headway - Senior Clinical & Coding Operations Associate

• Interpret behavioral health documentation and coding review results (ICD-10-CM and CPT) and translate them into clear, actionable provider education and feedback • Determine whether a flagged finding is accurate — confirming genuine documentation and coding errors, and identifying findings that were flagged incorrectly so they can be corrected and escalated • Serve as a subject matter expert by answering provider and internal-team questions on behavioral health coding and documentation (ICD-10-CM and CPT) and billing findings • Deliver clear, accurate, and empathetic responses to providers through our support channels (e.g., Zendesk) • Contribute to provider education efforts, including drafting content, identifying documentation gaps, and advising on documentation standards • Partner with our Customer Experience (CX) team to build knowledge base content and resources that help resolve more questions without direct SME support • Provide insights on coding trends, identify risk areas, and recommend improvements to tooling, process, and training • Collaborate with cross-functional partners on initiatives that improve the provider audit-support experience • Stay current with evolving coding guidelines, payer rules, and industry standards through continuing education and independent learning • You’d be a great fit if…. • Have a CPC certification (required) and 2-3 years of experience in outpatient or professional-services coding, ideally within a behavioral health setting • Possess a strong grasp of ICD-10-CM, CPT, and HCPCS coding guidelines and the documentation requirements • Communicate clearly and empathetically, especially when educating providers or discussing sensitive feedback • Have the ability to balance supportive coaching and enforcing provider policies regarding payer standards and compliance regulations • Hold a CPMA certification (nice to have) • Can independently reach the correct coding and documentation conclusion on a behavioral health note and defend it — including disagreeing with a review result when the documentation supports you • Are energized by making providers and frontline teams self-sufficient, rather than by reviewing charts • Previously educated providers on medical decision making (MDM) for outpatient Evaluation and Management (E/M) services • 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