Job Description

Job Location: Franklin, TN 37067
Position Type: Full Time
Salary Range: $58,000.00 - $70,000.00 Salary

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

QualificationsEducation: 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.