Senior Orthopedic Surgery Coder / QA Specialist

Infinx; United States; Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible work hours

Job summary

Infinx is seeking a remote Medical Coder to support the Coding department, performing accurate pro-fee coding, resolving edits, and ensuring compliance to optimize revenue capture. The role requires reviewing operative reports and coding documentation, collaborating with clients, and staying current with coding changes.

Qualified candidates will hold CPC/CCS-P/CIC/COC/CRC credentials and 5+ years of professional coding experience, including orthopedic surgery coding, with proficiency in CPT,

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 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.

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.

Skills

CPC / CCS-P / CIC / COC / CRC

5+ years medical coding experience

Orthopedic surgery coding

CPT & ICD-10-CM knowledge

NCCI edits & global surgery guidelines

Coding QA & audits

Communication & documentation

Coaching coders

Tools

eClinicalWorks (eCW)

Job description

About Our Company:
At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.
We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.

A 2025 Great Place to Work

In 2025, Infinx was certified as a Great Place to Work in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.

Summary Description

TheMedical 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.

Location

Remote

Responsibilities

• Accurately assign and appropriately sequence ICD-10 and CPT codes and all applicable modifiers
• Contactclients as appropriate when documentation in the medical record is inadequate, ambiguous or unclear for coding purposes
• Monitorregulatory 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
• Maintainup to date knowledge of the current changes of coding practices by continuing education and reading resource material
• Other innovative and progressive duties as assigned

Skills and Education

• 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

Company Benefits and Perks

• Joining Infinx comes with an array of benefits, including flexible work hours and a genuine sense of belonging to a dynamic and growing organization.