[Hiring] Senior Orthopedic Surgery Coder / QA Specialist @Infinx

Role Description

The Medical Coder supports the Coding department in various functions, including:

• Performing accurate professional fee coding
• Resolving edits and rejections
• Ensuring pro-fee coding compliance

This role is critical in enabling onshore revenue cycle operations to optimize pro-fee billing and revenue capture. It involves coding, auditing, providing expertise, and identifying process improvements.

Location: Remote

Length of Assignment: 3 months

Responsibilities

• Accurately assign and appropriately sequence ICD-10 and CPT codes and all applicable modifiers
• Contact clients as appropriate when documentation in the medical record is inadequate, ambiguous or unclear for coding purposes
• Monitor regulatory and payer changes as they apply to diagnostic and procedure coding
• Research and resolve coding related system edits, payer rejections and insurance denials
• Identify system edit, payer rejection, and insurance denial trends for client policy and procedure improvement
• Maintain up to date knowledge of the current changes of coding practices by continuing education and reading resource material
• Other innovative and progressive duties as assigned

Qualifications

• Active credentials such as CPC, CCS-P, CIC, COC, or CRC (coding certification must be role-aligned)
• 5+ years of experience in professional medical coding, including advanced orthopedic surgery coding
• Strong experience reviewing operative reports, CPT, ICD-10-CM, HCPCS, modifiers, NCCI edits, and global surgery guidelines
• Previous experience as a Senior Coder, Coding Auditor, QA Analyst, or Coding SME strongly preferred
• Experience with Workers' Compensation coding and state/payer-specific requirements
• Experience performing coding quality audits, identifying documentation gaps, and resolving complex coding issues
• Experience supporting provider documentation queries, coding education, and client-facing discussions preferred
• Experience with eClinicalWorks (eCW) or similar EHR systems
• Experience training offshore coding teams during implementation or transition preferred
• Ability to coach coders, identify recurring errors, and recommend corrective actions
• Strong analytical, documentation, and communication skills

Benefits

• Flexible work hours
• A genuine sense of belonging to a dynamic and growing organization