Senior Clinical, Coding Operations Associate

Job not on LinkedIn

🕒 August 4

🇺🇸 United States – Remote

💵 $76.2k - $112k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

👻 Ghost score 23%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Headway

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2019

🏥 Healthcare

🏪 Marketplace

☁️ SaaS

💰 $100M Series D - Headway on 2024-07

Healthcare • Marketplace • SaaS

Headway is a healthcare technology company (Therapymatch, Inc. ) that operates an insurance-native marketplace connecting people with licensed mental health providers — therapists and psychiatrists — for in-person and online care. Headway matches users with providers by specialty, location, and insurance coverage, handles insurance verification and billing, and offers tools for providers (provider portal and an insurance-native EHR) to reduce administrative burden. The platform partners with 100+ insurance plans, supports many languages, and emphasizes affordable, in-network mental health care.

📋 Description

• Interpret behavioral health documentation and coding review results using ICD-10-CM and CPT • Translate review results into clear, actionable provider education and feedback • Determine whether flagged findings are accurate • Confirm genuine documentation and coding errors • Identify incorrectly flagged findings for correction and escalation • Answer provider and internal-team questions on behavioral health coding, documentation, and billing findings • Deliver clear, accurate, and empathetic responses through support channels such as Zendesk • Contribute to provider education by drafting content, identifying documentation gaps, and advising on documentation standards • Partner with the Customer Experience team to build knowledge-base content and resources • Provide insights on coding trends and identify risk areas • Recommend improvements to tooling, processes, and training • Collaborate with cross-functional partners on initiatives improving the provider audit-support experience • Stay current with coding guidelines, payer rules, and industry standards through continuing education and independent learning

🎯 Requirements

• A Certified Professional Coder (CPC) certification is required • 2-3 years of experience in outpatient or professional-services coding, ideally within a behavioral health setting • Strong grasp of ICD-10-CM, CPT, and HCPCS coding guidelines and documentation requirements • Ability to communicate clearly and empathetically when educating providers or discussing sensitive feedback • Ability to balance supportive coaching with enforcing provider policies regarding payer standards and compliance regulations • CPMA certification is nice to have • Ability to independently reach and defend correct coding and documentation conclusions on behavioral health notes • Previous experience educating providers on medical decision making (MDM) for outpatient Evaluation and Management (E/M) services • High attention to detail and comfort working independently in a fast-paced, digital environment • Tech-savvy; able to navigate Google Workspace, Zoom, and EMR platforms or learn them • Ability to work cross-functionally and drive quality at scale in a tech-forward setting • Authorization to work in the United States for any employer • CPC certification must be active

🏖️ Benefits

• Equity compensation • Medical, Dental, and Vision coverage • HSA / FSA • 401K • Work-from-Home Stipend • Therapy Reimbursement • 16-week parental leave for eligible employees • Carrot Fertility annual reimbursement and membership • 13 paid holidays each year • Holiday Break during the week between December 25th and December 31st • Flexible PTO • Employee Assistance Program (EAP) • Training and professional development • Robust health and wellness benefits • Meaningful ownership opportunities through equity