Inpatient Coding, Forensics and Compliance - Disputes, Claims & Investigations
$74k - $135kStout Risius Ross
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.Impact You'll MakeContribute to complex healthcare consulting engagements involving coding audits, disputes, claims analysis, and investigations.Deliver accurate coding analyses that inform client decisions, regulatory responses, and litigation support.Identify billing, coding, reimbursement, and compliance risks.Support defensible findings through detailed documentation and analysis.Apply inpatient coding and reimbursement expertise to deliver exceptional client service.What You'll DoReview inpatient medical records for ICD-10-CM/PCS coding accuracy.Analyze coding, billing, and reimbursement practices.Support forensic analyses and compliance reviews.Assist with audits, investigations, and litigation support.Evaluate MS-DRG, APR-DRG, and APC assignments.Prepare reports and client-ready deliverables.Monitor coding trends and regulatory updates.Collaborate with clients, legal counsel, and engagement teams.What You'll BringBachelor's degree in Health Information Management or related field, or equivalent experience.Five years of acute-care inpatient coding experience.Active CCS, CIC, RHIT, or RHIA credential.Knowledge of MS-DRG, APR-DRG, APC reimbursement methodologies.Experience with coding audits and denials preferred.Knowledge of CMS, HIPAA, and the False Claims Act.Strong Microsoft Office, analytical, and communication skills.How You'll ThriveInterpret complex clinical and coding information accurately.Collaborate effectively with clients and colleagues.Take ownership and deliver high-quality work.Adapt to evolving regulations and priorities.Demonstrate integrity and embody Stout's core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and Great Communicators while delivering Relentless Excellence.Why Stout?At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.Learn more about our benefits and commitment to your success.The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.Stout is an Equal Employment Opportunity.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. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.A reasonable estimate of the current range is $74,000.00 - $135,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - Chicago, IL; Arlington, VA; Cleveland, OH; Grand Rapids, MI; Detroit, MI; Baltimore, MD; Washington, DC; Tysons Corner, VAType: Full time
$120k - $215k
...insights is core to our success.A Senior Manager within our Disputes, Claims, and Investigations group will work on consulting assignments across a... ...and related financial analyses in litigation, fraud, and forensic matters, including intellectual property disputes and complex...ClaimsFull timeWork at officeLocal areaFlexible hours- DiverseGOV is recruiting an experienced investigative/forensic auditor to support fraud prosecution... ...related materials, banking and tax records, claims data, grant expenditures, procurement... ...matters. Work Environment and Compliance Expectations Must protect sensitive,...ClaimsContract workFor contractorsWork at officeLocal area
$145k - $300k
...to join our team.Job Title - Director, Mass TortsImpact You’ll Make· Lead complex client engagements within Stout’s Disputes, Claims, and Investigations group, with a focus on mass tort claims.· Provide value-added consulting services through high-quality economic damages...ClaimsFull timeLocal areaFlexible hours- DiverseGOV in Detroit, MI is seeking an experienced investigative/forensic auditor to support fraud prosecution matters under a federal contract... ...program data, identity materials, banking and tax records, claims data, and procurement submissions. Responsibilities include...ClaimsContract work
- Overview Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global...ClaimsWork experience placement
- ...strengthening open source governance and compliance for both what we use and what we release,... ...Owning & Releasing: when and how Airbnb code may be open sourced, quality and maintenance... ...IP, confidentiality and trade secrets, claims substantiation, third-party rights and permissions...ClaimsFixed term contractCasual workFreelanceLive inWork at officeLocal areaRemote workWorldwide
- ...copyright, and trade secret disputes. This role requires strong organizational... ...Track deadlines and ensure compliance with court rules and orders... ...disputes, and trade secret claims Help manage technical... ...with PTAB proceedings, ITC investigations, or international IP...ClaimsWork at officeRemote work3 days per week
- ...progression, denial management, compliance with governmental and... ...regulations, appropriate physician coding and documentation... ...DUTIES AND ACCOUNTABILITIESACUTE INPATIENT/CASE MANAGEMENT FUNCTIONS:Review... ...with any regulatory audits, investigation, survey, or other review of...Contract work
$38.46 - $52.4 per hour
...you are now and create your future. The Inpatient Coding Auditor will be responsible for the... ...clinical documentation guidelines. Monitor compliance of coding guidelines and ensure errors... ...action is initiated before the claim is rebilled to the insurance. Conduct...ClaimsHourly payPermanent employmentWork at officeLocal areaImmediate startRemote workFlexible hoursDay shift- ...envelope engineering, forensic consulting, dispute resolution,... ...and property damage claims caused by alleged issues... ...performing the work. Investigates how and why an incident... ...interprets relevant codes, standards, drawings... ...to evaluate the compliance of the design, installation...ClaimsFull timeContract workTemporary workWork at officeRemote workWork from homeWorldwideMonday to FridayNight shift
$75k - $105k
...management, billing and coding company exclusively... ...exceeding Client Targets, Compliance Standards and... ...Processes to optimize C.P.V.; Investigating Third Party Payor... ...monitoring daily and weekly claims processing; provide... ...resolve Client or patient disputes. Education and...ClaimsContract workRemote work- ...in building envelope, engineering, forensic consulting, dispute resolution, construction management... ...for advancement! OVERVIEW: Investigates, assesses, and determines the origin... ...litigation purposes. Conducts code compliance research including electrical, gas,...Full timeContract workPart timeWork experience placementWork at officeLocal areaWorldwideMonday to FridayNight shift
- ...commercial contracting matters, including FAR and DFARS compliance, bid protests, claims, investigations, subcontracting issues, and regulatory compliance.... ...in administrative proceedings, investigations, claims disputes, and compliance planning • Advise on...ClaimsFull timeContract workFor contractorsWork at officeFlexible hours3 days per week
- ...including employment counseling, compliance, litigation, and—depending... ...Conduct or support internal investigations involving alleged misconduct... ...a wide range of employment disputes, including discrimination,... ...of contract, and wage/hour claims. Handle administrative charges...ClaimsContract workTemporary workWork experience placementWork at officeLocal areaFlexible hours
- ...insurance balances, submitting claim corrections and appeals as... ..., and written correspondence.Investigate and resolve claim denials, payment... ...issues, registration errors, coding issues, authorization-related... ...Revenue Cycle Manager.Ensure compliance with HIPAA regulations and...Claims
- ...strategies for late-stage investigational products and future... ..., Trade, HEOR, Compliance, Legal, Finance, and... ...reimbursement pathways, coding considerations, and implementation... ...Charge capture and claims adjudication Serve as... ...within both inpatient and outpatient...ClaimsWork at officeLocal areaNight shift
- A leading government services firm in Michigan is seeking a Senior Auditor to conduct medical claims data analysis and forensic investigations. The ideal candidate will have at least 5 years of forensic financial accounting experience and strong analytical skills. Responsibilities...Claims
- ...Time, Mid-level CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in...ClaimsFull timeRemote workFlexible hours
- ...teamues.com. Position Overview The Forensic Engineer will conduct forensic engineering investigations of buildings and other... ...events, and other property‑related claims. Responsibilities Conduct forensic... ..., state, and national building codes and design standards. Strong...ClaimsWork at officeLocal areaNight shift
- ...candidates with an accounting background to transition into a special agent role. This opportunity blends financial expertise with investigative work, promoting growth and the chance to tackle national security threats. With specialized training and real-world...Work at officeLocal area
- Forensic Fire Investigator- Michigan - Part TIme or Full TIme Jul 9, 2026 Join Rimkus and unlock your... ..., engineering, forensic consulting, dispute resolution, construction management... ...and litigation purposes. Conducts code compliance research including electrical, gas,...Full timeContract workPart timeWork experience placementWork at officeLocal areaWorldwideMonday to FridayNight shift
$50k
...complex civil litigation matters involving claims for monetary damages or compensation... ...highest standards of legal ethics and compliance.Responsibilities:Litigation Management... ...advanced legal strategies for discovery, investigation, and trial preparation. Technology...ClaimsLocal areaRemote workFlexible hours- ...accurate billing and collection of claims for services rendered by... ...role reviews charges and coding, resolves claim edits and billing... ..., and a commitment to HIPAA compliance and patient confidentiality.... ...and insurance policy numbers. Investigate and resolve billing...ClaimsWork at office
- ...federal agency initiative. You will conduct complex financial and forensic analyses, audit program funding, review eligibility materials... ...skills, proficiency with Excel and data visualization, and the ability to work with investigative teams. #J-18808-Ljbffr Cgsfederal
- UES is seeking a Forensic Engineer in Detroit, MI, to conduct forensic engineering investigations on buildings and other structures. The ideal candidate will analyze issues like structural damage or moisture intrusion and must have a Bachelor's degree in Civil or Structural...
- ...complex regulatory, transactional, compliance, and operational matters. The... ..., healthcare transactions, investigations, compliance counseling,... ...Anti-Kickback Statute, False Claims Act, Medicare and Medicaid reimbursement... ..., Michigan Public Health Code, and Michigan Mental Health...ClaimsFull timeWork at officeFlexible hours3 days per week
- Overview Provides forensic consulting services requiring civil/structural engineering expertise... ...Essential Job Functions Performs the investigation and analysis of residential, commercial, and industrial properties to resolve claims and legal matters. Performs forensic...ClaimsContract workTemporary workWork at officeLocal areaWork from homeMonday to FridayNight shift
- Ardelle Associates seeks an Investigative Auditor to support the United States Attorney's Office in Detroit, MI. The role focuses on financial, forensic, and program-integrity analyses for federal investigations involving fraud and abuse of federal funds. The position...Full timeContract workWork at office
- ...Job Description Job Description ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate...ClaimsCasual workLocal areaNight shift
- CGS seeks an experienced Auditor to support a large federal agency initiative, applying forensic accounting and analytics to complex investigations. Join a team that analyzes program funding, eligibility, records, and payments to identify fraud and ensure accountability...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Inpatient Coding, Forensics and Compliance - Disputes, Claims & Investigations. Be the first to apply!


