Job Description

Description We are looking for a skilled Clinical Policy Coding Administrator to join our team on a contract basis. This position is based in Mountlake Terrace, Washington, and offers an excellent opportunity to contribute to the health insurance industry. The selected candidate will play a key role in analyzing medical policies, ensuring accurate coding, and supporting cross-functional collaboration to enhance policy implementation and claims processing. Responsibilities: - Analyze and interpret medical policies to identify and update accurate procedure and diagnosis codes. - Collaborate with cross-functional teams to ensure seamless implementation of medical policies and utilization management guidelines. - Provide coding expertise to support decision-making processes related to claims, reimbursement, and product configuration. - Conduct thorough research and data analysis to evaluate the effectiveness of medical policy implementation. - Facilitate meetings and discussions with stakeholders to address coding edits and mitigate downstream impacts. - Ensure coding updates align with medical necessity and regulatory requirements. - Act as a subject matter expert in coding-related matters for various departments. - Address cross-functional requests with detailed assessments to enhance consistency in claims processing. - Support the development of medical policies by providing accurate coding recommendations. - Maintain compliance with industry standards and company-specific coding practices. Requirements - Certification as a skilled coder with relevant experience in the health insurance industry. - Familiarity with FACETs claims system and other healthcare reimbursement platforms. - Strong analytical skills with the ability to evaluate and interpret medical policies. - Proven ability to collaborate effectively across multiple departments. - Knowledge of utilization management guidelines and medical necessity coding standards. - Excellent communication skills to facilitate discussions and provide coding expertise. - Experience in claims processing, reimbursement, and product configuration. - Ability to work independently and manage multiple priorities in a remote work environment. TalentMatch® 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. 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. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more. 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 roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .

Job Tags

Permanent employment, Contract work, Temporary work, Remote work,

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