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auditing cpt hcpcs mdm emrπ Description
- Audit behavioral health documentation and coding for accuracy
- Deliver 1:1 remediation meetings to educate on coding guidelines
- Serve as subject matter expert on coding questions for internal teams
- Contribute to provider education; draft content and identify documentation gaps
- Provide insights on coding trends and risk areas; recommend tooling improvements
- Collaborate with cross-functional partners on billing code guardrails
- Stay current with evolving coding guidelines, payer rules, and standards
π― Requirements
- CPC certification required; 2+ years in outpatient/professional behavioral health coding
- Balance coaching with enforcing payer standards and compliance regulations
- Previously educated providers on medical decision making (MDM) for outpatient E/M
- CPMA certification (nice to have) or strong auditing experience
- Strong ICD-10, CPT, HCPCS coding guidelines and documentation
- Tech-savvy; comfortable with Google Workspace, Zoom, and EMR
π Benefits
- Equity compensation
- Medical, Dental, and Vision coverage
- HSA / FSA
- 401K
- Work-from-Home Stipend
- Therapy Reimbursement
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