Medical Coding Specialist

About the role

This role is centered on supporting the coding and billing needs of behavioral health providers within the Headway platform. You will own the interpretation of coding review outcomes and act as the primary point of contact for providers seeking clarity on their documentation. The position requires you to determine the accuracy of flagged findings and communicate corrections or confirmations in a clear and actionable manner. You will translate complex coding rules into educational guidance that clinicians can implement in their practice. This role is critical in ensuring that providers understand their documentation review results and can take appropriate follow-up actions. You will also play a key role in identifying when review results are incorrect and driving those errors toward resolution. The position demands a high level of expertise in behavioral health coding to support both provider education and internal collaboration. Your work will directly contribute to improving the accuracy and efficiency of insurance billing for providers on the platform.

Key facts

What you'll do

• 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

Requirements

• Hold a Certified Professional Coder (CPC) certification, which is mandatory for this position and must be actively maintained
• Have 1-2 years of professional experience in outpatient or professional-services coding, with a preference for candidates with background in a behavioral health setting
• Demonstrate a comprehensive understanding of ICD-10-CM, CPT, and HCPCS coding guidelines as they apply to outpatient behavioral health services
• Show strong written communication skills to convey technical coding concepts in an accessible and empathetic way to non-specialist providers
• Exhibit the ability to balance supportive coaching with adherence to payer policies, compliance regulations, and provider documentation standards
• Possess strong analytical skills to review medical documentation and assess compliance with coding requirements accurately
• Have the capability to work independently and make sound judgments when resolving coding questions without direct supervision
• Be comfortable using digital tools and platforms to navigate documentation, coding references, and support systems on a daily basis

Nice to have

• Hold a Certified Professional in Healthcare Compliance (CPHC) certification as an additional qualification
• Bring prior experience educating clinicians or other stakeholders on coding, billing, or documentation practices

Practical notes

This is a fully remote position available in the United States. The role is full-time and requires consistent availability during standard business hours to support providers and internal teams. Candidates must be capable of independently reaching correct coding conclusions for behavioral health notes, including the ability to disagree with review results when documentation supports such a decision. This position does not involve auditing charts or coding claims, as those responsibilities are handled by a separate team within the organization.