Headway Senior Clinical & Coding Operations Associate role providing expert interpretation of behavioral health documentation and coding review results. Support providers by clarifying coding issues and ensuring accurate guidance.
Responsibilities
Interpret behavioral health documentation and coding review results (ICD-10-CM and CPT) and translate them into clear, actionable provider education and feedback
Determine whether a flagged finding is accurate — confirming genuine documentation and coding errors, and identifying findings that were flagged incorrectly so they can be corrected and escalated
Serve as a subject matter expert by answering provider and internal-team questions on behavioral health coding and documentation (ICD-10-CM and CPT) and billing findings
Deliver clear, accurate, and empathetic responses to providers through our support channels (e.g., Zendesk)
Contribute to provider education efforts, including drafting content, identifying documentation gaps, and advising on documentation standards
Partner with our Customer Experience (CX) team to build knowledge base content and resources that help resolve more questions without direct SME support
Provide insights on coding trends, identify risk areas, and recommend improvements to tooling, process, and training
Collaborate with cross-functional partners on initiatives that improve the provider audit-support experience
Stay current with evolving coding guidelines, payer rules, and industry standards through continuing education and independent learning
You’d be a great fit if....
Have a CPC certification (required) and 2-3 years of experience in outpatient or professional-services coding, ideally within a behavioral health setting
Possess a strong grasp of ICD-10-CM, CPT, and HCPCS coding guidelines and the documentation requirements
Qualification
Knowledge of ICD-10-CM and CPT coding
Required
Certified Professional Coder (CPC) certification
Knowledge of ICD-10-CM and CPT coding
Experience with behavioral health coding and documentation
