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Clinical Consultant

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Robert Half

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Location:
United States , Minneapolis

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

We are looking for a skilled Clinical Consultant to join our team on a contract basis.This role focuses on supporting a strategic benefit digitization initiative, ensuring consistent and accurate coding practices across diverse markets. As part of a healthcare organization advancing its digital transformation, you will play a vital role in optimizing member and provider experiences while ensuring compliance with regulatory standards.

Job Responsibility:

  • Apply standardized coding practices to interpret and digitize benefit structures effectively
  • Develop and manage groupings of procedures and service codes to ensure accurate alignment with benefit plans
  • Maintain and update industry-standard codes quarterly and annually, along with benefit plan modifications throughout the year
  • Execute coding solutions for benefit administration across multiple markets, including customized coding for nonstandard requests
  • Ensure coding practices comply with regulatory mandates and support updates as needed
  • Provide expert consultation on coding inquiries to project teams and business partners
  • Collaborate with cross-functional project teams to contribute coding expertise for successful implementations
  • Support benefit digitization initiatives by leveraging advanced coding methodologies and tools
  • Assist in designing and implementing digital capabilities that align with organizational goal

Requirements:

  • Certified Coder credential with expertise in outpatient coding
  • At least 3 years of experience with coding and reimbursement methodologies, including ICD-10
  • Proficiency in Microsoft Word, Excel, Access, and PowerPoint at an intermediate to advanced level
  • Strong analytical skills to interpret data and develop actionable recommendations
  • Excellent communication skills, both written and verbal
  • Ability to work independently with minimal supervision
  • Flexibility and multitasking capabilities to adapt to dynamic project needs
What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
April 10, 2026

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