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.


Responsibilities:

• 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.