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Brellium

Medical Coding Lead, Behavioral Health, E/M

Brellium

Medical 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.

Posted 5/22/2026contractRemote • 🇺🇸 United StatesSenior💰 $30 - $35 per hourWebsite

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

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Applicant Tracking System Keywords

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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)