Medical Billing & Coding Analyst

Rimkus•Lakeland, FL

1d•Hybrid

About The Position

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.

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)
Active certification such as: Certified Coding Specialist (CCS)
Active certification such as: Certified Medical Reimbursement Specialist (CMRS)
Active certification such as: 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