About The Role

Headway is looking for a Medical Coding Specialist to join our team. This person possesses licensure as a Certified Professional Coder (CPC). The CPC will be responsible for reviewing medical records to determine compliant clinical documentation related to outpatient behavioral health services. The ideal candidate will have experience with medical coding in behavioral health and be knowledgeable about mental health diagnoses, treatments, and the necessary documentation requirements. The CPC will work closely with the billing and administrative team to ensure accurate and timely submission of claims for behavioral health services.

You Will:

• Review medical records and verify the documentation justifies the diagnostic and procedural codes (ICD-10 CM and CPT codes).
• Verify and abstract all medical data from patient records, including treatment plans, diagnoses, and procedures.
• Ensure compliance with coding guidelines and regulations, including HIPAA and CMS guidelines.
• Monitor and report on coding-related trends and issues, and make recommendations for process improvements.
• Maintain up-to-date knowledge of coding guidelines and regulations, and attend continuing education courses as required to maintain CPC certification.
• Maintain accurate and complete documentation of coding activities and communicate effectively with team members and other stakeholders.
• Participate in quality improvement initiatives and other projects as assigned.

You’d be a great fit if…

• High school diploma or equivalent; associate's or bachelor's degree in healthcare administration, business, or related field preferred
• CPC certification from the American Academy of Professional Coders (AAPC) or equivalent certification required
• Minimum of 2 years of experience in medical coding, preferably in an outpatient setting or for professional services
• Required: Behavioral health coding specialty experience
• Knowledge of ICD-10, CPT, and HCPCS coding systems and guidelines
• Strong attention to detail and ability to work independently
• Excellent communication, interpersonal, and organizational skills
• Familiarity with Google Workspace (Docs, Sheets, Calendar), Zoom and electronic medical record (EMR) systems, or eager to learn
• Proficient in navigating and managing multiple digital tools/platforms simultaneously
• Previous experience in a tech-driven environment is a plus

Compensation and Benefits:

• Salary information is based on a single salary target per role and is differentiated based on geographic location (Group A, B, or C)
• Group A: $105,000
• Group B: $94,500
• Group C: $84,000
• Examples of cities located in each Compensation Grouping:
• Group A = NYC/Tri-State Area, SF/Bay Area, LA Area, Seattle, Boston, Austin, and San Diego
• Group B = Chicago, Miami, Denver, Washington DC, Philadelphia, Atlanta, Minneapolis, Nashville, Sacramento, Phoenix, and Portland
• Group C = All remaining cities

• Benefits offered include:
• Medical, Dental, and Vision coverage
• HSA / FSA
• 401K
• Work-from-Home Stipend
• Therapy Reimbursement
• 13 paid holidays each year as well as a Holiday Break during the week between December 25th and December 31st
• Unlimited PTO
• Employee Assistance Program (EAP)
• Training and professional development