SUD Coding Expert

Job Title: SUD Coding Expert Location: Dallas Employment Type: (Part-Time, On-Request Basis) About Plutus Health Inc.: Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services with SOC2 Certification. We are dedicated to helping healthcare providers improve their financial performance. Our expertise spans across various specialties, including Substance Use Disorder (SUD) treatment. We are committed to delivering exceptional service and innovative solutions to our clients. As a result, Plutus Health Inc. has been recognized on the Inc 5000 list of the fastest-growing private companies in America and ranked Dallas 100™ winner by the SMU Cox Caruth Institute for Entrepreneurship. Additionally, the company has been a 2024 finalist in the EY Entrepreneur Of The Year. Job Summary: We are seeking an experienced SUD Coding Expert to join our team on a part-time or on-request basis. In this role, you will be called upon to guide our team when we encounter coding-related denials within the SUD domain. Your expertise will help resolve complex coding issues, ensuring compliance and minimizing claim rejections. Key Responsibilities Provide expert guidance on SUD coding issues, specifically related to denials and claim rejections. Review coding discrepancies, advise on the correct coding practices, and assist in error correction. Collaborate with our coding team to ensure accurate application of ICD-10, CPT, and HCPCS codes in the SUD space. Offer recommendations on best practices to avoid coding-related denials and improve billing accuracy. Stay up to date with SUD coding guidelines, payer-specific requirements, and industry standards. Assist with the creation and maintenance of internal documentation and coding resources. Provide ad-hoc training and support to the coding team on complex issues as they arise. Qualifications Extensive experience in SUD coding (ICD-10, CPT, HCPCS) and a deep understanding of Substance Use Disorder treatment coding. Proven ability to resolve coding denials and appeals, with a focus on SUD claims. Strong knowledge of industry standards, payer guidelines, and regulatory requirements related to SUD coding. Excellent communication skills with the ability to guide and mentor internal teams on complex coding matters. Ability to work remotely and provide support on-demand as needed. Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent. Previous experience working in healthcare facilities or organizations specializing in Substance Use Disorder treatment. Familiarity with various RCM systems and platforms. Why Join Plutus Health Inc.? Impactful Work: Contribute to a company that plays a crucial role in supporting healthcare providers, particularly in the SUD sector. Professional Growth: Opportunities for continuous learning, development, and career advancement. Supportive Environment: A collaborative team culture focused on achieving success together. Competitive Compensation: Attractive salary and benefits package, including health insurance, paid time off, and more.

Created: 2026-03-04