CPT/HCPCS knowledge jobs

Authorization Integrity Specialist

Capital Health (US) · Posted Nov 2, 2026

Lawrenceville, New Jersey, United States
On-site
Full-time · Mid
$36–$47 per hour
3+ years

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Responsible for proactive authorization controls that protect claim readiness and revenue prior to billing. Performs both pre-service authorization verification and post-procedure pre-bill validation.

Compensation

Pay Range: $35.69 - $46.63

Responsibilities

Performs proactive authorization controls that protect claim readiness and revenue prior to billing.
Performs both pre-service authorization verification and post-procedure pre-bill validation to ensure the authorization aligns with services actually performed.
Works high-risk scheduled and procedural accounts (for example OR, Cath Lab, IR, advanced imaging, and other prior-auth-dependent services).
Coordinates timely corrections with Central Scheduling, clinical departments, physician offices, and revenue cycle teams.
Identifies and resolves variances such as missing authorization, incorrect CPT, wrong units, wrong site/setting, expired authorization, and add-on procedure gaps.

Requirements

High school diploma or equivalent
Nice to have: Registered Nurse (RN) license
Nice to have: Certification or license in surgical or diagnostic procedures
Nice to have: procedural/surgical authorizations
Nice to have: account-level pre-bill review

Skills

hospital revenue cycle

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Authorization Integrity Specialist

Compensation

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Benefits