Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations
Not Disclosed•Full-TimeOn-site
location_onMonroe Harbor, 400, East Monroe Street, Jewelers Row, Loop, Chicago, South Chicago Township, Cook County, Illinois, 60603, United States
About Stout
At Stout, we are dedicated to exceeding expectations in all we do – a philosophy we call Relentless Excellence®. Our firmwide culture is built on core values that drive our client service and internal teamwork: being Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and Great communicators. We are looking for individuals who want to grow and succeed in an environment where these values are lived daily.
The Role
This position is a key contributor to Stout’s Healthcare Consulting practice. You will play a vital role in shaping engagements by delivering high-quality, accurate coding analysis that informs critical client decisions, regulatory responses, and litigation support. Your work will directly impact how we identify risks related to billing, coding, and reimbursement, including potential fraud, waste, and abuse. By applying deep expertise in inpatient coding and reimbursement systems, you will help enhance Stout’s reputation for excellence while supporting the development of defensible findings and recommendations.
Why Join Us?
At Stout, we offer a comprehensive Total Rewards program with competitive compensation and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives to drive innovation. Our leadership is committed to belonging across the organization and the communities we serve.
We invest in your professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback. To promote work-life balance, Stout provides flexible work schedules and a discretionary time off policy, ensuring you can lead a fulfilling life while achieving your career goals.
Equal Opportunity
Stout is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications, and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Work location
Work model: On-site
Monroe Harbor, 400, East Monroe Street, Jewelers Row, Loop, Chicago, South Chicago Township, Cook County, Illinois, 60603, United States
Chicago, Illinois
Similar Job Opportunities
Skills, education and keywords
Skills: Icd-10-Cm/pcs, DRG, Apr-DRG, Apc, MS-DRG, CCS, Cic, Rhit, Rhia, CMS.
Education: Bachelor's degree in Health Information Management or related field (or equivalent experience).
Frequently asked questions about Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations at Stout
What does a Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations at Stout do?expand_more
In this Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations at Stout role, you will perform detailed reviews of inpatient medical records to assess icd-10-cm/pcs coding accuracy; analyze coding, billing, and reimbursement practices across audits, disputes, and investigations; identify risks related to billing, coding, and reimbursement including potential fraud and abuse; and evaluate drg, apr-drg, and apc assignments and their reimbursement implications.
What are the requirements for this Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations role?expand_more
Stout is looking for candidates who meet the following requirements: Bachelor's degree in Health Information Management or related field; Minimum of five years of recent acute-care inpatient facility coding experience; Active coding credential (CCS, CIC, RHIT, or RHIA); Proficiency in Microsoft Office (Excel, Word, PowerPoint); Knowledge of MS-DRG, APR-DRG, APC methodologies and reimbursement frameworks; and Familiarity with healthcare regulatory frameworks (e.g., CMS, HIPAA, False Claims Act).