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. Their 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 their work.

This role targets billing and coding professionals interested in forensic healthcare and litigation consulting services. The Medical Billing & Coding Analyst supports forensic healthcare and litigation consulting by reviewing medical bills and records to ensure accuracy, compliance, and adherence to industry standards. The analyst collaborates with Legal Nurse Consultants and medical billing experts to help clients understand billing practices and resolve complex disputes confidently.

Responsibilities include:

• Reviewing and analyzing medical billing records, coding data, and clinical documentation for accuracy and regulatory compliance
• Applying CPT®, ICD-10-CM/PCS, HCPCS, and other coding systems to assess code selection and billing methods
• Evaluating medical charges relative to usual, customary, and reasonable (UCR) standards and payer guidance
• Supporting senior medical billing and healthcare experts in litigation, arbitration, and claims matters
• Assisting with data organization, comparative analyses, and expert report preparation
• Contributing to internal and external audits involving billing, documentation, and reimbursement practices
• Preparing clear written summaries with findings and supporting data
• Documenting sources, methodologies, and assumptions per company quality standards
• Maintaining organized workpapers suitable for expert review and legal scrutiny
• Staying current with healthcare billing, coding, and reimbursement regulations
• Applying industry standards to ensure consistent, accurate, and defensible analyses
• Identifying trends, risks, or deviations observed during reviews
• Collaborating within multidisciplinary teams including nurses, engineers, scientists, and legal professionals
• Participating in training and continuing education
• Maintaining required certifications and competencies

Requirements:

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

Preferred Qualifications:

• Bachelor's degree in Health Sciences, Nursing, Business Administration, or related field, or equivalent 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 for professional and legal audiences

Work Environment & Additional Information:

• Collaborative consulting environment with professional development opportunities and competitive benefits
• Work alongside multidisciplinary teams on complex cases
• Hybrid or remote work arrangements may be available
• Occasional travel may be required

Benefits:

• Medical, Dental & Vision Health Care Plans
• Retirement plans including 401k and IRA
• Life Insurance (Basic, Voluntary & AD&D)
• Paid Time Off including vacation, sick, and public holidays
• Family leave including maternity and paternity
• Short and Long Term Disability
• Training & Development opportunities
• Work From Home options