CMS/HIPAA/Common False Claims Act

Microsoft Office / analytical and comm

Education

Bachelor's degree in Health Information Management or related field

CCS / CIC / RHIT / RHIA credential

Job description

Stout Risius Ross, LLC is seeking a healthcare coding professional to review inpatient records, analyze coding and reimbursement practices, and support audits and litigation engagements. You will evaluate DRG assignments, prepare client-ready reports, and monitor regulatory updates to deliver high-quality service.

The role requires a Bachelor's in Health Information Management or related field, plus five years of acute-care inpatient coding and credentials such as CCS/CIC/RHIT/RHIA.