Contractor, Clinical Informatics Data Consultant

About the role

This is a contract role, with the potential to go up to $50,000.

Responsibilities

• Help support our clinical business intelligence team

Requirements

• 3+ years of experience working in clinical informatics, healthcare claims analytics, clinical coding, quality measurement, or a closely related healthcare data role.
• Strong working knowledge of clinical code sets, including CPT, HCPCS, ICD-10-CM/PCS, DRG/MS-DRG, diagnosis codes, procedure codes, and how these codes are used in claims and clinical service line definitions.
• Demonstrated experience translating clinical concepts into structured code logic, including defining procedures, conditions, episodes of care, complications, exclusions, or service-line groupings.
• Experience working with claims data and/or clinical quality data to support reporting, algorithm development, measure definitions, or clinical review workflows.
• Ability to review code sets and determine whether they are clinically appropriate, complete, and defensible for the intended use case.
• Ability to work independently with cross-functional teams, including clinical, data, product, operations, and quality stakeholders.
• Strong attention to detail and ability to document coding logic, assumptions, edge cases, and recommendations clearly.
• Experience supporting quality algorithm development, clinical measure development, risk stratification, provider evaluation, or outcomes reporting.
• Experience working across multiple clinical service lines, especially surgery, oncology, musculoskeletal care, bariatrics, cardiovascular care, behavioral health, or other specialty care areas.
• Familiarity with quality frameworks or measure programs such as CMS quality measures, HEDIS, MIPS, EOM/OCM, PROMs, complications tracking, readmissions, ED utilization, mortality review, or patient safety indicators.
• Coding certification or related credential, such as CPC, CCS, RHIT, RHIA, CRC, CDIP, or equivalent experience.
• Clinical background or licensure, such as RN, NP, PA, MD/DO, PharmD, or other relevant healthcare training.
• Experience with claims grouping, episode definitions, service-line attribution, procedure/diagnosis mapping, exclusions, complications, and clinical edge-case review.
• Familiarity with healthcare data tools or query languages, such as SQL, Excel/Google Sheets, BI tools, claims platforms, EHR data, or data dictionaries.
• Experience documenting coding logic in a way that can be understood by clinical, product, data, and business stakeholders.
• Prior experience working in a startup, value-based care, Centers of Excellence, provider network, payer, employer-sponsored healthcare, or digital health environment.

Qualifications

• 5+ years of experience in clinical informatics, healthcare claims analytics, quality measurement, clinical coding, or a related role.
• Experience supporting quality algorithm development, clinical measure development, risk stratification, provider evaluation, or outcomes reporting.
• Experience working across multiple clinical service lines, especially surgery, oncology, musculoskeletal care, bariatrics, cardiovascular care, behavioral health, or other specialty care areas.
• Familiarity with quality frameworks or measure programs such as CMS quality measures, HEDIS, MIPS, EOM/OCM, PROMs, complications tracking, readmissions, ED utilization, mortality review, or patient safety indicators.
• Coding certification or related credential, such as CPC, CCS, RHIT, RHIA, CRC, CDIP, or equivalent experience.
• Clinical background or licensure, such as RN, NP, PA, MD/DO, PharmD, or other relevant healthcare training.
• Experience with claims grouping, episode definitions, service-line attribution, procedure/diagnosis mapping, exclusions, complications, and clinical edge-case review.
• Familiarity with healthcare data tools or query languages, such as SQL, Excel/Google Sheets, BI tools, claims platforms, EHR data, or data dictionaries.
• Experience documenting coding logic in a way that can be understood by clinical, product, data, and business stakeholders.
• Prior experience working in a startup, value-based care, Centers of Excellence, provider network, payer, employer-sponsored healthcare, or digital health environment.

Skills

• Strong working knowledge of clinical code sets, including CPT, HCPCS, ICD-10-CM/PCS, DRG/MS-DRG, diagnosis codes, procedure codes, and how these codes are used in claims and clinical service line definitions.
• Ability to review code sets and determine whether they are clinically appropriate, complete, and defensible for the intended use case.
• Ability to work independently with cross-functional teams, including clinical, data, product, operations, and quality stakeholders.
• Strong attention to detail and ability to document coding logic, assumptions, edge cases, and recommendations clearly.
• Experience supporting quality algorithm development, clinical measure development, risk stratification, provider evaluation, or outcomes reporting.
• Experience working across multiple clinical service lines, especially surgery, oncology, musculoskeletal care, bariatrics, cardiovascular care, behavioral health, or other specialty care areas.
• Familiarity with quality frameworks or measure programs such as CMS quality measures, HEDIS, MIPS, EOM/OCM, PROMs, complications tracking, readmissions, ED utilization, mortality review, or patient safety indicators.
• Coding certification or related credential, such as CPC, CCS, RHIT, RHIA, CRC, CDIP, or equivalent experience.
• Clinical background or licensure, such as RN, NP, PA, MD/DO, PharmD, or other relevant healthcare training.
• Experience with claims grouping, episode definitions, service-line attribution, procedure/diagnosis mapping, exclusions, complications, and clinical edge-case review.
• Familiarity with healthcare data tools or query languages, such as SQL, Excel/Google Sheets, BI tools, claims platforms, EHR data, or data dictionaries.
• Experience documenting coding logic in a way that can be understood by clinical, product, data, and business stakeholders.
• Prior experience working in a startup, value-based care, Centers of Excellence, provider network, payer, employer-sponsored healthcare, or digital health environment.

Benefits

Not specified.

Pay

$50,000 potential.

Schedule

Remote.