Headway - Senior Medical Coding Specialist
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Responsibilities
• 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 • You’d be a great fit if: • You’d be a great fit if • 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
• The expected base pay range for this position is $76,160 - $112,000, based on a variety of factors including qualifications, experience, and geographic location. In addition to base salary, this role may be eligible for an equity grant, depending on the position and level. • We are committed to offering a comprehensive and competitive total rewards package, including robust health and wellness benefits, retirement savings, and meaningful ownership opportunities through equity. Compensation decisions are made holistically, ensuring fairness and alignment with market benchmarks while recognizing individual contributions and potential. • Benefits offered include: • Equity compensation • Medical, Dental, and Vision coverage • 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 • Employee Assistance Program (EAP) • Training and professional development • We believe a team's strength is in its people, and we cannot achieve this mission without a team that reflects the diversity of this problem – across race, ethnicity, gender, sexuality, age, national origin, religion, family status, disability, military status, and experience. Headway is committed to the full inclusion of all qualified individuals. As part of this commitment, Headway will ensure that persons with disabilities are provided with reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or receive other benefits and privileges of employment, please inform the recruiter when they contact you to schedule your interview. • Headway participates in E-Verify. To learn more, click here. • A notice to Headway applicants: To protect yourself against phishing and recruitment fraud, please note that Headway only accepts applications through our official careers page at https://headway.co/careers. Headway will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. All official communication will come from a @findheadway.com email address. If you are contacted by someone claiming to be from Headway via an unofficial channel, please do not share any information and report it as spam.
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