Spero Health

Medical Billing and Coding

• 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.
• 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.

Coding Specialist

Counselor

• Conduct initial assessment and ongoing patient care.
• Provide counseling to patients through evidenced-based practice.
• Provide patient education.
• Ensure accountability of treatment program and patient compliance through collaboration.
• Assist patients in creating realistic goals toward achieving freedom from addiction.
• Act as a clinic resource and assure compliance with HIPPA and CFR42 Part 2 regulations.

Coding Specialist

Part-Time Counselor, Social Worker