Medical Coding Lead, Behavioral Health, E/M

🕒 May 22

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Brellium

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2021

🤖 Artificial Intelligence

☁️ SaaS

📋 Compliance

💰 $16.7M Series A - Brellium on 2025-03

Artificial Intelligence • SaaS • Compliance

Brellium is an AI-powered clinical compliance platform that audits 100% of medical charts in real time to ensure documentation, coding, and billing meet payor and regulatory requirements. It provides automated MDM/E&M coding validation, payor audit response assembly, quality trend analytics, clinician coaching, and incident reporting, integrating with EMRs to protect revenue and reduce documentation-related clawbacks for ABA, mental health, and hospice providers. Brellium is offered as an enterprise-grade SaaS used by healthcare organizations and large provider networks to improve compliance, reduce audit risk, and automate chart review workflows.

📋 Description

• Own Coding Quality & Compliance • 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 • Establish Coding Policy & Guardrails • 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 • Partner Cross-Functionally • 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 • Improve Systems at Scale • 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

🎯 Requirements

• AAPC certification (CPC) required • CEMC (Certified Evaluation & Management Coder) strongly preferred • 5+ years of hands-on coding experience in Behavioral Health / Psychiatry • Direct experience with: • 99202–99205, 99212–99215 • 90833, 90836, 90838 • Strong understanding of MDM vs time-based E/M selection • Experience in pre-bill coding review, coding QA, or compliance-focused workflows • Prior experience as a Coding Lead, Coding Manager, or senior coder preferred • Experience training or calibrating other coders • Comfort working across billing, compliance, and clinical stakeholders • Familiarity with Medicaid and commercial payer requirements

🏖️ Benefits

• 401(k) Retirement Savings Plan • Equity Compensation • Dinner Provided via DoorDash & stocked kitchen for NY employees • Medical, Dental, and Vision coverage coverage of up to 100% premiums for you and your family • HSA / FSA • 11 paid holidays each year • Unlimited PTO • Training and professional development • Hybrid Work Schedule (4 days onsite, 3 if located > 1 hour away)