Certified Medical Coder - Remote

Overview

We are seeking a Certified Medical Coder with a strong background in behavioral health coding and billing to ensure accurate and compliant documentation for services rendered, such as PHP (Partial Hospitalization Program) and IOP (Intensive Outpatient Program).

In Short

• Review and assign CPT, HCPCS, and revenue codes for behavioral health services ensuring accuracy and payer compliance.
• Validate clinical documentation to support coded services and prevent duplicate billing.
• Audit code usage for onboarding patients, attendance records, and service-level documentation.
• Collaborate with billing team, nurse practitioners, and therapists to ensure clean claims submission.
• Monitor coding volume and address backlogs.
• Follow up on EOBs and payment reconciliations.
• Place calls to parents or payers to confirm benefit coverage and clarify payment details.
• Communicate with clients to explain services billed and checks received.

Requirements

• Certified Professional Coder (CPC, CCS, or equivalent).
• 2+ years of coding experience, preferably in behavioral health or mental health settings.
• Strong understanding of payer policies, EOBs, and insurance claims workflows.
• Experience with PHP, IOP billing and service documentation.
• Proficient in medical billing software and EMR systems.
• Strong attention to detail and analytical mindset.
• Comfortable making professional calls to clients and insurance companies.

Benefits

• Opportunity to work in a high-impact field.
• Collaborative work environment.
• Professional development opportunities.