Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations
Company: Stout
Location: Denver
Posted on: April 7, 2026
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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.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.
Keywords: Stout, Colorado Springs , Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations, Accounting, Auditing , Denver, Colorado