Senior Orthopedic Surgery Coder / QA Specialist
Infinx•, (Multiple States)
•$28 - $32•Remote
About The Position
The Medical Coder supports the Coding department in various functions, including performing accurate professional fee coding, resolving edits and rejections, and ensuring pro-fee coding compliance. This role is critical in enabling onshore revenue cycle operations to optimize pro-fee billing and revenue capture. This role involves coding, auditing, providing expertise, and identifying process improvements.
Requirements
- 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
- Experience with Workers' Compensation coding and state/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 strongly preferred
- Experience supporting provider documentation queries, coding education, and client-facing discussions preferred
- Experience training offshore coding teams during implementation or transition preferred
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
Benefits
- flexible work hours
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
