Analyst, Healthcare Coding - Disputes, Claims & Investigations jobs in United States
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Stout · 1 day ago

Analyst, Healthcare Coding - Disputes, Claims & Investigations

Stout is dedicated to exceeding expectations in all they do and is seeking an Analyst to join their Forensics and Compliance group. The Analyst will support client engagements related to healthcare billing, coding, and revenue cycle operations, while performing forensic analyses and compliance reviews to identify fraud and inefficiencies.

AdviceBankingFinancial ServicesImpact Investing
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Growth Opportunities
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H1B Sponsor Likelynote

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 (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

Qualification

Healthcare revenue cycle operationsEMR/EHR implementationsNationally recognized coding credentialEpic Resolute experienceHealthcare regulatory knowledgeMicrosoft Office proficiencyAnalytical skillsProactiveDetail-orientedCollaborativeAdaptableGrowth-oriented

Required

Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field
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
Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT)
Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization
Proficiency in Microsoft Office (Excel, PowerPoint, Word)
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

Preferred

Master's degree
Epic Resolute or other hospital billing system experience
Additional certifications such as CHC, CFE, or AHFI
Experience with Visio, SharePoint, Tableau, or Power BI

Benefits

Comprehensive Total Rewards program with competitive compensation
Benefits
Wellness options tailored to support employees at every stage of life
Flexible work schedules
Discretionary time off policy to promote work-life balance
Ongoing training
Mentorship
Employee resource groups
Clear performance feedback

Company

Stout provides investment banking, transaction advisory, and valuation advisory services.

H1B Sponsorship

Stout has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (27)
2024 (8)
2023 (11)
2022 (7)
2021 (7)
2020 (6)

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Audax Private Equity
2025-06-02Acquired
2021-11-03Private Equity

Leadership Team

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Craige Stout
Chief Executive Officer
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John Ross
Managing Director, Co-Founder of Stout
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Company data provided by crunchbase