WCRC Attorney

Job Description

Review 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 beneficiaries. Ensure all basic documentation requirements are available or requested via development action prior to making a determination. Render determinations based on professional experience. Implement Medicare policy.

Qualifications

• Juris Doctor (JD) from an accredited law school, required.
• Medical record review experience, required.
• Medicare Set-Aside (MSA) or related experience, preferred.
• Possess 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, preferred.
• Medicare Set-Aside Certified Consultant (MSCC) certification and/or Certified Medicare Secondary Payer (CMSP) certification, preferred.

Pay and Benefits

• Base Rate starting at $70,000
• Medical, Dental, and Vision benefits available
• 401(k) available with company match
• Paid holidays
• Unlimited PTOS

Screenings Required

You will receive requests for background check, fair credit check, and drug screen regarding this employment opportunity. Respond to all requests quickly as we anticipate filling our vacancies quickly and non-responses may result in disqualification for this opportunity.

EEO Statement

Capitol Bridge is an Equal Opportunity Employer. All employment decisions at CB are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.