Medical Coding Specialist

Brellium • New York, NY

1d • $22 - $32 • Hybrid

About The Position

Brellium's mission is to improve the standard of care across the US healthcare system by using AI-powered technology to help healthcare providers deliver safer, higher-quality care. The company has developed the first real-time medical review platform designed to fix clinical and compliance risks before they impact patients. Brellium was founded in 2021 and serves over 250,000 providers across all 50 states. They are a Series A company with over $30MM in funding.

This role focuses on Brellium's coding module, which validates medical codes against underlying documentation. The company is seeking a certified medical coder to code and audit outpatient encounters and contribute to the development of automated, human-in-the-loop coding at scale. The specialist will collaborate with senior coders, Customer Success, Product, and Engineering teams to ensure coding decisions are accurate, defensible, and aligned with payer expectations.

Requirements

• CPC-A or CPC certification (AAPC)
• 2+ years of experience in medical coding or revenue cycle management
• Hands-on outpatient coding experience in behavioral health / psychiatry, including E/M level selection (MDM vs. time)
• Strong attention to detail and sound judgment on documentation sufficiency
• Experience working with providers and other clinical stakeholders
• A clear communicator with clinicians, billing teams, and operational leaders
• A systems thinker who wants to improve processes, not just work a queue
• Excited to apply coding expertise in a modern, technology-driven environment

Nice To Haves

• Additional relevant credentials (e.g., CPMA, CEMC, CFPC, CCC, CANPC, CCS-P, CPB)
• Experience training or calibrating other coders
• Experience with revenue cycle management and billing

Responsibilities

• Code and audit outpatient encounters, ensuring code selection is supported by the documentation
• Flag encounters where the documentation doesn't support the billed level
• Escalate complex or ambiguous scenarios and document the reasoning so our guidelines improve over time
• Give feedback on our automated coding logic — surface edge cases, false positives, and gaps the platform should handle
• Contribute to internal QA, calibration sessions, training materials, and coding 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 coverage of up to 100% premiums for you and your family
• 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