Medical Coding Lead (Behavioral Health, E/M)

Brellium's mission is a big one – to improve the standard of care across the US healthcare system. We’ve 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, we’ve grown to serve over 250,000 providers across all 50 states who use Brellium to take better care of their patients and ensure data-driven, compliant care. We’re a Series A company with over $30MM in funding from First Round Capital, Left Lane Capital, and Menlo Ventures.

We are looking for a Medical Coder (Behavioral Health, E/M) to help define how automated and human-in-the-loop coding works at scale.

In this role, you will serve as an internal authority on behavioral health E/M coding, partnering closely with Brellium's 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.

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  Own Coding Quality & Compliance

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

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

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

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  Establish Coding Policy & Guardrails

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    Develop and enforce guidelines for:

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      E/M level selection (MDM vs time)

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      Psychotherapy add-on code usage

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      Documentation requirements and addenda

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    Act as the escalation point for complex or ambiguous coding scenarios

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    Support internal QA and calibration to maintain consistency over time

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  Partner Cross-Functionally

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    Collaborate with Product and Engineering to operationalize coding rules within Brellium's platform

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    Provide feedback on automated coding logic and edge cases

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

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  Improve Systems at Scale

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    Identify patterns in coding risk or opportunity across large datasets

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

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

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:

  • 99202–99205, 99212–99215

  • 90833, 90836, 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

• 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 leadersSystems 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.

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 isn’t low maintenance - it’s 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 brellium.com, or no-reply@ashbyhq.com, 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 peter@brellium.com