Medical Coding Specialist

Remote

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Mental HealthIndustries

Requirements

Candidates must possess a Certified Professional Coder (CPC) certification and a minimum of two years of experience in outpatient or professional services coding, with a preference for experience within behavioral health. A Certified Professional Medical Auditor (CPMA) certification is desirable, along with a strong understanding of ICD-10, CPT, and HCPCS coding systems and their documentation requirements.

Responsibilities

The Medical Coding Specialist will audit behavioral health documentation and coding (ICD-10-CM and CPT) for accuracy, compliance, and completeness, delivering actionable feedback to providers through remediation meetings and Coding Office Hours. They will serve as a subject matter expert, answering coding-related questions and supporting internal QA calibration processes, contributing to provider education efforts, and providing insights on coding trends and risk areas. Furthermore, the specialist will collaborate with cross-functional partners on initiatives like Clinical Annotation Tool (CAT) enhancements and billing code guardrails.

Skills

Medical Coding

ICD-10-CM

CPT

Auditing

Behavioral Health

Compliance

Mental Health Diagnoses

Analytical Skills

Headway

Connects patients with affordable mental health services

About Headway

Headway simplifies the process of finding and paying for mental health therapy. It operates in the mental health market, addressing the challenge that many Americans face in accessing care due to high costs and complicated insurance processes. For individuals, Headway provides a platform where they can easily search for therapists and psychiatrists who accept their insurance, allowing them to find the right mental health care without incurring out-of-pocket expenses. For mental health care providers, Headway reduces the administrative workload associated with accepting insurance, enabling them to focus more on patient care. The company connects patients with providers while ensuring effective use of insurance, and it generates revenue by partnering with health plans and providers. Headway's goal is to create a more accessible and affordable mental healthcare system.

New York City, New YorkHeadquarters

2019Year Founded

$318.1MTotal Funding

LATE_VCCompany Stage

HealthcareIndustries

1,001-5,000Employees

Benefits

Equity Compensation

Medical, Dental, and Vision coverage

HSA / FSA

401K

Work-from-Home Stipend

Therapy Reimbursement

16-week parental leave for eligible employees

Carrot Fertility annual reimbursement and membership

13 paid holidays each year as well as a Holiday Break during the week between December 25th and December 31st

Flexible Paid Time Off

Employee Assistance Program (EAP)

Training and professional development

Risks

Increased competition from platforms like BetterHelp and Talkspace.

Potential backlash from professionals feeling undervalued by Headway's platform.

Regulatory scrutiny as Headway expands into Medicare Advantage and Medicaid.

Differentiation

Headway simplifies finding and paying for therapy with an insurance-accepting provider network.

It reduces administrative burdens for mental health professionals, enhancing focus on patient care.

Headway's platform offers both virtual and in-person therapy sessions, increasing accessibility.

Upsides

Raised $100M in Series D to expand into Medicare Advantage and Medicaid.

Partnerships with Cigna and Blues plan to expand services to all 50 states.

Growing demand for telehealth services boosts Headway's market potential.

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