Senior Orthopedic Surgery Coder / QA Specialist
Infinx•, (Multiple States)
•$28 - $32•Remote
About The Position
The Medical Coder supports the Coding department by performing accurate professional-fee coding, resolving edits and rejections, and ensuring professional-fee coding compliance. This role helps onshore revenue cycle operations optimize professional-fee billing and revenue capture. Responsibilities also include coding audits, providing subject-matter expertise, and identifying process improvements. The position is remote and has a three-month assignment length.
Requirements
- Active, role-aligned coding credential such as CPC, CCS-P, CIC, COC, or CRC.
- At least 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.
- Experience with Workers' Compensation coding and state- or payer-specific requirements.
- Experience performing coding quality audits, identifying documentation gaps, and resolving complex coding issues.
- Experience with eClinicalWorks (eCW) or similar EHR systems.
- Ability to coach coders, identify recurring errors, and recommend corrective actions.
- Strong analytical, documentation, and communication skills.
Nice To Haves
- Previous experience as a Senior Coder, Coding Auditor, QA Analyst, or Coding SME.
- Experience supporting provider documentation queries, coding education, and client-facing discussions.
- Experience training offshore coding teams during implementation or transition.
Responsibilities
- Accurately assign and appropriately sequence ICD-10 and CPT codes and applicable modifiers.
- Contact clients when medical-record documentation is inadequate, ambiguous, or unclear for coding purposes.
- Monitor regulatory and payer changes affecting diagnostic and procedure coding.
- Research and resolve coding-related system edits, payer rejections, and insurance denials.
- Identify trends in system edits, payer rejections, and insurance denials to support client policy and procedure improvements.
- Maintain current knowledge of coding practices through continuing education and reading resource materials.
- Perform other innovative and progressive duties as assigned.
- Perform coding quality audits, identify documentation gaps, and resolve complex coding issues.
- Coach coders, identify recurring errors, and recommend corrective actions.
Benefits
- Flexible work hours
- A sense of belonging to a dynamic and growing organization
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
