<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>