Medical Coding Specialist

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

📋 Description

• Analyze behavioral health documentation and review coding results using ICD-10-CM and CPT, transforming them into actionable provider education and feedback.

• Assess the accuracy of flagged findings, verify genuine errors, and pinpoint incorrectly flagged items for correction and escalation.

• Address inquiries from providers and internal teams regarding behavioral health coding, documentation, and billing findings.

• Provide clear, precise, and compassionate responses through support channels such as Zendesk.

• Create educational content for providers, identify documentation deficiencies, and offer guidance on documentation standards.

• Collaborate with the Customer Experience team to develop knowledge-base content and resources.

• Offer insights on coding trends, highlight risk areas, and suggest enhancements to tools, processes, and training.

• Work in partnership with cross-functional teams on initiatives aimed at enhancing the provider audit-support experience.

• Remain updated on coding guidelines, payer regulations, and industry standards through ongoing education and self-directed learning.

⛳️ Requirements

• A valid Certified Professional Coder (CPC) certification is mandatory.

• 1–2 years of coding experience in outpatient or professional services, preferably in behavioral health.

• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding standards and documentation requirements.

• Capability to communicate clearly and empathetically when educating providers or discussing sensitive feedback.

• Ability to balance supportive coaching with the enforcement of provider policies, payer standards, and compliance regulations.

• Competence to independently draw and justify accurate coding and documentation conclusions on behavioral health notes.

• Previous experience in educating providers on medical decision making (MDM) for outpatient Evaluation and Management (E/M) services.

• High attention to detail and the ability to work autonomously in a fast-paced digital environment.

• Proficiency with Google Workspace, Zoom, and EMR platforms, or a willingness to learn.

• Ability to collaborate across functions in a tech-forward environment.

• CPMA certification is a plus.

🏝️ Benefits

• An equity grant may be offered based on position and level.

• Comprehensive health and wellness benefits.

• Retirement savings options.

• Significant ownership opportunities through equity.

• Reasonable accommodations for individuals with disabilities.