Stout

Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

5 days ago

PayCompetitive
LocationMyrtle Point/Oregon
Employment typeFull-Time
  • Job Description

      Req#: r1880
      Employer Industry: Healthcare Consulting

      Why consider this job opportunity:
      - Salary up to $130,000 annually
      - Opportunity to participate in an annual bonus plan
      - Comprehensive benefits and wellness options tailored to support employees at every stage of life
      - Flexible work schedules and a discretionary time-off policy to promote work-life balance
      - Commitment to professional growth through ongoing training, mentorship, and clear performance feedback
      - Inclusive and respectful workplace culture that embraces diverse perspectives

      What to Expect (Job Responsibilities):
      - 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, including charge capture, claims processing, and reimbursement logic
      - Assist in audits, investigations, and litigation support engagements, including evidence gathering and issue identification
      - Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings and recommendations

      What is Required (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
      - Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required
      - Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization
      - Willingness to travel up to 25%, based on client and project needs

      How to Stand Out (Preferred Qualifications):
      - 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
      - Additional certifications such as CHC, CFE, or AHFI preferred
      - Proficiency in Microsoft Office; 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

      #HealthcareConsulting #RevenueCycle #CareerGrowth #WorkLifeBalance #DiversityAndInclusion

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  • About the company

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