Inpatient Coding & Forensics Compliance Specialist

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

Job summary

Stout, a leading healthcare consulting firm, seeks a qualified Inpatient Coding Specialist to join our team in Tysons, VA. You will review inpatient records, analyze billing and reimbursement practices, and support audits and litigation with MS-DRG/APC expertise.

Strong detail orientation and communication with clients are essential. Requirements include a Bachelor's in Health Information Management, 5 years inpatient coding experience, and active CCS/CIC/RHIT/RHIA credentials; CMS/HIPAA

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 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

MS-DRG/APR-DRG/APC knowledge

Analytical skills

Communication skills

CMS HIPAA knowledge

Microsoft Office

Education

Bachelor's in Health Information Management

Job description

Stout, a leading healthcare consulting firm, seeks a qualified Inpatient Coding Specialist to join our team in Tysons, VA. You will review inpatient records, analyze billing and reimbursement practices, and support audits and litigation with MS-DRG/APC expertise.

Strong detail orientation and communication with clients are essential. Requirements include a Bachelor's in Health Information Management, 5 years inpatient coding experience, and active CCS/CIC/RHIT/RHIA credentials; CMS/HIPAA