Senior Medical Coding Specialist

About the role

1 in 4 people in the US have a treatable mental health condition, but most providers don't accept insurance, making therapy too expensive for most people. Headway's mission is to fix this by building a new mental healthcare system everyone can access. We started by solving the biggest barrier to care: insurance. The admin work - credentialing, claims, payment reconciliation - is a nightmare. We've automated that. But we're going further. Over 75,000 providers across all 50 states run their practice on our software, serving over 1 million patients. We are building the best tools for therapists to run their entire practice, reimagining the experience of finding a therapist, and investing in the platform foundations to enable this at scale. We aren't just a billing layer; we are becoming the platform where care actually happens. We're a Series D company with $325M+ in funding (a16z, Accel, Spark Capital, etc.), looking for exceptional people to help us achieve this mission. We want your time here to be the most meaningful experience of your career. Join us, and help change mental healthcare for the better. At Headway, we're building a new mental healthcare system from the ground up-one that's accessible, effective, and built to scale. As part of that mission, our Clinical Operations team ensures that the services we support are backed by accurate, compliant, and clinically sound documentation and coding. We're looking for a Senior Medical Coding Specialist to help bring this vision to life. This person possesses licensure as a Certified Professional Coder (CPC). The CPC will be responsible for auditing medical records to assess compliance with behavioral health coding and documentation standards (ICD-10-CM and CPT). While this is not a production coding role, the ideal candidate will bring strong analytical and auditing skills, along with a solid understanding of mental health diagnoses, documentation requirements, and industry coding guidelines. This position works closely with providers to deliver audit feedback and supports continuous documentation quality improvement in partnership with internal teams. In this role you will: Audit behavioral health documentation and coding (ICD-10-CM and CPT) for accuracy, compliance, and completeness Deliver actionable feedback to providers through 1:1 remediation meetings, educating on coding and documentation guidelines (i.e., coding based on medical decision making (MDM) for outpatient Evaluation and Management services) Serve as a subject matter expert by answering coding-related questions to support internal teams and create processes Contribute to provider education efforts, including drafting content, identifying documentation gaps, and advising on clinical documentation standards Provide insights on coding trends, identify risk areas, and recommend improvements to tooling, product, and training Collaborate with cross-functional partners on initiatives and enhancements regarding billing code guardrails 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+ years of experience in outpatient or professional services coding within a behavioral health setting Have the ability to balance supportive coaching and enforcing provider policies regarding payer standards and compliance regulations. Previously educated providers on medical decision making (MDM) for outpatient Evaluation and Management services Hold a CPMA certification (nice to have) or have strong auditing experience Possess a strong grasp of ICD-10, CPT, and HCPCS coding guidelines and the documentation requirements Communicate clearly and empathetically, especially when educating providers or discussing sensitive feedback Bring a high level of attention to detail and comfort working independently in a fast-paced, digital environment Are tech-savvy: you can navigate Google Workspace, Zoom, and EMR platforms-or you're excited to learn Are energized by working cross-functionally and driving quality at scale in a tech-forward setting Compensation and Benefits: The expected base pay range for this position is $ 76,160 - $ 112,000, based on a variety of factors including qualifications, experience, and geographic location. In addition to base salary, this role may be eligible for an equity grant, depending on the position and level. We are committed to offering a comprehensive and competitive total rewards package, including robust health and wellness benefits, retirement savings, 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: Equity compensation Medical, Dental, and Vision coverage HSA / FSA 401K Work-from-Home Stipend Therapy Reimbursement 16-