[Hiring] Certified Medical Coder @Cartwheel

Role Description

Join Cartwheel to help tackle the student mental health crisis. Cartwheel is an early-stage company building a new kind of mental health program for kids that puts schools at the center. We see our role as supporting school staff who see kids every single day. Instead of going around them, we collaborate with them. This means:

• Earlier intervention
• Higher student and family engagement in care
• Better coordination among the trusted adults in a student’s life

Kids shouldn't just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life they’re excited to live. If you join Cartwheel, you’ll help make this vision a reality for millions of students across the country. We’re backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we're looking for mission-driven teammates to join our team.

We are seeking a highly experienced Certified Medical Coder with deep expertise in Medicaid and Managed Care Organizations (MCOs), advanced modifier application, and research of new/complex codes. This role will lead coding strategy and execution for expanding billable services, ensuring accuracy and compliance while enabling scalable automation. You will partner closely with the RCM Director to translate complex coding requirements into operational workflows and systems.

Role type: 1099 Contractor, 40 hours a week (M-F, EST hours)

Pay range: $30-40/hr

Location: Remote

Qualifications

• Active coding certification (CPC, CCS, or equivalent)
• 5+ years of medical coding experience, with strong Medicaid and MCO billing experience
• Deep expertise in CPT, ICD-10, and HCPCS coding systems
• Advanced knowledge of modifier usage, including state-specific Medicaid and MCO requirements
• Proven experience conducting deep-dive research on new codes, payer policies, and reimbursement rules
• Strong experience with E/M coding and Medical Decision Making (MDM)
• Strong attention to detail, analytical thinking, and ability to interpret clinical documentation
• Process improvement mindset with strong cross-functional communication skills

Requirements

• Experience in behavioral health or telehealth billing (preferred)
• Background in denial analysis and revenue optimization (preferred)

Benefits

• Mission-oriented and inclusive colleagues who will go to bat for you
• Competitive compensation
• Flexible, remote engagement with regular in-person retreats
• Meaningful work with direct impact on student mental health outcomes across the country

Company Description

Cartwheel is proud to be an equal opportunity employer. We embrace diverse backgrounds and perspectives and an inclusive work environment. We're committed to equal employment opportunity regardless of race, color, religion, ancestry, national origin, gender, sexual orientation, disability status, or veteran status.

We participate in E-Verify. Please be prepared to provide acceptable documentation to verify your identity and work authorization.

Cartwheel uses AI-assisted tools to support our hiring process, including scheduling, communications, and workflow management. All hiring decisions are made by humans. We are committed to fair, equitable hiring practices.

Please do not contact our Care, Provider, or Patient Services lines regarding job postings or application status. These teams support our patients and families and are not involved in the hiring process. For all recruitment-related questions, please email [email protected].