Stock size is, indeed, 245/75R16. Positive offset is what the OEM wheels have - pushes the wheel under the truck more. Less "dished" look to the rim.
The tire company I'm planning to buy from told me that I can order two different sizes if I want and they can mount two of them, put the truck down to see how they fit and if they don't work, I can change to the other size. This seems reasonable. I just want to be armed with as much good information up front as possible.
If I'm stuck with 245s, then there's a good chance I'll just end up selling the truck - yes, I'm really that vain.