WCRC Attorney

Overview

An organization based in Arlington, Virginia, established in 2012, is seeking a Workers' Compensation Medicare Set-Aside (WCRC) Attorney to support a government project. This role involves evaluating WCMSA proposals in accordance with CMS guidelines to project future medical costs related to workers' compensation injuries, illnesses, or diseases that Medicare would otherwise reimburse.

Responsibilities

• Review and evaluate workers’ compensation Medicare set-aside (WCMSA) proposals, including medical records.
• Determine if proposals meet Medicare threshold requirements and adequately consider Medicare’s interests regarding future medical needs.
• Ensure all basic documentation requirements are available or requested prior to making determinations.
• Render determinations based on professional experience.
• Implement Medicare policy.
• Perform other duties as assigned by management.

Requirements

• Juris Doctor (JD) from an accredited law school, required.
• Experience reviewing medical records, required.
• Medicare Set-Aside (MSA) or related experience, preferred.
• Medical knowledge and experience with medical terminology, ICD-9/10 Codes, CPT codes, 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.

Compensation & Benefits

• Base salary starting at $70,000.
• Medical, dental, and vision benefits available.
• 401(k) plan with company match.
• Paid holidays.
• Unlimited paid time off (PTO).

Screening Requirements

Candidates will be required to complete background checks, fair credit checks, and drug screenings. Prompt responses to screening requests are necessary as vacancies are expected to be filled quickly. Non-responses may result in disqualification.

Note: Due to stringent security regulations, the screening process may delay onboarding by at least 60 days.

Reasonable Accommodation

Applicants requiring alternative methods of application or screening should contact the employer directly. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.

Equal Employment Opportunity

The employer is an Equal Opportunity Employer. Employment decisions are based on business needs, job requirements, and individual qualifications without regard to race, color, religion, national origin, sex, age, disability, sexual orientation, gender identity, marital status, military service, or any other protected status under applicable laws.