[5] Ortio returned to North America in 2013–14 and after playing four games with the ECHL's Alaska Aces, won his first nine decisions in the AHL with Abbotsford.

[6] By midseason, he had posted a 19–5–0 record and earned his first recall to the NHL on February 3, 2014, after Calgary's starting goaltender Karri Rämö suffered an injury.

[12] Ortio made his season debut with the Flames on January 10, 2015, against the Vancouver Canucks and recorded his first career NHL shutout in a 1–0 victory.

As a free agent, Ortio left the SHL after two seasons, opting to sign a one-year contract with Russian outfit, HC Vityaz of the Kontinental Hockey League on May 8, 2018.

On 3 October 2019, Ortio as a free agent continued his professional career in Switzerland, agreeing to a one-year contract with the ZSC Lions of the National League (NL).

Ortio left Switzerland after just one season, returning to the KHL by agreeing to a one-year contract with Kazakh club, Barys Nur-Sultan, on 29 May 2020.

Following a first-round defeat in the post-season, Ortio left the KHL and signed for a second stint in the SHL, by agreeing to a two-year contract with newly promoted HV71, on 23 May 2022.

[18] On 16 September 2024, Ortio signed with HC Ässät Pori of the Finnish Liiga short-term through the end of November as an emergency replacement for the team's injured starting goaltender Niklas Rubin.