Senior Medical Coding Specialist

At Headway, were building a new mental healthcare system from the ground upone thats accessible, effective, and built to scale. As part of that mission, our Clinical Operations team ensures that the services we support are backed by accurate, compliant, and clinically sound documentation and coding. We're looking for a Senior Medical Coding Specialist to help bring this vision to life.

This person possesses licensure as a Certified Professional Coder (CPC). The CPC will be responsible for auditing medical records to assess compliance with behavioral health coding and documentation standards (ICD-10-CM and CPT). While this is not a production coding role, the ideal candidate will bring strong analytical and auditing skills, along with a solid understanding of mental health diagnoses, documentation requirements, and industry coding guidelines. This position works closely with providers to deliver audit feedback and supports continuous documentation quality improvement in partnership with internal teams.

In this role you will:

• Audit behavioral health documentation and coding (ICD-10-CM and CPT) for accuracy, compliance, and completeness
• Deliver actionable feedback to providers through 1:1 remediation meetings, educating on coding and documentation guidelines (i.e., coding based on medical decision making (MDM) for outpatient Evaluation and Management services)
• Serve as a subject matter expert by answering coding-related questions to support internal teams and create processes
• Contribute to provider education efforts, including drafting content, identifying documentation gaps, and advising on clinical documentation standards
• Provide insights on coding trends, identify risk areas, and recommend improvements to tooling, product, and training
• Collaborate with cross-functional partners on initiatives and enhancements regarding billing code guardrails
• Stay current with evolving coding guidelines, payer rules, and industry standards through continuing education and independent learning

Youd be a great fit if:

• Have a CPC certification (required) and 2+ years of experience in outpatient or professional services coding within a behavioral health setting
• Have the ability to balance supportive coaching and enforcing provider policies regarding payer standards and compliance regulations.
• Previously educated providers on medical decision making (MDM) for outpatient Evaluation and Management services
• Hold a CPMA certification (nice to have) or have strong auditing experience
• Possess a strong grasp of ICD-10, CPT, and HCPCS coding guidelines and the documentation requirements
• Communicate clearly and empathetically, especially when educating providers or discussing sensitive feedback
• Bring a high level of attention to detail and comfort working independently in a fast-paced, digital environment
• Are tech-savvy: you can navigate Google Workspace, Zoom, and EMR platformsor youre excited to learn
• Are energized by working cross-functionally and driving quality at scale in a tech-forward setting

Compensation and Benefits:

The expected base pay range for this position is $76,160 - $112,000, based on a variety of factors including qualifications, experience, and geographic location. In addition to base salary, this role may be eligible for an equity grant, depending on the position and level.

We are committed to offering a comprehensive and competitive total rewards package, including robust health and wellness benefits, retirement savings, and meaningful ownership opportunities through equity. Compensation decisions are made holistically, ensuring fairness and alignment with market benchmarks while recognizing individual contributions and potential.

• Benefits offered include:
• 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 PTO
• Employee Assistance Program (EAP)
• Training and professional development