Medical Coding Specialist - Denials & Compliance Expert

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, 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.