[Hiring] Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations @Stout
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Role Description
As an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include:
• 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.
Qualifications
• 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.
Requirements
• Analytical and Detail-Oriented: Comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions.
• Collaborative and Client-Focused: Communicate clearly, work well in team-based environments, and contribute to positive client relationships.
• Accountable and Proactive: Take ownership of your work, manage priorities effectively, and deliver high-quality results on time.
• Adaptable and Curious: Eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment.
• Growth-Oriented: Seek feedback, develop your technical and professional skills, and build toward increased responsibility.
• Aligned with Stout Values: Demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions.
Benefits
• Comprehensive Total Rewards program with competitive compensation, benefits, and wellness options.
• Culture of inclusion and respect, embracing diverse perspectives and experiences.
• Investment in professional growth through ongoing training, mentorship, and clear performance feedback.
• Flexible work schedules and a discretionary time off policy to promote work-life balance.
Apply Now
Apply Now
Role Description
As an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include:
• 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.
Qualifications
• 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.
Requirements
• Analytical and Detail-Oriented: Comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions.
• Collaborative and Client-Focused: Communicate clearly, work well in team-based environments, and contribute to positive client relationships.
• Accountable and Proactive: Take ownership of your work, manage priorities effectively, and deliver high-quality results on time.
• Adaptable and Curious: Eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment.
• Growth-Oriented: Seek feedback, develop your technical and professional skills, and build toward increased responsibility.
• Aligned with Stout Values: Demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions.
Benefits
• Comprehensive Total Rewards program with competitive compensation, benefits, and wellness options.
• Culture of inclusion and respect, embracing diverse perspectives and experiences.
• Investment in professional growth through ongoing training, mentorship, and clear performance feedback.
• Flexible work schedules and a discretionary time off policy to promote work-life balance.
Apply Now
Apply Now