Experience: 2+ years
About the role Our coding module validates medical codes - like CPT, E/M levels, and ICD-10-CM diagnoses - against the underlying documentation. We're looking for a certified medical coder to code and audit outpatient encounters, and to help shape how automated, human-in-the-loop coding works at scale. You'll work alongside our senior coders and partner with Customer Success, Product, and Engineering to make sure coding decisions are accurate, defensible, and aligned with payer expectations.
What You'll Do - Code and audit outpatient encounters, ensuring code selection is supported by the documentation - Flag encounters where the documentation doesn't support the billed level - Escalate complex or ambiguous scenarios and document the reasoning so our guidelines improve over time - Give feedback on our automated coding logic - surface edge cases, false positives, and gaps the platform should handle - Contribute to internal QA, calibration sessions, training materials, and coding playbooks as the program scales What We're Looking For Required - CPC-A or CPC certification (AAPC) - 2+ years of experience in medical coding or revenue cycle management - Hands-on outpatient coding experience in behavioral health / psychiatry, including E/M level selection (MDM vs. time) - Strong attention to detail and sound judgment on documentation sufficiency - Experience working with providers and other clinical stakeholders Preferred - Additional relevant credentials (e.g., CPMA, CEMC, CFPC, CCC, CANPC, CCS-P, CPB) - Experience training or calibrating other coders - Experience with revenue cycle management and billing Who You Are - A clear communicator with clinicians, billing teams, and operational leaders - A systems thinker who wants to improve processes, not just work a queue - Excited to apply coding expertise in a modern, technology-driven environment
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