Medical Coding Lead (Behavioral Health, EM)

About Brellium

Brelliums mission is a big one to improve the standard of care across the US healthcare system. Weve built AI-powered technology that helps healthcare providers deliver safer higher-quality care - starting with the first real-time medical review platform built to fix clinical and compliance risks before they impact patients.

Each year 1 in 20 people in the U.S. experiences a medical diagnostic or compliance-related mistake. Most providers lack the time staffing and tools to mitigate these issues - so they go unnoticed impacting care quality and increasing clinical and financial risk.

Brellium is building the AI-powered platform that helps providers deliver safer more consistent care by mitigating risk early and aligning patient visits with clinical best practices. Our goal is to give every provider in the U.S. the tools to deliver clinically excellent data-driven care - at scale.

Brellium was founded in 2021. Since then weve grown to serve over 250000 providers across all 50 states who use Brellium to take better care of their patients and ensure data-driven compliant care. Were a Series A company with over $16MM in funding from First Round Capital Left Lane Capital and Menlo Ventures.

About the Role

We are looking for a Medical Coding Lead (Behavioral Health E/M) to join Brelliums Quality organization and help define how automated and human-in-the-loop coding works at scale.

In this role you will serve as the internal authority on behavioral health E/M coding partnering closely with Brelliums Customer Success Product and Engineering teams. You will help ensure that coding recommendations are accurate defensible and aligned with payer expectations balancing appropriate revenue capture with audit-safe compliance.

This is a highly impactful role for an experienced coder who enjoys shaping policy improving systems and applying clinical coding expertise in a modern technology-driven environment.

What Youll Do

Own Coding Quality & Compliance

• Review and validate E/M coding for behavioral health encounters in a pre-bill workflow

• Ensure coding decisions align with documentation payer guidance and compliance best practices

• Define clear standards for when revenue capture is appropriate vs when risk is too high

Establish Coding Policy & Guardrails

• Develop and enforce guidelines for:

  • E/M level selection (MDM vs time)

  • Psychotherapy add-on code usage

  • Documentation requirements and addenda

• Act as the escalation point for complex or ambiguous coding scenarios

• Support internal QA and calibration to maintain consistency over time

Partner Cross-Functionally

• Collaborate with Product and Engineering to operationalize coding rules within Brelliums platform

• Provide feedback on automated coding logic and edge cases

• Support customer-facing teams in compliance-sensitive discussions when needed

Improve Systems at Scale

• Identify patterns in coding risk or opportunity across large datasets

• Help standardize best-in-class coding workflows across customer organizations

• Contribute to training documentation and internal playbooks as the program scales

What Were Looking For

Required

• AAPC certification (CPC) required

• CEMC (Certified Evaluation & Management Coder) strongly preferred

• 5 years of hands-on coding experience in Behavioral Health / Psychiatry

• Direct experience with:

  • 90838

• Strong understanding of MDM vs time-based E/M selection

• Experience in pre-bill coding review coding QA or compliance-focused workflows

Preferred

• Prior experience as a Coding Lead Coding Manager or senior coder

• Experience training or calibrating other coders

• Comfort working across billing compliance and clinical stakeholders

• Familiarity with Medicaid and commercial payer requirements

Who You Are

• Compliance-first and detail-oriented with strong professional judgment

• Comfortable pushing back on revenue capture when documentation does not support it

• Clear communicator with clinicians billing teams and operational leaders

• Systems thinker who enjoys improving processes not just executing tasks

• Interested in applying coding expertise in a modern health tech environment

We are committed to offering a comprehensive and competitive total rewards package including robust health benefits commuter benefits 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:

• 401(k) Retirement Savings Plan

• Equity Compensation

• Dinner Provided via DoorDash & stocked kitchen for NY employees

• Medical Dental and Vision coverage

• HSA / FSA

• 11 paid holidays each year

• Unlimited PTO

• Training and professional development

• Hybrid Work Schedule (4 days onsite 3 if located > 1 hour away)

What it means to be One of Us

Bias to Action: Brellium teammates do not wait to make reversible decisions or seek unnecessary approval. We quickly decide and move forward. If the decision was incorrect we quickly reverse it and move forward.

Thinks for themselves: Brellium teammates do not take things at face value. We ask why until base truth is reached. If a better solution is present Brellium teammates use it regardless of status quo.

Negative Maintenance: The opposite of high maintenance isnt low maintenance - its negative maintenance. Brellium teammates are poised under pressure self-motivated self-improving self-disciplined self-aware and non-defensive.

Expect Excellence: We hold ourselves to exceptionally high and continuously rising standards. We strive for thoughtfulness in our decision making and for speed and quality in our execution. We acknowledge trade-offs and communicate proactively.

Communicate with Clarity: Brellium teammates communicate concisely directly and purposefully. We optimize for ensuring our points are easily understood the first time.

We are aware of fraudulent job offers claiming to be from Brellium. All legitimate communication comes from or and we will never ask for money or sensitive personal information as part of our hiring process. If there are any questions please direct them to