Senior Clinical, Coding Operations Associate

Job not on LinkedIn

🕒 August 4

🇺🇸 United States – Remote

💵 $76.2k - $112k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 23%

What it means: the chance that no one is really hiring for this job.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

201 - 500 employees

Founded 2019

🛡️ Insurance

💼 Consulting

📦 Logistics

Insurance • Consulting • Logistics

Headway is a platform that connects individuals with mental health providers, helping them find the right fit according to their needs and insurance coverage. By partnering with numerous insurance providers, Headway ensures that users can access mental health care affordably. It offers both in-person and virtual care options, and manages the payment and billing processes for a hassle-free experience. The platform's aim is to simplify the search and access to therapy and psychiatric support for users, allowing them to focus on their mental health without the administrative burdens.

📋 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

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