Rimkus is a global consulting firm that provides objective, scientifically grounded solutions to complex challenges involving claims, disputes, and litigation.
This role supports forensic healthcare and litigation consulting services by reviewing medical bills and records for accuracy, compliance, and adherence to industry standards. The analyst will work closely with Legal Nurse Consultants and medical billing experts to perform medical billing and coding analyses used in insurance, regulatory, and legal matters.
Key responsibilities include:
- 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 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 written summaries outlining findings, observations, and supporting data
- Document sources, methodologies, and analytical assumptions in accordance with quality standards
- Maintain organized workpapers suitable for expert review and potential legal scrutiny
- Stay current with changes in healthcare billing, coding, and reimbursement regulations
- Work collaboratively within multidisciplinary teams that may include nurses, engineers, scientists, and legal professionals
- Participate in training and continuing education aligned with professional development expectations
Requirements & 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 CPC, CCS, CMRS, or BCSC
- 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 preferred
- Experience supporting audits, appeals, or dispute-related billing analyses preferred
- Additional credentials such as CPMA, RHIA, CHDA, CPCO, CDIP, CDEI, or FMC preferred
- Strong written and verbal communication skills appropriate for professional and legal audiences
Benefits & Perks
- Health care plan (medical, dental, and vision)
- Retirement plan (401k, IRA)
- Life insurance (basic, voluntary, and AD&D)
- Paid time off (vacation, sick, and public holidays)
- Family leave (maternity and paternity)
- Short-term and long-term disability
- Training and development
- Work from home
Location
Tampa, Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago