Medical Coding Lead, Behavioral Health, E/M

This is a fully remote position, open to applicants in United States.

📋 Description

• Take charge of Coding Quality & Compliance.

• Review and validate E/M coding for behavioral health encounters within a pre-bill workflow.

• Ensure that coding decisions align with documentation, payer guidance, and compliance best practices.

• Define clear standards to determine when revenue capture is appropriate versus when the risk is too significant.

• Establish Coding Policy & Guardrails.

• Develop and enforce guidelines for:

• E/M level selection (MDM vs time).

• Usage of psychotherapy add-on codes.

• Documentation requirements and addenda.

• Serve as the escalation point for complex or unclear coding scenarios.

• Support internal QA and calibration to ensure consistency over time.

• Partner Cross-Functionally.

• Collaborate with Product and Engineering teams to operationalize coding rules within Brellium's platform.

• Provide feedback on automated coding logic and edge cases.

• Assist customer-facing teams in compliance-sensitive discussions when necessary.

• Improve Systems at Scale.

• Identify patterns in coding risks or opportunities across extensive datasets.

• Help standardize best-in-class coding workflows across customer organizations.

• Contribute to training, documentation, and internal playbooks as the program scales.

⛳️ Requirements

• AAPC certification (CPC) is required.

• CEMC (Certified Evaluation & Management Coder) is strongly preferred.

• 5+ years of practical coding experience in Behavioral Health / Psychiatry.

• Direct experience with:

• 99202–99205, 99212–99215.

• 90833, 90836, 90838.

• Strong understanding of MDM versus time-based E/M selection.

• Experience in pre-bill coding review, coding QA, or compliance-focused workflows.

• Prior experience as a Coding Lead, Coding Manager, or senior coder is preferred.

• Experience in training or calibrating other coders.

• Ability to work collaboratively across billing, compliance, and clinical stakeholders.

• Familiarity with Medicaid and commercial payer requirements.

🏝️ Benefits

• 401(k) Retirement Savings Plan.

• Equity Compensation.

• Dinner provided via DoorDash & a stocked kitchen for NY employees.

• Medical, Dental, and Vision coverage with up to 100% premiums covered for you and your family.

• HSA / FSA.

• 11 paid holidays each year.

• Unlimited PTO.

• Training and professional development opportunities.

• Hybrid Work Schedule (4 days onsite, 3 days if located more than 1 hour away).