Associate, Healthcare Forensics - Disputes, Claims, & Investigations

Relentless Excellence At Stout

At Stout, we're dedicated to exceeding expectations in all we do 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 Group

Stout's Forensics and Compliance group is dedicated to helping organizations navigate complex challenges surrounding compliance, investigations, and regulatory matters. Our team of professionals combines deep technical expertise with industry insights to identify fraud, waste, abuse, and operational inefficiencies while fostering a culture of integrity and accountability. We partner with clients to implement proactive measures, support litigation efforts, and optimize systems and processes for sustainable success.

What You'll Do

Here, you'll find the core responsibilities and day-to-day duties of the role. These tasks are designed to help you achieve the desired outcomes while supporting team and organizational goals.

• Participate in client engagements focused on healthcare billing, coding, reimbursement, and revenue cycle operations.
• Contribute to the forensic investigations and compliance reviews to identify potential fraud, waste, abuse, and operational inefficiencies.
• Assist with understanding EMR / EHR Hospital Billing (e.g., EPIC Resolute) workflows and configurations, ensuring accurate charge capture and efficient revenue cycle processes.
• Support Stout teams and client compliance teams, legal counsel, and leadership to support audits, litigation, and corrective action plan development.
• Communicate regularly with engagement managers, directors, team members, and other stakeholders to ensure successful project delivery.
• Support EMR / EHR system implementations and enhancements, including testing, migration, and post-go-live stabilization.
• Develop and deliver detailed reports, analyses, and presentations summarizing investigative findings and improvement recommendations.
• Foster individual skill growth and develop strong client delivery.
• Stay informed on emerging healthcare regulatory changes, EMR / EHR updates, payer policies, and industry trends.
• Contribute to practice thought pieces and other industry initiatives within Stout's Healthcare Consulting team.

What You Bring

This section details the skills, qualifications, and work history needed to excel in the role. It provides a snapshot of the expertise and experience we're looking for in the ideal candidate.

How You'll Thrive

This section focuses on the competencies and behaviors that will set you up for success in this role. It highlights the personal attributes, mindset, and ways of working that align with our culture and values.

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.