Claims Review Nurse (CERT) job opportunity at Catapult Consultants.

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Date2012-09-13T21:19:53.000Z bot
Catapult Consultants Claims Review Nurse (CERT)
Experience: General
Pattern: Full-time
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degreeAssociate
loacation Arlington Blvd, Richmond, VA, Virginia, United States Of America
loacation Arlington Blvd..........United States Of America
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Job DescriptionThis position provides support for a federal government project to review Medicare documentation as part of the Centers for Medicare & Medicaid Services’ (CMS) Comprehensive Error Rate Testing (CERT) program to measure improper payments in the Medicare fee-for-service (FFS) program.Full-Time, Monday – FridayTwo open positions located in Richmond, VirginiaResponsibilities:Review claim documentation and associated medical records related to the CMS CERT program and determine whether Medicare FFS program services qualify for coverage and payment.Assess whether claim documentation and associated medical records complies with Medicare coverage, coding and billing rules.Compare documentation assessments to those of the Medicare contractor who originally reviewed and paid the claims and note which claims are in “error” if they have been incorrectly billed, paid or processed the services.Other duties as assigned

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