Coding Quality Specialist 2 - Psychiatry
About The Position
Accurate coding is foundational to quality patient care, regulatory compliance, and the financial health of a leading academic medical center. As a Coding Quality Specialist 2, you will play an essential role in ensuring the integrity of behavioral health documentation and coding practices while supporting providers who deliver critical psychiatric and mental health services across the continuum of care. This fully remote opportunity is ideal for an experienced professional fee coder with a passion for Psychiatry and Behavioral Health. You'll leverage your expertise to review complex clinical documentation, promote coding accuracy, identify compliance risks, and help ensure appropriate reimbursement for services that directly support patient access to mental healthcare.
Requirements
- High School Diploma or GED required.
- 2+ years of relevant coding experience required.
- Certified Professional Coder (CPC) required.
Nice To Haves
- Psychiatry and Behavioral Health coding experience preferred.
Responsibilities
- Review, code, validate, and audit psychiatric professional fee encounters for accuracy and compliance.
- Interpret complex clinical documentation to support accurate CPT, ICD-10-CM, and modifier assignment.
- Evaluate psychiatric Evaluation & Management (E/M) services, psychiatric diagnostic evaluations, psychotherapy services, crisis interventions, medication management encounters, and collaborative behavioral health services.
- Assess medical necessity, diagnosis specificity, time-based coding requirements, and behavioral health documentation standards.
- Identify coding trends, documentation deficiencies, compliance concerns, and reimbursement risks.
- Determine when provider education or compliant clarification is warranted.
- Apply expertise related to DSM-5 diagnosis reporting, behavioral health treatment documentation, NCCI edits, LCD/NCD policies, and payer-specific billing requirements.
- Support coding quality initiatives through charge review processes, work queue management, and ongoing coding validation activities.
- Utilize Epic, EncoderPro, and other coding resources to research and resolve complex coding questions.
- Maintain current knowledge of evolving behavioral health coding regulations, telehealth requirements, and reimbursement guidelines.
Benefits
- Medical, Dental, and Vision Insurance
- Paid Time Off
- Long-term and Short-term Disability
- Retirement Savings
- Health Saving Plans
- Flexible Spending Accounts
- Certification and education support
- Generous Paid Time Off
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
