Why We're Here:
At Brave Health, we are driven by a deep commitment to transform lives by expanding access to compassionate, high-quality mental health care. By harnessing the power of technology, we break down barriers and bring mental health treatment directly to those who need it most—wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, yet two-thirds of providers don’t accept it. Brave Health is stepping up to close this gap by making mental health care accessible, affordable, and life-changing for all.
Overview:
Under the direction of the Director of Revenue Cycle Management, the Revenue Cycle Management (RCM) Specialist- Coding is responsible for the accurate, complete, and timely coding of behavioral health claims. This position involves coding claims for designated payers, auditing the work of other coders, and addressing coding related denials and rejections. The RCM Specialist- Coding must have an in-depth understanding of billing guidelines and compliance requirements for commercial insurance, Medicaid, and Medicare.
Key Responsibilities:
Behavioral Health Coding and Compliance:
Assign appropriate ICD-10 and CPT/HCPCS codes to behavioral health claims, ensuring all coding is compliant and supported by clinical documentation
Conduct audits of coded claims to verify accuracy and adherence to state and federal regulations, providing constructive feedback as necessary
Adhere to established coding guidelines and legal standards to maintain compliance with federal and state regulatory requirements
Act as a subject matter expert by responding to coding related inquiries and contributing to internal quality assurance efforts
Communicate with clinical staff to gather necessary information for accurate and complete coding
Offer feedback to department leadership on the quality of clinical documentation and recommend opportunities for improvement
Coding Related Denial and Rejection Management:
Correct coding errors and resubmit denied and rejected claims in a timely manner to improve cash collections
Provide feedback and training to staff to prevent future coding-related denials
Track and document denial trends related to coding for internal reporting and process improvement
Collaborate with clinical staff to clarify documentation needed to support accurate coding
Competencies, Skills & Experience Required:
Certified Professional Coder (CPC) certification required
2+ years of experience in medical coding, preferably in mental or behavioral health
Extensive knowledge of ICD-10, CPT, and HCPCS coding requirements
Strong attention to detail with a focus on accuracy and compliance
Knowledge of commercial, Medicaid, and Medicare payer requirements
Demonstrated ability to complete coding audits in compliance with all regulatory guidelines
Ability to analyze claims data to spot trends and suggest mitigation strategies
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Excellent oral and written communication skills across internal and external stakeholders
Preferred Skills:
A background in mental or behavioral health billing
Experience in digital or virtual health
Use of medical billing systems (i.e. Candid Health, Healthie)
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Familiarity with Medicaid billing guidelines in Florida
Work Schedule: This is a full-time, 100% remote position. Applicants hired into this position can work from most states and will work Monday - Friday.
Brave Health is very proud of our diverse team who cares for a diverse population of patients. We are an equal opportunity employer and encourage all applicants from every background and life experience to apply.
Compensation Range: $60K - $65K
