Talent.com
Analyst, Healthcare Coding - Disputes, Claims & Investigations
Analyst, Healthcare Coding - Disputes, Claims & InvestigationsStout • Chicago, IL, United States
Analyst, Healthcare Coding - Disputes, Claims & Investigations

Analyst, Healthcare Coding - Disputes, Claims & Investigations

Stout • Chicago, IL, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

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 GroupStout'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. What You'll DoAs 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.

What You Bring

  • 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.
  • How You'll Thrive

  • 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, and deliver high-quality results on time.
  • Adaptable and Curious : You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment.
  • Growth-Oriented : You seek feedback, develop your technical and professional skills, and build toward increased responsibility.
  • Aligned with Stout Values : You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions.
  • 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.

    https : / / www.stout.com / en / careers / benefits

    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 $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - https : / / www.stout.com / en / careers / benefits.

    [job_alerts.create_a_job]

    Coding Analyst • Chicago, IL, United States

    [internal_linking.similar_jobs]
    HB Coding Analyst, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)

    HB Coding Analyst, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)

    Northwestern Memorial Healthcare • Chicago, IL, US
    [filters.remote]
    [job_card.full_time]
    At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.This patient-first approach is what sets us apart as a leader in the healthcare industry.A...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Programmer Analyst

    Programmer Analyst

    TradeJobsWorkForce • 60546 Riverside, IL, US
    [job_card.full_time]
    Programmer Analyst Job Duties : Identifies requirements by establishing personal rapport with potential...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Healthcare Consulting Associate - Inpatient Medical Coding

    Healthcare Consulting Associate - Inpatient Medical Coding

    Huron Consulting Group • Chicago, IL, United States
    [job_card.full_time]
    Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve.We help healthcare organizations build innovation capabilities and accelerate key growth i...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Florida Licensed Clinical Coding Analyst

    Florida Licensed Clinical Coding Analyst

    VirtualVocations • Lincolnwood, Illinois, United States
    [job_card.full_time]
    A company is looking for a Clinical Coding Analyst (Remote).Key Responsibilities Conduct daily pre-bill chart reviews and communicate findings to clients within 24 hours Review electronic health...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Application Analyst, Epic ClinDoc, Bipolar Disorder Center, Full-time, Days

    Senior Application Analyst, Epic ClinDoc, Bipolar Disorder Center, Full-time, Days

    Northwestern Medicine Central DuPage Hospital • Chicago, IL, US
    [job_card.full_time]
    Senior Application Analyst, Epic ClinDoc, Bipolar Disorder Center, Full-time, Days.At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.This pa...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Healthcare Analytics - Payor / Provider Finance Data and AI, Managed CareContracting & Optimization

    Healthcare Analytics - Payor / Provider Finance Data and AI, Managed CareContracting & Optimization

    Guidehouse • Chicago, Illinois, United States
    [job_card.full_time]
    Job Family : Data Science Consulting.The Healthcare Finance Data and AI team translates healthcare data into measurable healthcare financial performance. This role is dedicated to managed care contr...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    38244 | Procure-to-Pay Analyst

    38244 | Procure-to-Pay Analyst

    Brilliant Staffing • Chicago, IL, United States
    [job_card.full_time]
    Job Title : Procure to Pay (P2P) Analyst.Location : Chicago, IL (100% Remote).Pay Range : $30 / HR-$35 / HR (Based on experience and qualifications). Benefits : Health, dental, and vision insurance.Brillian...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Healthcare Coding Analyst

    Senior Healthcare Coding Analyst

    American Medical Association • Chicago, IL, United States
    [job_card.full_time]
    Senior Healthcare Coding Analyst.The American Medical Association (AMA) is the nation's largest professional Association of physicians and a non-profit organization. We are a unifying voice and powe...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Healthcare CDI Associate - Inpatient Coding

    Remote Healthcare CDI Associate - Inpatient Coding

    Huron Consulting Group Inc. • Chicago, IL, United States
    [filters.remote]
    [job_card.full_time]
    A leading healthcare consulting firm seeks a Healthcare Consulting Associate - Inpatient Coding in Chicago.Join a team to enhance clinical outcomes and implement innovative solutions for healthcare...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Lead Clinical App Analyst

    Lead Clinical App Analyst

    Rush University • Chicago, IL, United States
    [job_card.full_time]
    Business Unit : Rush Medical Center.Hospital : Rush University Medical Center.Department : Procedural & Ancillary IT Svcs. Full Time (Total FTE between 0.Rush offers exceptional rewards and benefits le...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Board Certified Behavior Analyst

    Board Certified Behavior Analyst

    Silveira Behavior Consultants • Chicago, IL, United States
    [job_card.full_time]
    Careers Advancement Opportunities.Professional development assistance.As a Board Certified Behavior Analyst (BCBA), you'll step into a world of thrilling possibilities, transforming the lives of ch...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Claims Analyst II

    Claims Analyst II

    CSEngineering • Chicago, IL, US
    [job_card.full_time]
    CSEngineering is looking to add a Claims Analyst II to our growing team! The CA II shall provide expert claims analysis and litigation support for construction projects at a VA Medical Center and w...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Lead Clinical App Analyst

    Lead Clinical App Analyst

    Rush • Chicago, IL, United States
    [job_card.full_time]
    Rush University Medical Center.Procedural & Ancillary IT Svcs.Full Time (Total FTE between 0.Rush offers exceptional rewards and benefits learn more at our. Rush benefits page (https : / / www.Rush sala...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Information Governance Operations Analyst

    Information Governance Operations Analyst

    Taft Stettinius & Hollister LLP • Chicago, IL, United States
    [job_card.full_time]
    Taft is seeking an Information Governance Operations Analyst to support our Information Governance team in our Chicago, Cincinnati, Cleveland, Columbus, Dayton, Denver, Detroit, Indianapolis or Min...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Release of Information / Coder

    Release of Information / Coder

    UHS • Chicago, IL, United States
    [job_card.full_time]
    Hartgrove Behavioral Health System.Hartgrove is a flagship behavioral health facility within Universal Health Services, Inc. Hartgrove is a state-of-the-art facility offering some of the most advanc...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Clinical Application Analyst

    Clinical Application Analyst

    The Aspen Group • Chicago, IL, United States
    [job_card.full_time]
    The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.Working in partnership with independent practice owners and clinicians, the te...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Senior Data Analyst (Healthcare Finance)

    Senior Data Analyst (Healthcare Finance)

    Tendo • Chicago, IL, US
    [job_card.full_time]
    As a Senior Data Analyst, you will play a crucial role in the creation and enhancement of financial and operational analytics and in identifying opportunities for Tendo customers to better understa...[show_more]
    [last_updated.last_updated_30] • [promoted]
    RCM coordinator (home health billing and coding)

    RCM coordinator (home health billing and coding)

    Pointwest Technologies Corp • chicago, IL, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    RCM Coordinator (Home Health Billing & Coding) – Remote (US-Based) Position Type : .Full-Time | Work From Home Location : United States (Remote) About the Role : We are seeking a Revenue Cycl...[show_more]
    [last_updated.last_updated_30]