Medical Coding Lead (Behavioral Health, E/M)

Brellium • New York City, NY

2d • Hybrid

About The Position

We are looking for a Medical Coding Lead (Behavioral Health, E/M) to join Brellium’s Quality organization and help define how automated and human-in-the-loop coding works at scale. In this role, you will serve as the internal authority on behavioral health E/M coding , partnering closely with Brellium’s Customer Success, Product, and Engineering teams. You will help ensure that coding recommendations are accurate, defensible, and aligned with payer expectations — balancing appropriate revenue capture with audit-safe compliance. This is a highly impactful role for an experienced coder who enjoys shaping policy, improving systems, and applying clinical coding expertise in a modern, technology-driven environment.

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
• Compliance-first and detail-oriented, with strong professional judgment
• Comfortable pushing back on revenue capture when documentation does not support it
• Clear communicator with clinicians, billing teams, and operational leaders
• Systems thinker who enjoys improving processes, not just executing tasks
• Interested in applying coding expertise in a modern health tech environment

Nice To Haves

• Prior experience as a Coding Lead, Coding Manager, or senior coder
• Experience training or calibrating other coders
• Comfort working across billing, compliance, and clinical stakeholders
• Familiarity with Medicaid and commercial payer requirements

Responsibilities

• 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

Benefits

• 401(k) Retirement Savings Plan
• Equity Compensation
• Dinner Provided via DoorDash & stocked kitchen for NY employees
• Medical, Dental, and Vision coverage
• 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)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees