Medicare Appeals Staff Attorney (58203)

Job DetailsJob Location: Remote - Remote Employees, VA 12345Position Type: Full TimeSalary Range: $72,000.00 - $76,000.00 Salary/yearJob Shift: DayAbout Capitol Bridge Founded in 2012, Capitol Bridge is based in Arlington, Virginia and has proven expertise providing independent medical reviews, records/data management services, medical coding, administrative staffing and eligibility reviews. Capitol Bridge is seeking a Medicare Appeals Staff Attorney to join our growing team. Job Overview The Medicare Appeals Staff Attorney will review Medicare Part A and B administrative appeals decisions; identify the legal, factual and policy issues to be addressed in Medicare appeals; research federal statutes and regulations and Medicare policy; and prepare legal memoranda supporting Medicare’s position. The incumbent will also coordinate with other Medicare contractors and the Centers for Medicare and Medicaid Services (CMS) to advise on the interpretation and application of Medicare laws and policies; identify vulnerabilities in Medicare policy; and develop strategies to promote accurate and consistent adjudications. The position requires subject matter expertise in Medicare law and policy or the ability to learn quickly. Qualified candidates must have a Juris Doctor degree and demonstrate excellent research and writing skills. The ability to build and maintain constructive relationships with management, Medicare contractors and CMS is essential. Job Responsibilities Review Medicare administrative appeals decisions and identify the legal, factual and policy issues to be addressed in Medicare administrative appeals. Research issues and prepare legal memoranda supporting Medicare policy. Evaluate appeals decisions, advise on the interpretation and application of Medicare laws and regulations, and provide strategies to promote consistency in the appeals process. Ensure that the memoranda are distributed to appropriate parties as required by regulations and client contract. Coordinate with the Centers for Medicare and Medicaid Services (CMS) and Medicare contractors to identify vulnerabilities to Medicare law and policy provide strategies to promote consistency in the appeals adjudications. Demonstrate teamwork and promote positive company relations. Assist in the development and maintenance of written procedures for consistency of reviews and quality improvement. Perform special projects and other duties as assigned. Required Qualifications Juris Doctor degree Located in EST/CST time zones Demonstrated excellent research and writing skills Subject matter expertise in Medicare law and policy or the ability to learn quickly Proficiency with Microsoft Word and Excel Ability to maintain confidential and sensitive information Location: Remote (EST/CST regions) Pay and Benefits: Salary Range: $72,000 – $76,000 per year, depending on experience and qualifications Medical, Dental, and Vision benefits available 401(k) available with company match Paid holidays Unlimited PTO Reasonable Accommodation If you require alternative methods of application or screening, you must approach the employer directly to request this. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. EEO Statement Capitol Bridge LLC is an Equal Opportunity Employer. All employment decisions at Capitol Bridge LLC 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. Texting Notice We communicate with applicants by text in addition to email and phone. If you apply for this position, we may text you about this position, your application for the position or other things relevant to this job position. If we text you and you no longer want us to text you, you can opt out at that time.

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