Medical Coding Lead (Behavioral Health, E/M)

Brellium•New York, NY

3d•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

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