Brellium uses AI to review every note against your strictest payor’s latest requirements.
Medical Coding Lead, Behavioral Health, E/M
Location
United States
Posted
3 days ago
Salary
$30 - $35 / hour
Seniority
Senior
Job Description
Medical Coding Lead, Behavioral Health, E/M
Brellium
• Own Coding Quality & Compliance • Review and validate E/M coding for behavioral health encounters in a pre-bill workflow • Ensure coding decisions align with documentation, payer guidance, and compliance best practices • Define clear standards for when revenue capture is appropriate vs when risk is too high • Establish Coding Policy & Guardrails • Develop and enforce guidelines for: • E/M level selection (MDM vs time) • Psychotherapy add-on code usage • Documentation requirements and addenda • Act as the escalation point for complex or ambiguous coding scenarios • Support internal QA and calibration to maintain consistency over time • Partner Cross-Functionally • Collaborate with Product and Engineering to operationalize coding rules within Brellium's platform • Provide feedback on automated coding logic and edge cases • Support customer-facing teams in compliance-sensitive discussions when needed • Improve Systems at Scale • Identify patterns in coding risk or opportunity across large datasets • Help standardize best-in-class coding workflows across customer organizations • Contribute to training, documentation, and internal playbooks as the program scales
Job Requirements
- AAPC certification (CPC) required
- CEMC (Certified Evaluation & Management Coder) strongly preferred
- 5+ years of hands-on coding experience in Behavioral Health / Psychiatry
- Direct experience with:
- 99202–99205, 99212–99215
- 90833, 90836, 90838
- Strong understanding of MDM vs 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 preferred
- Experience training or calibrating other coders
- Comfort working 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 & stocked kitchen for NY employees
- Medical, Dental, and Vision coverage coverage of up to 100% premiums for you and your family
- HSA / FSA
- 11 paid holidays each year
- Unlimited PTO
- Training and professional development
- Hybrid Work Schedule (4 days onsite, 3 if located > 1 hour away)
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