Medical Billing & Coding Analyst - Tampa Bay area
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