big-leap-health - Coding Specialist

Remote - United States3mo ago

Remote NA Mental Health Programmer Associate Documentation CPC Clinical Documentation

Requirements

• Strong, recent hands on experience with medical or behavioral health coding and auditing. • Comfortable auditing and correcting coded claims. • Strong written communication, able to explain a documentation issue clearly enough for a provider to fix it. • Reliable, self directed, and comfortable working independently. • Willingness to sign a Business Associate Agreement (BAA) and comply with HIPAA requirements for handling protected health information (PHI). • Certification (CPC) is a plus but not required if experience is strong. • Behavioral health/psych coding background, especially E/M and psychotherapy coding. • Prior audit and compliance based experience.

Responsibilities

• Audit coded claims against underlying clinical documentation to identify unsupported codes, documentation gaps, and recurring errors. • Code claims directly, spending part of your time on direct coding work. • Flag documentation patterns, with enough specificity to support clinician facing compliance feedback. • Respond to payer audits as they come in, handling documentation requests and audit responses alongside our Head of RCM. • Support MIPS/QPP eligibility review for our provider portfolio. • Escalate unclear or exception cases rather than guessing. • Maintain accurate records of audit findings and coding activity using our tracking tools.

Benefits

• Contract position, part-time, at 10 to 15 hours per week. • Flexible scheduling: contractor determines when and how work gets completed within weekly deliverables, with no set hours or shift requirement. • Remote, work from anywhere in the U.S. (reliable high speed internet required). • Competitive hourly rate, commensurate with experience. • Work from anywhere in the U.S. • Flexible, part time schedule. • Direct exposure to behavioral health coding across a multi-state, multi-specialty provider portfolio.