Medical Coding Specialist

Spero Health is seeking a Medical Coding Specialist to join our awesome team!

This position is for a Coding Specialist who supports the mission of “Saving Lives, Instilling Hope and Restoring Relationships” in an integrated team with patients receiving counseling, case management and medically assisted treatment. Spero Health believes better outcomes are achieved when you treat the whole person, through integrated care. This position is responsible for reviewing medical documentation, applying appropriate ICD-10, CPT, and HCPCS codes, coding and identifying, tracking, and appealing claim denials. Must have a foundational understanding of coding principles and work in a collaborative healthcare environment. This position ensures coding compliance, along with best practices process across the departments. If you are looking for a career where you can make a difference in someone's life, Spero Health is the right place for you!

The Coding Specialist 's responsibilities include, but are not limited to the following

Medical Coding and Auditing

• Review clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes for services rendered.
• Ensure coding accuracy and compliance with official coding guidelines and payer-specific requirements.
• Assist in identifying coding trends that may affect revenue or compliance.
• Perform audits.
• Query providers when documentation is unclear or insufficient for coding purposes.

Denial Management

• Monitor and work denial reports or queues to identify and analyze trends in denied or rejected claims.
• Research root causes of denials including coding errors, missing documentation, or payer-specific issues.
• Submit timely, well-documented appeals or corrections to payers.
• Maintain accurate records of denial outcomes and appeal statuses

Where you can work from

This job is 100% remote, for applicants who live in the United States.