Medical Coder
Robert Half
Minneapolis, MN (In Person)
Full-Time
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Job Description
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.
- 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.
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