Medical Coding Specialist
About Brellium
Brellium's mission is a big one – to improve the standard of care across the US healthcare system. We’ve built AI-powered technology that helps healthcare providers deliver safer, higher-quality care - starting with the first real-time medical review platform built to fix clinical and compliance risks before they impact patients.
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 - so they go unnoticed, impacting care quality and increasing clinical and financial risk.
Brellium is building the AI-powered platform that helps providers deliver safer, more consistent care by mitigating risk early and aligning patient visits with clinical best practices. Our goal is to give every provider in the U.S. the tools to deliver clinically excellent, data-driven care - at scale.
Brellium was founded in 2021. Since then, we’ve grown to serve over 250,000 providers across all 50 states who use Brellium to take better care of their patients and ensure data-driven, compliant care. We’re a Series A company with over $30MM in funding from First Round Capital, Left Lane Capital, and Menlo Ventures.
About the role
Our coding module validates medical codes — like CPT, E/M levels, and ICD-10-CM diagnoses — against the underlying documentation.
We're looking for a certified medical coder to code and audit outpatient encounters, and to help shape how automated, human-in-the-loop coding works at scale. You'll work alongside our senior coders and partner with Customer Success, Product, and Engineering to make sure coding decisions are accurate, defensible, and aligned with payer expectations.
What You'll Do
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 improve over time
Give feedback on our automated coding logic — surface edge cases, false positives, and gaps the platform should handle
Contribute to internal QA, calibration sessions, training materials, and coding playbooks as the program scales
What We're Looking For
Required
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
We are committed to offering a comprehensive and competitive total rewards package, including robust health benefits, commuter benefits, 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:
401(k) Retirement Savings Plan
Equity Compensation
Dinner Provided via DoorDash & stocked kitchen for NY employees
Medical, Dental, and Vision coverage coverage of up to 100% premiums for you and your family
HSA / FSA
11 paid holidays each year
Unlimited PTO
Training and professional development
Hybrid Work Schedule (4 days onsite, 3 if located > 1 hour away)
What it means to be "One of Us"
Bias to Action: Brellium teammates do not wait to make reversible decisions or seek unnecessary approval. We quickly decide and move forward. If the decision was incorrect, we quickly reverse it and move forward.
Thinks for themselves: Brellium teammates do not take things at face value. We ask "why" until base truth is reached. If a better solution is present, Brellium teammates use it, regardless of status quo.
Negative Maintenance: The opposite of high maintenance isn’t low maintenance - it’s negative maintenance. Brellium teammates are poised under pressure, self-motivated, self-improving, self-disciplined, self-aware, and non-defensive.
Expect Excellence: We hold ourselves to exceptionally high and continuously rising standards. We strive for thoughtfulness in our decision making, and for speed and quality in our execution. We acknowledge trade-offs and communicate proactively.
Communicate with Clarity: Brellium teammates communicate concisely, directly, and purposefully. We optimize for ensuring our points are easily understood the first time.
We are aware of fraudulent job offers claiming to be from Brellium. All legitimate communication comes from brellium.com, or no-reply@ashbyhq.com, and we will never ask for money or sensitive personal information as part of our hiring process. If there are any questions please direct them to peter@brellium.com