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Medical Coding Lead, Behavioral Health, E/M
BrelliumMedical Coder focusing on behavioral health E/M coding accuracy and compliance. Collaborating with teams to establish coding guidelines and improve quality in a remote role.
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- 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
Comp & perks- 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)
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
E/M codingpre-bill coding reviewcoding QAMDM vs time-based E/M selectioncoding workflowscoding guidelinescoding risk analysiscoding standardspsychotherapy add-on codeslarge dataset analysis
Soft Skills
collaborationcommunicationproblem-solvingleadershiptrainingescalation managementfeedback provisionorganizational skillscross-functional partnershipconsistency maintenance
Certifications
AAPC certification (CPC)CEMC (Certified Evaluation & Management Coder)