[Remote] Attorney/Case Reviewer II - Remote (57368)

Note: The job is a remote job and is open to candidates in USA. Capitol Bridge, founded in 2012 and based in Arlington, Virginia, specializes in independent medical reviews and related services. They are seeking an Attorney / Case Reviewer II to evaluate Workers’ Compensation Medicare Set-aside Arrangement (WCMSA) proposals and project future medical costs related to workers’ compensation injuries.ResponsibilitiesReview and evaluate workers’ compensation Medicare set-aside (WCMSA) proposals, including medical records, to determine if the proposal meets Medicare threshold requirements and adequately considers Medicare’s interests as pertaining to future medical needs of beneficiariesEnsure all basic documentation requirements are available or requested via development action prior to making a determinationRender determinations based on professional experienceImplement Medicare policyOther duties as assigned by managementSkillsBachelor's degree in Nursing (BSN) or a higher-level medical degree from an accredited college or university, and/or a Juris Doctor (JD) from an accredited law school, requiredAt least 1 year of Medicare Set-Aside (MSA) or related experience, requiredMedical record review experience, requiredPossess medical knowledge and experience with medical terminology, ICD-9/10 Codes, Current Procedure Terminology Codes (CPT) codes, Healthcare Common Procedure Coding System (HCPCS) codes, and hospital inpatient and outpatient coding, preferredMedicare Set-Aside Certified Consultant (MSCC) certification and/or Certified Medicare Secondary Payer (CMSP) certification, preferredBenefitsMedical, Dental, and Vision benefits available401(k) available with company matchPaid holidaysUnlimited PTOCompany OverviewCapitol Bridge is an Arlington, Virginia-based SBA Certified Small Disadvantaged Business with proven expertise. It was founded in 2012, and is headquartered in Pittsburgh, Pennsylvania, USA, with a workforce of 51-200 employees. Its website is https://www.capitolbridge.com.



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