Medical Coding Specialist

About the role

Brellium's mission is to improve the standard of care across the US healthcare system. We've built AI-powered technology to help providers deliver safer, higher-quality care, starting with the first real-time medical review platform designed to address clinical and compliance risks.

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, leading to unnoticed risks that impact care quality and increase clinical and financial risk. Brellium aims to provide every provider in the U.S. with the tools to deliver clinically excellent, data-driven care at scale.

Responsibilities

• Code and audit outpatient encounters, ensuring code selection is supported by the documentation
• Flag encounters where the documentation doesn't support the billed level
• Escalate complex or ambiguous scenarios and document the reasoning so our guidelines can improve over time
• Contribute to internal QA, calibration sessions, training materials, and coding playbooks as the program scales

Requirements

• CPC-A or CPC certification (AAPC)
• 2+ years of experience in medical coding or revenue cycle management
• Hands-on outpatient coding experience in behavioral health / psychiatry, including E/M level selection (MDM vs. time)
• Strong attention to detail and sound judgment on documentation sufficiency
• Experience working with providers and other clinical stakeholders

Preferred

• Additional relevant credentials (e.g., CPMA, CEMC, CFPC, CCC, CANPC, CCS-P, CPB)
• Experience training or calibrating other coders
• Experience with revenue cycle management and billing

Who You Are

• A clear communicator with clinicians, billing teams, and operational leaders
• A systems thinker who wants to improve processes, not just work a queue
• Excited to apply coding expertise in a modern, technology-driven environment

What We Offer

• Comprehensive and competitive total rewards package, including robust health benefits, commuter benefits, and meaningful ownership opportunities through equity
• 401(k) Retirement Savings Plan
• Equity Compensation
• Dinner Provided via DoorDash & stocked kitchen for NY employees
• Medical, Dental, and Vision coverage
• Up to 100% premiums for you and your family
• HSA / FSA
• 11 paid holidays each year
• Unlimited PTO
• Hybrid Work Schedule (4 days onsite, 3 if located > 1 hour away)