RCMJobs ← All Jobs Post a Job
Health Insurance Specialist (Legal Vertical)
Centers for Medicare & Medicaid Services
πŸ“ Woodlawn, Maryland On-site Medical Billing & Coding Posted 2026-03-27
πŸ’° $85,447 – $133,142
Apply Now β†’

Opens Centers for Medicare & Medicaid Services's application page directly.

Job Description

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT. Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from being considered further. In order to qualify for the GS-11, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-09 grade level in the Federal government, obtained in either the private or public sector), to include: 1.Identifying and analyzing legal issues to develop and present solutions under the guidance of senior staff; AND 2.Drafting regulations, program guidance, legislative proposals, waivers, policy memoranda, or binding agreements (e.g. contracts between parties, participation agreements, cooperative agreements, etc.); using established templates, prior examples, and direction from senior colleagues. AND 3.Reviewing laws, legislative history, court decisions, or policies to propose modifications and making recommendations to programs with recommendations reviewed and validated by senior staff or supervisors before being acted upon. - OR - Substitution of Education for Experience: You may substitute education for specialized experience at the GS-11 level by possessing a Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or equivalent doctoral degree or LL.M., if related to the position being filled. - OR - Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-09 grade level may be used to qualify applicants for positions at the grade GS-11. Therefore, only education in excess of a master's or equivalent graduate degree, or 2 full years of progressively higher-level graduate education leading to such a degree, may be used to combine education and experience. TRANSCRIPTS are required to verify satisfactory completion of the educational requirement related to substitution of education for experience and combination of experience and education. Please see "Required Documents" section below for what documentation is required at the time of application. In order to qualify for the GS-12, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-11 grade level in the Federal government, obtained in either the private or public sector, to include: 1.Identifying and analyzing legal issues to develop and present solutions; AND 2.Drafting and/or reviewing regulations, program guidance, legislative proposals, waivers, policy memoranda, or binding agreements (e.g. contracts between parties, participation agreements, cooperative agreements, etc.); AND 3.Reviewing laws, legislative history, court decisions, or policies to propose modifications and making recommendations to programs. Substitution of Education for Experience: There is no substitution of education to meet the specialized experience requirement at the GS-12 grade level. Combination of Experience and Education: There is no combination of experience and education to meet the specialized experience requirement at the GS-12 grade level. Experience refers to both paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. NOTE: A writing exercise may be administered before a final selection is made. Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12923061
A Day in the Life: Medical Billing & Coding
Full Career Guide β†’
8:00 AM
Coders start the day by pulling their assigned chart queue. In a hospital setting, an inpatient coder might work 15–25 charts per…
8:30 AM
Open the first chart. Read the operative report, discharge summary, and physician notes. Assign the principal diagnosis code (the…
10:30 AM
Encounter a complex chart β€” a patient with multiple comorbidities and a surgical complication. You spend extra time to capture eve…
See salary ranges, certifications, and full career path β†’

Stay ahead of the payer policy changes driving every trend in this job market.

RevCycleAI β€” Free daily RCM intelligence β†’