Medical Billing & Coding Analyst
About The Position
Rimkus is seeking a Medical Billing & Coding Analyst to support its 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.
Requirements
- 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)
Nice To Haves
- 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
Responsibilities
- 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
- 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
- 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
- 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
- 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
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
1-10 employees
