Supervisory Billing Therapist - Tennessee

Position Summary

The Supervisory Billing Therapist is a high-impact, dual-function role responsible for delivering direct clinical care while driving documentation excellence, billing integrity, and compliance across the clinical team. This position maintains a productive caseload and provides clinical oversight by reviewing and approving documentation for under-licensed clinicians to ensure all services meet medical necessity, regulatory standards, and payer requirements.

This role is critical to revenue cycle performance, risk mitigation, and clinical quality, requiring a balance of strong therapeutic skills, operational discipline, and leadership.

Core Responsibilities

1. Clinical Productivity & Client Care

• Maintain an active caseload aligned with organizational productivity standards.
• Provide individual, group, and/or family therapy using evidence-based practices.
• Develop, implement, and update treatment plans based on medical necessity and clinical progress.
• Complete all documentation in a timely, accurate, and compliant manner.
• Collaborate with clinical and operations teams to support continuity of care and outcomes.

2. Supervision & Documentation Oversight

• Review, edit, and formally sign off on documentation completed by non-licensed clinicians.

• Ensure all clinical notes, treatment plans, and assessments meet payer, state, and accreditation standards.
• Provide direct, actionable feedback to clinicians to improve documentation quality and clinical reasoning.
• Act as the final clinical gatekeeper for documentation tied to billing and reimbursement.
• Support onboarding and ongoing training related to EMR, documentation standards, and compliance expectations.

3. Billing Integrity & Compliance

• Ensure all billed services are supported by compliant, audit-ready documentation.
• Partner with billing and revenue cycle teams to reduce denials, recoupments, and audit risk.
• Conduct routine and targeted chart audits; implement corrective action plans as needed.
• Maintain current knowledge of payer guidelines, CPT coding, and documentation requirements.
• Identify reimbursement trends and proactively address gaps with clinical staff.

Performance Metrics (KPIs)

Clinical Productivity

• Maintain 25–35 billable sessions per week 

• 90–95% documentation completion within 24–48 hours

Documentation Oversight

• 100% sign-off compliance for supervised staff within the required timeframe (24–72 hours)

• 95% audit pass rate on internal and external chart reviews

Qualifications

• Active, unrestricted clinical license (LPC, LCSW, LMFT, or equivalent)
• 3–5 years of clinical experience in behavioral health
• Proven experience or strong aptitude for supervising non-licensed clinicians

• Understanding of medical necessity, documentation standards, and insurance billing

• Experience working within EMR systems and multi-site or high-growth environments preferred

Key Competencies

• High clinical acumen with strong attention to detail
• Operational and financial awareness (understands the impact of documentation on revenue)
• Ability to balance caseload oversight without performance drop-off
• Direct communicator who can coach, correct, and elevate team performance
• Strong sense of ownership and accountability

Base salary based on experience: 58,000 - 70,000, plus revenue share for completed appointments

Education: Master’s degree from an accredited college or university in Counseling, Psychology or Social Work preferred.

Experience: Experience working in substance use is preferred but not required. Two years of experience in private practice setting preferred.

Licensure: Must be independently licensed and in good standing as an LPC, LCSW, or equivalent. Will accept provisionally licensed associates.

Additional Requirements: A thorough knowledge of The Joint Commission, OSHA, CMS, DHS, State Regulations, and Federal Regulatory Standards. Complete TB testing, Drug Screening, and Background check upon being hired.

Salary : $58,000 - $70,000