Medical Billing & Coding Analyst

Rimkus is a global leader in engineering and technical consulting, providing objective, scientifically grounded solutions to complex challenges involving claims, disputes, and litigation. Our multidisciplinary experts support attorneys, insurers, corporations, and public entities by delivering clear, defensible analyses that stand up to scrutiny. Collaboration, integrity, and technical excellence are foundational to our work. When you join Rimkus, you become part of a team where your expertise directly shapes outcomes — from resolving complex disputes to informing decisions that matter to real people.

If you're a billing and coding professional who wants to go beyond routine claims processing and apply your expertise to complex, high stakes matters, this role offers something different. Rimkus is seeking a Medical Billing & Coding Analyst to support its forensic healthcare and litigation consulting services to bring clarity and credibility to forensic healthcare and litigation consulting services. This role contributes to medical billing and coding analyses used in insurance, regulatory, and legal matters by reviewing medical bills and records for accuracy, compliance, and adherence to industry standards.

Working closely with Legal Nurse Consultants and medical billing experts, the Analyst will apply technical expertise, industry knowledge, and analytical judgment to help clients understand medical billing practices and resolve complex disputes with confidence.

Responsibilities

Forensic Medical Billing & Coding Review

• Analyze medical billing records, coding data, and supporting clinical documentation for accuracy, completeness, and regulatory compliance
• Apply CPT®, ICD‑10‑CM/PCS, HCPCS, and other coding systems to assess proper code selection and billing methodology
• Evaluate medical charges in relation to usual, customary, and reasonable (UCR) standards and payer guidance

Expert & Litigation Support

• Support senior medical billing and healthcare experts engaged in litigation, arbitration, and claims matters
• Assist with data organization, comparative analyses, and preparation of materials used in expert reporting
• Contribute to internal and external audits involving billing, documentation, and reimbursement practices

Analysis Documentation & Quality

• Prepare clear, well‑structured written summaries outlining findings, observations, and supporting data
• Accurately document sources, methodologies, and analytical assumptions in accordance with Rimkus quality standards
• Maintain organized workpapers suitable for expert review and potential legal scrutiny

Regulatory & Industry Awareness

• Stay current with changes in healthcare billing, coding, and reimbursement regulations
• Apply accepted industry standards to all analyses to ensure consistency, accuracy, and defensibility
• Identify recurring trends, risks, or deviations observed during reviews

Collaboration & Professional Development

• Work collaboratively within multidisciplinary teams that may include nurses, engineers, scientists, and legal professionals
• Participate in training and continuing education aligned with Rimkus professional development expectations
• Maintain required certifications and technical competencies

Required Qualifications

• Minimum 3 years of experience in medical billing and coding
• Experience with end‑to‑end revenue cycle processes and medical record documentation review
• Exposure to claims analysis, audits, or healthcare compliance activities
• Strong understanding of healthcare billing practices, payer rules, and regulatory requirements
• Proficiency with electronic health record (EHR) systems and billing platforms
• Exceptional attention to detail with strong analytical and organizational skills
• Active certification such as:
• Certified Professional Coder (CPC)
• Certified Coding Specialist (CCS)
• Certified Medical Reimbursement Specialist (CMRS)
• Billing and Coding Specialist Certification (BCSC)

Preferred Qualifications

• Bachelor’s degree in Health Sciences, Nursing, Business Administration, or a related field, or equivalent professional experience
• Familiarity with litigation support, expert consulting, or forensic review environments
• Experience supporting audits, appeals, or dispute‑related billing analyses
• Additional credentials such as CPMA, RHIA, CHDA, CPCO, CDIP, CDEI, or FMC
• Strong written and verbal communication skills appropriate for professional and legal audiences

Work Environment & Additional Information

• Rimkus offers a collaborative consulting environment, meaningful professional development opportunities, and a competitive benefits package
• Work alongside nurses, engineers, scientists, and legal professionals on cases that challenge you to think critically and communicate with precision
• Hybrid or remote work arrangements may be available based on role requirements
• Occasional travel may be required

Equal Opportunity Employer

Rimkus is committed to equal employment opportunity and to building a diverse, inclusive workforce. All qualified applicants will receive consideration without regard to legally protected status.

• Health Care Plan (Medical, Dental & Vision)
• Retirement Plan (401k, IRA)
• Life Insurance (Basic, Voluntary & AD&D)
• Paid Time Off (Vacation, Sick & Public Holidays)
• Family Leave (Maternity, Paternity)
• Short Term & Long Term Disability
• Training & Development
• Work From Home