Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

At Stout, we’re dedicated to exceeding expectations in all we do – we call it Relentless Excellence
® . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values:
Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.

About Stout’s Forensics and Compliance Group Stout’s Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.

As an Analyst, you will play a hands‑on role in client engagements, contributing independently while collaborating closely with senior team members.

• Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations.
• Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies.
• Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic.
• Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning.
• Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives.
• Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post–go‑live support.
• Prepare clear, well‑structured analyses, reports, and client‑ready presentations summarizing findings, risks, and recommendations.
• Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery.
• Continue developing technical, analytical, and consulting skills while building credibility with clients.
• Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement.
• Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout’s Healthcare Consulting team.

• Bachelor’s degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required;
  Master’s degree preferred.
• Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles.
• Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance.
• Epic Resolute or other hospital billing system experience preferred;
  Epic certification a plus.
• Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required.
• Additional certifications such as CHC, CFE, or AHFI preferred.
• Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization.
• Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred.
• Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act.
• Willingness to travel up to 25%, based on client and project needs.

• Analytical and Detail‑Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well‑supported conclusions.
• Collaborative and Client‑Focused: You communicate clearly, work well in team‑based environments, and contribute to positive client relationships.
• Accountable and Proactive: You take ownership of your work, manage priorities effectively,…