Professional Fee Behavioral Health Coder

Company Description Intero Group – HIM Services provides nationwide Health Information Management support to healthcare organizations of all sizes. The company’s team of experienced professionals focuses on delivering high-quality results and comprehensive service for clients, teammates, and partners. Intero Group offers remote medical coding, auditing, clinical documentation improvement (CDI), and broader HIM services and consulting. By connecting healthcare facilities with skilled talent, the organization helps drive operational efficiency, compliance, and sustainable growth. Applicants can expect a collaborative environment committed to professional excellence and ongoing development.

Role Description The Professional Fee Behavioral Health Coder is responsible for accurately assigning professional fee codes for behavioral health services in accordance with current coding guidelines, payer requirements, and facility policies. Day-to-day tasks include reviewing clinical documentation, identifying appropriate CPT, HCPCS, and ICD-10-CM codes, and ensuring that documentation supports medical necessity and billing accuracy. The role involves working closely with clinical and administrative teams to clarify documentation, resolve coding discrepancies, and support clean claim submission and timely reimbursement. The coder will monitor coding trends, assist with internal audits, and participate in continuing education to stay current with regulatory and payer updates. This is a remote role, allowing the individual to perform responsibilities from a home office while meeting productivity and quality standards.

Qualifications

• Strong knowledge of professional fee coding for behavioral health services, including CPT, HCPCS, and ICD-10-CM.
• Demonstrated ability to review and interpret clinical documentation to ensure accurate code assignment and support medical necessity.
• Familiarity with payer guidelines, compliance standards, and regulations related to behavioral health billing and reimbursement.
• Proficiency with electronic health records (EHRs), coding software, and common billing systems used in outpatient and behavioral health settings.
• Excellent attention to detail, analytical skills, and the ability to maintain high accuracy and productivity in a remote environment.
• Effective written and verbal communication skills, with the ability to collaborate with providers, auditors, and HIM leadership.
• Credential such as CPC, COC, CCS, or equivalent coding certification from a recognized organization (e.g., AAPC, AHIMA).
• Previous experience coding professional fee behavioral health encounters or related specialties is strongly preferred.
• Commitment to ethical coding practices, patient confidentiality, and ongoing professional development through education and training.