NCI is a leading provider of enterprise solutions and services to U.S. defense, intelligence, health and civilian government agencies. Coupled with a refined focus on strategic partnerships, we are successfully bridging the gap between commercial best practices and mission-critical government processes. Core competencies include:
NCI has been designated a 2018 Military Friendly Employer by MilitaryFriendly.com
Headquartered in Reston, Virginia, NCI has approximately 2,000 employees operating at more than 100 locations worldwide.
ESSENTIAL FUNCTIONS BY LEVEL:
Primarily responsible for conducting clinical reviews of medical records during the course of fraud investigations or other program integrity initiatives such as requests for information or in support of proactive data analysis efforts. Applies Medicare /Medicaid guidelines in making clinical determinations as to the appropriateness of payment coverage.
MEDICAL REVIEWER III
EXPERIENCE REQUIRED BY LEVEL:
PREFERRED EDUCATION AND EXPERIENCE: