This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Coding & Billing Specialist is a critical, full-time, salaried position within firsthand’s clinical documentation team. This role is a foundational hire, offering the opportunity to define key processes and program elements for comprehensive and accurate coding of clinical services. Key Responsibilities - Coding & Auditing: - Perform day-to-day encounter coding for services, procedures, diagnoses, and treatments. - Verify that all assigned codes (ICD, CPT, and HCPC) are compatible, appropriate, and accurate for billing. - Audit clinical notes for supporting documentation and code to the highest specificity. - Use medical terminology to confirm clinical documentation supports the reported diagnoses. - Conduct coding corrections. - Claims & Revenue Cycle Management: - Prepare and submit claims for payment. - Correct and resubmit rejected claims. - Maintain Accounts Receivable (A/R) for revenue cycle management. - Expertise & Process Improvement: - Serve as the subject matter expert on firsthand's billing systems, including the Electronic Health Record (EHR) and Clearinghouses. - Advise on and implement ongoing process improvements related to coding and billing. - Develop and update procedures manuals to ensure correct coding standards and minimize fraud/abuse risk (e.g., revising the master CPT list). - Education & Support: - Educate firsthand Advanced Practice Nurses (APNs), Nurse Practitioners (NPs), and other team members on proper code selection, documentation, procedures, and requirements. - Provide technical guidance to clinical staff in resolving coding issues, such as incomplete or ambiguous documentation. Qualifications - 4+ years of experience as a medical billing and coding specialist, leveraging an EHR system. - A High School diploma or equivalent. - Required Medical Coder Certification: - Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA. - Nice-to-have: - Certified Risk Adjustment Coder (CRC) from AAPC. Requirements - Strong knowledge of ICD-10-CM and CPT coding guidelines. - Proficiency in medical terminology, with the ability to read and interpret medical procedures and documentation. - Expertise in state and federal Medicare reimbursement guidelines. - Ability to quickly gain proficiency in firsthand’s specific EHR, Clearinghouse, and other billing software. - Strong multi-tasking skills and consistent attention to detail. - Excellent written and verbal communication skills for maintaining collaborative relationships with APNs, NPs, the Clinical Documentation Integrity Specialist, and other team members. - Support firsthand’s mission, vision, and values by demonstrating respect, dignity, empathy, and professional conduct. Benefits - Base salary range: $55,000 - $55,000 USD. - Compensation package includes base, equity (or a special incentive program for clinical roles), and performance bonus potential. - Benefits include physical and mental health, dental, vision, 401(k) with a match. - 16 weeks parental leave for either parent. - 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond). - A supportive and inclusive culture.

In the United States, one in five adults experience a mental health illness and over 12 million people have thoughts of suicide. Mental health crises can be some of the most difficult times in a person’s life, and over 17 million people seeking behavioral health care experience a delay in accessing care. Willow Health is on a mission to significantly improve this experience by expanding affordable access to high-quality, evidence-based intensive behavioral health care. In order to make this mission a reality, we are building a virtual crisis care program that provides personalized, recovery-oriented care for people experiencing behavioral health crises. Willow Health offers patients immediate access to evidence-based virtual crisis psychotherapy, medication management, certified peer coaching, care management, and around the clock crisis coverage, while working to connect patients to the most appropriate next level of care. Our co-founding team of Cityblock and Oscar alums has two decades of collective experience working in healthcare and healthcare tech, and we are backed by Andreessen Horowitz. As we expand into new markets and grow our provider network, we are seeking a Credentialing & Provider Enrollment Specialist to own and execute the credentialing and payer enrollment process across multiple states and payer types. This role is responsible for ensuring that providers and organizational entities are properly credentialed and enrolled with payers to support timely market launches, uninterrupted care delivery, and compliant billing operations. The specialist will also design and maintain the systems used to track credentialing and enrollment activity as the organization scales. Day to Day Responsibilities - Own the end-to-end credentialing and payer enrollment process for behavioral health providers including psychiatrists, nurse practitioners, therapists, and certified peers across multiple states. - Manage internal credentialing onboarding for newly hired providers by collecting and validating required documentation, including licensure, certifications, DEA registration, malpractice insurance, and other credentialing materials. - Create and maintain provider directory profiles used across referral and patient access platforms (e.g., Zocdoc and similar directories), ensuring provider biographies, credentials, and practice information are accurate and up to date. - Manage provider credentialing and re-credentialing activities, including directly with commercial payers, Medicare (PECOS), Medicaid and through use of other payer portals. - Submit and maintain group and facility enrollments, provider roster updates, and location additionals or changes with payers as the organization expands. - Ensure timely and accurate completion of provider enrollments, terminations, and roster updates to support billing readiness and payer requirements. - Design and maintain credentialing and enrollment tracking systems to monitor application status, renewal timeliness, and enrollment milestones as the company scales. - Monitor and manage renewal deadlines for licenses, certifications, liability insurance, and other credentialing requirements to ensure continuous compliance. - Maintain organized, accurate, and audit-ready credentialing records and provider files. - Serve as the primary internal point of contact for credentialing status updates and collaborate closely with contracting, operations, and revenue cycle teams. - Support internal and external credentialing audits and ensure documentation and processes meet regulatory and payer standards. - Track credentialing progress to support timely state expansion and provider onboarding. Success in this role will be measured by: - Timely completion of provider credentialing and payer enrollments across multiple states. - Efficient time-to-credential for new provider hires and state expansion launches. - Accurate and well-documented credentialing records with strong audit readiness. - Reliable tracking and monitoring processes that prevent credentialing lapses or missed renewal deadlines. - Strong cross-team coordination that ensures providers are fully credentialed and ready to deliver billable services. Our ideal candidate has - 3+ years of experience credentialing for behavioral health across multiple states. - Experience managing credentialing and payer enrollment across multiple states and payer types. - Hands-on experience with PECOS, Availity, CAQH, and direct payer enrollment portals. - Strong understanding of Medicare and Medicaid provider enrollment processes. - Exceptional organizational skills and attention to detail. - Ability to manage multiple credentialing workflows simultaneously while meeting deadlines. - Experience building or improving credentialing tracking systems or operational workflows. - Strong written and verbal communication skills with the ability to work cross-functionally across teams. - Comfort working independently in a fast-moving and evolving environment. - A desire to improve mental health care delivery. - An openness to and ability to respond to constructive feedback. Preferred Qualifications - CPCS certification or equivalent hands-on credentialing and provider enrollment experience. - Experience working in a virtual care or telehealth organization. - Experience credentialing behavioral health providers including psychiatrists, nurse practitioners, therapists, and peer specialists. - Experience supporting multi-state healthcare organization expansion. - Ability to display a professional, positive attitude with strong interpersonal skills and communication skills required and must be able to work independently and collaboratively to meet deadlines. - Highly detail-oriented, self-motivated, efficient, and strong organizational skills - Excellent written and verbal communication skills - Remote experience $18 - $30 an hour

POSITION SUMMARY: Analyzes medical records for compliancy with standards, rules and regulations related to patient information. Analyzes findings captured in databases for trends, changes and areas of concern. Creates reports, maintains databases and tracks statistical information. Performs specialized professional level administrative, organizational, systems, budgetary and related analysis for hospital programs and activities. Position: Health Information Management Analyst Department: Health Information Management Schedule: Full Time, (40 hrs, Days) JOB REQUIREMENTS EDUCATION: High School Diploma required; Associate’s Degree preferred (preference for RHIT); Bachelor’s Degree highly preferred (preference for RHIA) EXPERIENCE: Requires minimum of 3 years’ experience in performing administrative, operational or similar analysis; minimum one year of experience performing medical record functions. KNOWLEDGE AND SKILLS: - Must have knowledge of principles and practices of public administration; local, state and Federal regulations and laws related to health care; - Must have through familiarity with basic data sampling and statistical analysis techniques; computer applications related to duties; project management and analytical techniques; - Demonstrated knowledge of ICD-9 (and subsequent versions) and CPT-4, and other required data to ensure accurate coding and billing. - Ability to provide professional, analytical and programmatic work; carrying assigned projects through, from data gathering to completion. - Proficient with standard Microsoft programs (i.e. MS Word, Excel, PowerPoint, Outlook) and web browsers. - Ability to maintain accurate records and files; preparing clear and concise reports, validating accuracy prior to distribution. - Effective communication, both written and oral, to communicate with a wide variety of people from diverse socio-economic and ethnic backgrounds. - Ability to contributing effectively to accomplishment of team or work unit activities; establishing and maintaining effective working relationships with personnel contacted in the course of duties. - Ability to contributing effectively to accomplishment of team or work unit activities; establishing and maintaining effective working relationships with personnel contacted in the course of duties. IND123 Compensation Range: $25.61- $0.00This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. Coding & Billing Specialist Role: The Coding & Billing Specialist is a critical, full-time, salaried position within firsthand’s clinical documentation team. This role is a foundational hire, offering the opportunity to define key processes and program elements for comprehensive and accurate coding of clinical services. Key Responsibilities - As a specialist in this function, your responsibilities will include: - Coding & Auditing: - Perform day-to-day encounter coding for services, procedures, diagnoses, and treatments. - Verify that all assigned codes (ICD, CPT, and HCPC) are compatible, appropriate, and accurate for billing. - Audit clinical notes for supporting documentation and code to the highest specificity. - Use medical terminology to confirm clinical documentation supports the reported diagnoses. - Conduct coding corrections. - Claims & Revenue Cycle Management: - Prepare and submit claims for payment. - Correct and resubmit rejected claims. - Maintain Accounts Receivable (A/R) for revenue cycle management. - Expertise & Process Improvement: - Serve as the subject matter expert on firsthand's billing systems, including the Electronic Health Record (EHR) and Clearinghouses. - Advise on and implement ongoing process improvements related to coding and billing. - Develop and update procedures manuals to ensure correct coding standards and minimize fraud/abuse risk (e.g., revising the master CPT list). - Education & Support: - Educate firsthand Advanced Practice Nurses (APNs), Nurse Practitioners (NPs), and other team members on proper code selection, documentation, procedures, and requirements. - Provide technical guidance to clinical staff in resolving coding issues, such as incomplete or ambiguous documentation. What You Will Bring - Experience & Qualifications: - 4+ years of experience as a medical billing and coding specialist, leveraging an EHR system. - A High School diploma or equivalent. - Required Medical Coder Certification: Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA. - Nice-to-have: Certified Risk Adjustment Coder (CRC) from AAPC. - Skills & Knowledge: - Strong knowledge of ICD-10-CM and CPT coding guidelines. - Proficiency in medical terminology, with the ability to read and interpret medical procedures and documentation. - Expertise in state and federal Medicare reimbursement guidelines. - Ability to quickly gain proficiency in firsthand’s specific EHR, Clearinghouse, and other billing software. - Strong multi-tasking skills and consistent attention to detail. - Excellent written and verbal communication skills for maintaining collaborative relationships with APNs, NPs, the Clinical Documentation Integrity Specialist, and other team members. - Support firsthand’s mission, vision, and values by demonstrating respect, dignity, empathy, and professional conduct. Base salary range: $55,000—$55,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.