Rewiring a new mental healthcare system for access and affordability.
Senior Medical Coding Specialist
Location
United States
Posted
1 day ago
Salary
$76.2K - $112K / year
Seniority
Senior
Job Description
Senior Medical Coding Specialist
Headway
• Audit behavioral health documentation and coding (ICD-10-CM and CPT) for accuracy, compliance, and completeness • Deliver actionable feedback to providers through 1:1 remediation meetings, educating on coding and documentation guidelines (i.e., coding based on medical decision making (MDM) for outpatient Evaluation and Management services) • Serve as a subject matter expert by answering coding-related questions to support internal teams and create processes • Contribute to provider education efforts, including drafting content, identifying documentation gaps, and advising on clinical documentation standards • Provide insights on coding trends, identify risk areas, and recommend improvements to tooling, product, and training • Collaborate with cross-functional partners on initiatives and enhancements regarding billing code guardrails • Stay current with evolving coding guidelines, payer rules, and industry standards through continuing education and independent learning
Job Requirements
- Have a CPC certification (required) and 2+ years of experience in outpatient or professional services coding within a behavioral health setting
- Have the ability to balance supportive coaching and enforcing provider policies regarding payer standards and compliance regulations.
- Previously educated providers on medical decision making (MDM) for outpatient Evaluation and Management services
- Hold a CPMA certification (nice to have) or have strong auditing experience
- Possess a strong grasp of ICD-10, CPT, and HCPCS coding guidelines and the documentation requirements
- Communicate clearly and empathetically, especially when educating providers or discussing sensitive feedback
- Bring a high level of attention to detail and comfort working independently in a fast-paced, digital environment
- Are tech-savvy: you can navigate Google Workspace, Zoom, and EMR platforms—or you’re excited to learn
- Are energized by working cross-functionally and driving quality at scale in a tech-forward setting
Benefits
- Equity compensation
- Medical, Dental, and Vision coverage
- HSA / FSA
- 401K
- Work-from-Home Stipend
- Therapy Reimbursement
- 16-week parental leave for eligible employees
- Carrot Fertility annual reimbursement and membership
- 13 paid holidays each year as well as a Holiday Break during the week between December 25th and December 31st
- Flexible PTO
- Employee Assistance Program (EAP)
- Training and professional development
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