Behavioral Health Coding & Compliance Specialist

Ramey-Estep / Re-group; Kentucky; On-site; USD 22,730 - 32,373; Full time

Benefits offered by this job

Full benefits package

401(k) with immediate vesting

Job summary

Ramey-Estep / Re-group is seeking a Certified Coding Specialist (CCS) to ensure accurate ICD-10-CM, CPT, HCPCS coding and compliant charge capture for behavioral health and integrated care services in a CCBHC setting. The role collaborates with providers, billing, compliance, and clinical leadership to optimize reimbursement while ensuring regulatory adherence.

Responsibilities include conducting audits, addressing coding discrepancies, and educating staff on documentation practices.

Qualifications

• High School Diploma or GED required; Associate Degree preferred.
• Experience with EHR systems and revenue cycle platforms required.
• Knowledge of ICD-10, CPT, HCPCS, Medicaid/Medicare and behavioral health billing requirements.

Responsibilities

• Review and assign accurate ICD-10-CM, CPT, HCPCS, and modifiers for behavioral health, substance use disorder, and integrated care services.
• Ensure coding compliance with CCBHC standards, CMS regulations, Medicaid requirements, and payer-specific guidelines.
• Conduct routine audits of clinical documentation to ensure coding accuracy and medical necessity.
• Identify coding discrepancies, documentation deficiencies, and potential compliance risks.
• Collaborate with providers and clinical staff to improve documentation practices and coding specificity.
• Assist with denial management and appeals related to coding issues.
• Monitor regulatory updates and communicate coding changes impacting behavioral health services.
• Maintain confidentiality and security of protected health information per HIPAA regulations.
• Support internal and external audits as requested.
• Participate in quality improvement and compliance initiatives.
• Prepare coding reports and productivity metrics for leadership review.
• Provide coding education and guidance to providers and staff.
• Performs other duties as assigned.

Skills

Organizational skills

Analytical skills

Communication skills

ICD-10/CPT/HCPCS knowledge

Behavioral health billing knowledge

EHR systems proficiency

Revenue cycle platforms

Microsoft Word

Excel

PowerPoint

Education

High School Diploma or GED

Associate Degree in Business or Medical Billing and Coding

Tools

EHR systems

Revenue cycle platforms

Microsoft Word

Excel

PowerPoint

Job description

Ramey-Estep / Re-group is seeking a Certified Coding Specialist (CCS) to ensure accurate ICD-10-CM, CPT, HCPCS coding and compliant charge capture for behavioral health and integrated care services in a CCBHC setting. The role collaborates with providers, billing, compliance, and clinical leadership to optimize reimbursement while ensuring regulatory adherence.

Responsibilities include conducting audits, addressing coding discrepancies, and educating staff on documentation practices.