Surgical & Clinical Care Coordinator - CPT & Authorization Specialist

About the Role

We are seeking a highly skilled Surgical & Clinical Care Coordinator with a clinical background in Nursing, Physical Therapy, or Podiatry. This role combines clinical knowledge with technical revenue cycle expertise—specifically reading physician orders, identifying correct CPT codes, securing prior authorizations, and coordinating end-to-end patient scheduling.

You will serve as the primary engine translating doctor orders into authorized, scheduled procedures and care plans. You must be deeply comfortable navigating CPT/ICD-10 codes, fielding phone calls regarding authorization details, and guiding patients through their appointment and surgical schedules.

Requirements

Key Responsibilities

1. Doctor Order Processing & CPT Verification

• Review physician orders for surgical procedures, diagnostic tests, therapy sessions, or clinical services.
• Validate and match orders against correct CPT/HCPCS codes and ICD-10 diagnoses to ensure complete coding accuracy before submission.

2. Prior Authorization Management & Phone Support

• Initiate, track, and secure insurance prior authorizations based on specific CPT codes and clinical necessity guidelines.
• Answer inbound and place outbound phone calls to insurance companies, medical providers, and patien