Orthopedics & Spine Authorization & Coding Specialist

St. Joseph's Health; City of Syracuse (NY); On-site; USD 27,000 - 35,000; Full time

Job summary

St. Joseph's Health in New York is seeking an Authorization Specialist to review and interpret complex medical information, applying coding requirements to correctly classify and abstract health data.

The role collaborates with medical staff, monitors referral expirations, and verifies insurance updates before procedures, supporting authorization and denial workflows. Experience in ICD-9-CM, CPT and E/M coding is preferred.

Qualifications

• 5+ years’ experience in a health care setting.
• Background in referrals, denials, and/or authorization processes.
• Knowledge of ICD-9-CM, CPT & E&M coding conventions as applicable.

Responsibilities

• Reviews, analyzes, and interprets complex medical information for correct classification, coding, and abstraction.
• Monitors expirations of referrals and verifies insurance updates before procedures.
• Supports authorization and denial processes and collaborates with referrals/authorizations teams.
• Interacts with medical staff and clinical services to ensure accurate data entry and compliance.

Skills

Medical coding experience

Communication skills

Interpersonal skills

Confidentiality

Team collaboration

Education

Certified Coding Specialist

Accredited Record Technician

Registered Record Administrator

Licensed Practical Nurse (LPN)

Job description

St. Joseph's Health in New York is seeking an Authorization Specialist to review and interpret complex medical information, applying coding requirements to correctly classify and abstract health data.

The role collaborates with medical staff, monitors referral expirations, and verifies insurance updates before procedures, supporting authorization and denial workflows. Experience in ICD-9-CM, CPT and E/M coding is preferred.