Stout
Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations
5 days agoWhat's your preference?
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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