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General Dynamics Information Technology
Nurse Analyst, InvestigatorGeneral Dynamics Information Technology • Remote, Maryland, United States
No longer accepting applications
Nurse Analyst, Investigator

Nurse Analyst, Investigator

General Dynamics Information Technology • Remote, Maryland, United States
10 days ago
Job type
  • Full-time
  • Remote
Job description

Job Description:

  • Interacting with staff and leaders in the FPS program
  • Writing and reviewing edit proposals
  • Consulting on policy, medical coding, and clinical questions
  • Responding to CMS urgent requests for information
  • Reviewing CMS policy and regulations for new FPS edits
  • Identifying new candidate topics for possible FPS edits
  • Evaluating them by using data to identify risk and document CMS policy

Requirements:

  • RN or LPN with 5+ years clinical experience
  • 2+ years of experience in Medicare Program Integrity work at a MAC, UPIC or other program integrity contractor
  • 2+ years of experience in medical coding with appropriate professional certification(s) (e.g., CPC) or ability to attain certification within 12 months
  • Working knowledge of Medicare policy, processes and claims payment systems
  • Ability to pass CMS security clearance & background check
  • 3 years of experience interacting and consulting with others in a team environment
  • BA/BS/BSN preferred
  • Experience with Medicare Fee-for-Service pre-payment edits in FPS, FISS, MCS, and/or VMS

Benefits:

  • Variety of medical plan options with Health Savings Accounts
  • Dental plan options
  • Vision plan
  • 401(k) plan with company match
  • Flexible work weeks
  • Paid time off including vacation, sick and personal time
  • 10 paid holidays per year
  • 15 days of paid leave per calendar year
  • Paid Family Leave program
  • Short and long-term disability benefits
  • Life insurance
  • Accidental death and dismemberment insurance
  • Personal accident, critical illness insurance
  • Business travel and accident insurance
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Nurse Analyst, Investigator • Remote, Maryland, United States

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