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Brellium · 4 days ago

Medical Coding Lead (Behavioral Health, E/M)

New York City

Full-time

Hybrid

Senior Level

$20/hr - $50/hr

5+ years exp

Brellium is a company focused on improving the standard of care across the US healthcare system through AI-powered technology. The Medical Coding Lead will be responsible for ensuring accurate behavioral health coding, developing coding policies, and collaborating across teams to enhance coding workflows and compliance.

Artificial Intelligence (AI)BillingEnterprise SoftwareSaaS

Responsibilities

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

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

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

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

Qualification

AAPC certification (CPC)Behavioral Health codingE/M coding experienceCEMC certificationPre-bill coding reviewCoding QA experienceMDM vs time understandingTraining other codersCompliance-focused workflowsSystems thinkingClear communication