Psych Coder

Job Description

We are seeking an experienced Psychiatry Professional Fee (ProFee) Coder to join our Revenue Cycle team. This individual will be responsible for accurately assigning ICD-10-CM, CPT, HCPCS, and modifier codes for psychiatric and behavioral health services. The coder will review provider documentation, ensure coding compliance, support charge capture initiatives, and maintain coding quality standards while maximizing appropriate reimbursement.

The ideal candidate will have strong knowledge of psychiatry coding guidelines, Evaluation & Management (E/M) services, psychotherapy coding, and behavioral health documentation requirements.

Responsibilities

Review and analyze provider documentation to accurately assign ICD-10-CM, CPT, HCPCS, and modifier codes. Code professional fee encounters for psychiatry, behavioral health, psychology, and related specialties. Accurately code Evaluation & Management (E/M) visits, psychotherapy services, psychiatric diagnostic evaluations, and medication management encounters. Ensure compliance with federal, state, payer, and organizational coding regulations. Identify documentation deficiencies and query providers for clarification when necessary. Maintain productivity and quality standards established by coding leadership. Assist with coding denials, audits, and appeals as needed. Perform charge review and reconciliation activities to ensure accurate billing. Stay current with annual CPT, ICD-10, and payer guideline updates. Participate in coding education, peer reviews, and quality improvement initiatives. Collaborate with providers, revenue cycle teams, and compliance departments to resolve coding issues.

Skills and Requirements

High School Diploma or GED required. Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), or equivalent coding certification required. Minimum 3 years of professional fee coding experience. Minimum 2 years of Psychiatry or Behavioral Health coding experience.

Strong understanding of:

Psychiatric Diagnostic Evaluation Codes (90791, 90792) Psychotherapy Codes (90832, 90834, 90837) Add-on Psychotherapy Codes Evaluation & Management (E/M) Services Telehealth Behavioral Health Coding ICD-10 Mental Health Diagnostic Coding Experience reviewing provider documentation within an EHR system.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.