Medical Coding Specialist

Spero Health, Inc.; United States; Remote; USD 54,000 - 72,000; Full time

Benefits offered by this job

Medical, Dental, and Health Savings...

Vision, Life and Disability insurance

Generous PTO and paid holidays

401(k) retirement program with company

Wellness Programs (Fitness Reimb.)

Employee Assistance Program (EAP)

Discounts via Tickets at Work

Job summary

Spero Health, Inc. is seeking a Medical Coding Specialist to join our integrated care team. You will review medical documentation and assign ICD-10, CPT, and HCPCS codes to support treatment and billing.

You will participate in auditing coding accuracy, address denials, and help maintain compliant records. This role collaborates with clinicians and revenue cycle staff to improve outcomes and ensure timely reimbursements.

Qualifications

• Minimum of 2 years coding experience.
• Credentials CPC, CCS-P, RHIT or RHIA preferred.

Responsibilities

• Review clinical documentation to assign ICD-10, CPT, and HCPCS codes for services rendered.
• Ensure coding accuracy and compliance with official coding guidelines and payer-specific requirements.
• Identify coding trends that may affect revenue or compliance.
• Query providers when documentation is unclear or insufficient for coding purposes.
• Monitor denial reports to identify and analyze trends in denied or rejected claims.
• Research root causes of denials including coding errors or missing documentation and payer-specific issues.
• Submit timely, well-documented appeals or corrections to payers.
• Maintain accurate records of denial outcomes and appeal statuses.

Skills

CPC

CCS-P

RHIT

RHIA

Education

High School Diploma or GED

Job description

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.
• 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

Requirements

Education:

• High School Diploma or GED

Experience:

• 2 years min coding experience

Specialized Skills and Knowledge:

• CPC, CCS-P, RHIT, RHIA

BENEFITS:

• Medical, Dental, and Health Savings Account
• Vision, Life and Disability insurance (100% Company Paid)
• Generous PTO and paid holidays
• 401(k) retirement program with company match
• Wellness Programs (Fitness Reimbursement & Smoking Cessation)
• Employee Assistance Program (EAP)
• Discounts via Tickets at Work

LOAN FORGIVENESS PROGRAMS:

• Spero Health is a STAR (Substance Use Disorder Treatment and Recovery) approved organization. This means our clinicians will have access to help pay off federal student loans so they can focus on what they do best: patient care!
• Please see the website at https://bhw.hrsa.gov/funding/apply-loan-repayment/star-lrp

CAREER DEVELOPMENT AND GROWTH

• Opportunities for growth - we encourage our teammates to consider new growth opportunities with us

Check out our website below for more information