Medical Coding Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Review clinical documentation and assign the correct ICD-10, CPT, and HCPCS codes for services provided.

• Ensure coding accuracy and adherence to official coding standards and specific payer requirements.

• Identify coding patterns that could impact revenue or compliance.

• Conduct coding audits.

• Query healthcare providers when documentation is ambiguous or lacking.

• Monitor denial reports or queues for claims that have been denied or rejected.

• Analyze denial patterns and investigate root causes, which may include coding mistakes, absent documentation, and payer-specific challenges.

• Submit timely and well-documented appeals or corrections to payers.

• Maintain precise records of denial results and appeal statuses.

• Support Spero Health’s mission of integrated care for patients receiving counseling, case management, and medically assisted treatment.

⛳️ Requirements

• High School Diploma or GED.

• Minimum of 2 years of coding experience.

• Foundational knowledge of coding principles.

• CPC, CCS-P, RHIT, or RHIA certification.

• Proficiency in ICD-10, CPT, and HCPCS coding.

• Capability to review medical records and apply the appropriate codes.

• Skill in identifying, tracking, and appealing claim denials.

• Ability to work collaboratively within a healthcare setting.

🏝️ Benefits

• Medical, Dental, and Health Savings Account.

• Vision, Life, and Disability insurance (100% Company Paid).

• Generous PTO and paid holidays.

• 401(k) retirement plan with company matching.

• Wellness Programs (Fitness Reimbursement & Smoking Cessation).

• Employee Assistance Program (EAP).

• Discounts through Tickets at Work.

• Access to federal student loan repayment assistance via the STAR Loan Repayment Program for eligible clinicians.

• Opportunities for professional growth.