Medical Coder and Biller (Team Lead) ID-13603
About ReKlame Health
Headquartered in the dynamic and innovative hub of New York City, ReKlame Health is dedicated to redefining the landscape of behavioral health and addiction care with passion and purpose.
As a clinician-led startup, we are committed to delivering culturally competent care in mental health, addiction treatment, medication management, crisis intervention, and care coordination for adults. Our mission is to expand access to care. We are deeply committed to providing support to BIPOC communities and historically marginalized groups who face profound challenges tied to severe mental illness and addiction.
Our vision at ReKlame Health is to create a future where individuals who have historically been unable to access the care they deserve can readily obtain high-quality behavioral health and addiction care. We are dedicated to reducing disparities in access to evidence-based, culturally competent mental health care and promoting health equity.
At ReKlame Health, it goes beyond mere employment; it's about becoming a part of a formidable movement transcending individuality. Let's unite and forge a world where health equity and effortless access to exceptional mental healthcare coexist harmoniously for millions of Americans.
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About the Role
We are seeking a Medical Coder & Biller - Team Lead to take charge of our billing and coding functions, ensuring accuracy, compliance, and adaptability within the complexities of the American healthcare system. This role requires a leader who understands the intricacies of coding, Medicare, Medicaid, and state-specific regulations while fostering education and mentorship in a collaborative team environment.
This role is not only technical but also strategic. You will guide the team, enhance processes, and empower others to deliver results that align with our mission to improve health equity. The ideal candidate will thrive in navigating the rapidly evolving healthcare landscape while enabling ReKlame Health to scale efficiently.
Key Responsibilities
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Billing Operations Management
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Lead and oversee all aspects of the billing process, including claims submission, payment processing, and account reconciliation, ensuring accuracy and efficiency.
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Ensure accurate, compliant coding with ICD-10, CPT, and HCPCS systems to optimize first-pass claim submissions and maximize revenue for patient care and procedures.
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Establish scalable workflows to address multi-state billing complexities, with a focus on state-specific Medicaid requirements and streamlined reimbursements.
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Compliance and Adaptability
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Monitor and implement changes in Medicare, Medicaid, and other regulatory guidelines, ensuring full compliance across all billing and coding processes.
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Conduct regular audits to uphold coding standards, identify gaps, and ensure accurate documentation and billing practices.
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Collaboration and Team Leadership
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Partner with providers, administrative teams, and payers to address documentation gaps, efficiently resolve coding challenges, and reduce claim denials.
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Identify skill gaps and develop tailored training initiatives, such as workshops, coaching sessions, and resource playbooks, to enhance team capabilities.
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Subject Matter Expertise and Innovation
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Serve as the expert in coding and billing complexities, particularly in navigating multi-state Medicaid and Medicare nuances.
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Leverage emerging technologies and automation tools to optimize billing operations, enhance team performance, and support long-term cost efficiency.
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You will love this role if:
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Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification in medical coding.
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Experience: Minimum of 3-5 years of professional experience in medical coding and billing, including expertise with Medicare and Medicaid systems.
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Strong preference for candidates with experience in behavioral health coding.
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Leadership Skills: Demonstrated experience leading and mentoring a team, with a history of improving performance and operational workflows.
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Technical Skills: Advanced proficiency with ICD-10, CPT, and HCPCS coding systems and experience with EHR and medical billing software.
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Detail-Oriented: Exceptional accuracy and attention to detail in coding/billing and documentation.
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Regulatory Knowledge: Strong understanding of HIPAA and healthcare compliance guidelines, with the ability to adapt to changing regulations.
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Communication Skills: Exceptional written and verbal communication abilities to effectively collaborate with stakeholders at all levels.
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Problem-Solving Expertise: Analytical mindset with the ability to address complex challenges, identify solutions, and implement improvements with speed and accuracy.
Compensation Package:
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Competitive Salary: $50k-$80k/ year (*calculated based on the candidate's location, expertise, and skill level)
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Full Health Benefits: Medical, dental, and vision
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Paid Time Off (PTO): 21 days of paid time off, including vacation and sick leave.
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Professional Development: Unlock growth opportunities within a purpose-driven early-stage organization dedicated to creating a positive impact.
ReKlame Health considers several factors to ensure a fair and competitive offer when evaluating compensation packages. These include the scope and responsibilities of the role, the candidate's work experience, education, and training, as well as their essential skills. Internal peer equity is also examined to maintain balance within the organization. Additionally, current market conditions and overall organizational needs are crucial in shaping the final offer. Each aspect is thoughtfully reviewed before extending an offer, ensuring a comprehensive and equitable approach.
We are committed to cultivating an inclusive workplace that celebrates diversity and fosters equality. Our strength lies in the diversity of our team, which drives innovation and speed, enhances our understanding of diverse patient needs, and leads to more effective solutions for the pain points we are addressing within the ecosystem.
We are proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or other legally protected characteristics. We extend this policy to every aspect of employment, including recruitment, hiring, promotions, training, terminations, wage and salary administration, benefits, and succession planning.
Finally, if you’re hungry for a challenge in 2025, love solving problems, and want to be a part of something transformational, we’d love to hear from you!
Learn more about us at www.reklamehealth.com!
Compensation Range: $50K - $80K
