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

<p>• Certified Coder credential with expertise in outpatient coding.</p><p>• At least 3 years of experience with coding and reimbursement methodologies, including ICD-10.</p><p>• Proficiency in Microsoft Word, Excel, Access, and PowerPoint at an intermediate to advanced level.</p><p>• Strong analytical skills to interpret data and develop actionable recommendations.</p><p>• Excellent communication skills, both written and verbal.</p><p>• Ability to work independently with minimal supervision.</p><p>• Flexibility and multitasking capabilities to adapt to dynamic project needs.</p>

<p>Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.</p> <p>Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. <a href="https://www.roberthalf.com/us/en/mobile-app" target="_blank">Download the Robert Half app</a> and get 1-tap apply, notifications of AI-matched jobs, and much more.</p> <p>All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <a href="https://roberthalf.gobenefits.net/" target="_blank">roberthalf.gobenefits.net</a> for more information.</p> <p>© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s <a href="https://www.roberthalf.com/us/en/terms">Terms of Use</a> and <a href="https://www.roberthalf.com/us/en/privacy">Privacy Notice</a>.</p>