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Key Responsibilities:
- You will provide operational oversight of the outpatient behavioral health coding audit team.
- You will lead development, maintenance, and refinement of behavioral health review guidelines.
- You will manage daily activities of coding audit staff and provide coaching and feedback.
Knowledge, Skills, and Abilities Needed:
- Expert knowledge of outpatient behavioral health coding including psychiatric E/M, psychotherapy, and substance use disorder treatment.
- In-depth knowledge of DSM-5 diagnostic coding applied to ICD-10-CM and medical documentation requirements.
- Strong knowledge of CPT, HCPCS Level II, ICD-10-CM, and payer coverage and payment rules for behavioral health.
Required and Preferred Qualifications:
- Current certification as CPC, CPC-P, RHIA, RHIT, or CCS; CPMA strongly preferred.
- 5+ years of outpatient behavioral health medical coding or coding audit experience.
- 4+ years of relevant management or supervisory experience, preferably overseeing remote audit teams.
What We Offer:
- Work from anywhere in the US with a digital-first culture.
- Top Medical/Dental/Vision offerings and FSA/HSA.
- Competitive salary, 401(k) with company match, and additional wellness perks.
Machinify
Machinify is a leading healthcare intelligence company delivering value and efficiency to health plan clients. Deployed by over 85 health plans, including many of the top 20, and representing over 270 million lives, they offer a flexible and trusting remote work environment.