Medical Coder and Biller

AAPC; Fife (WA); On-site; USD 80,231,000 - 99,315,000; Full time

Job summary

Salish Cancer Center in Washington state seeks an experienced Medical Coder & Biller with oncology expertise to ensure accurate, compliant revenue cycle operations. You will code hematology/infusion services, review documentation, prepare clean claims, and manage denials through final determinations.

The role demands CPC or CHONC certification with 5+ years of coding and billing experience, EHR proficiency, and strong collaboration with clinical and finance teams to support patient care and

Qualifications

• 5+ years of professional medical coding experience.
• CPC or CHONC certification required.
• Experience with oncology, hematology, infusion, and J-code reimbursement.

Responsibilities

• Code with ICD-10-CM, CPT, and HCPCS for oncology services.
• Review provider documentation for accuracy and compliance.
• Submit clean claims and reduce denials.
• Investigate and resolve claim denials and appeals.
• Conduct infusion billing audits and document drug usage/waste.
• Identify coding trends and payer risk, suggest improvements.
• Collaborate with providers, clinical staff, and finance teams.
• Serve as SME for coding and payer requirements.
• Assist patients with billing questions with professionalism.

Skills

CPC

CHONC

Oncology coding

Revenue cycle

Denial management

EHR proficiency

Claims processing

Tools

EHR systems

Claims processing platforms

Job description

Medical Coder & BillerIntegrative Medicine with Purpose, Compassion, and Impact.Location: Salish Cancer Center | Fife, WA | On-SiteStatus: Full-Time | 1.0 FTE | 40 Hrs/WkHiring Range: $28.00 - $34.66 per hourAt Salish Cancer Center, every detail matters, especially when it comes to ensuring patients receive the care they need without unnecessary financial barriers. We're looking for a skilled Medical Coder & Biller with oncology experience to join our team and play a key role in supporting accurate, compliant, and efficient revenue cycle operations.

What You'll Do:

In this role, you'll take ownership of coding and billing processes that directly impact patient care and organizational success. You will:

• Accurately assign ICD-10-CM, CPT, and HCPCS codes for oncology services, including hematology conditions, chemotherapy, infusions, and immunotherapy
• Review provider documentation to ensure completeness, accuracy, and compliance
• Prepare and submit clean claims, reducing denials and optimizing reimbursement
• Investigate and resolve claim denials, including managing appeals through final determination
• Conduct infusion billing audits, ensuring proper documentation of drug usage and waste
• Track coding trends and identify compliance risks, recommending improvements
• Collaborate with providers, clinical staff, and finance teams to support seamless revenue cycle operations
• Serve as a subject matter expert for coding, billing practices, and payer requirements
• Support patient-centered service by helping resolve billing questions with professionalism and empathy

What You Bring:

• Professional coding certification (CPC or CHONC) required, with a minimum of 5 years of professional medical coding and revenue cycle experience.
• Demonstrated expertise reviewing medical records, physician documentation and independently assigning CPT, HCPCS, and ICD-10 codes, including knowledge of oncology, hematology, infusion, specialty coding, oncology pharmaceuticals, and J-code reimbursement.
• Minimum 5 years of hands-on billing, denial management, payment posting, and reconciliation experience, including electronic claims submission and knowledge of payer-specific billing requirements.
• Minimum 2 years of experience reviewing, correcting, and resolving claim errors, coding-related denials, rejected claims, underpayments, and patient account issues, including identifying root causes and implementing appropriate corrective action.
• Strong understanding of medical coding guidelines, payer requirements, documentation standards, and reimbursement practices, with the ability to identify discrepancies, missing documentation, and coding errors that may impact reimbursement.
• Demonstrated proficiency using electronic health record (EHR) systems and electronic claims processing platforms, with strong analytical and problem-solving skills related to coding, billing, and revenue cycle functions.

Why Salish Cancer Center?

• A Mission That Matters. You'll help deliver compassionate care that honors dignity and respect, empowering patients and their families through every stage of their cancer journey. Our mission emphasizes integrity, inclusivity, and healing for everyone touched by cancer.
• Team-Centered, Collaborative Environment. Our providers and staff take pride in their work, going above and beyond to ensure personalized care for every patient. You'll have the opportunity to collaborate with experienced clinicians across medical oncology, naturopathic care, acupuncture, and native healing modalities.
• Integrative and Innovative Care. Salish Cancer Center is known for its integrative approach that combines evidence-based treatments with complementary therapies, including naturopathic medicine and acupuncture, supporting holistic wellness alongside conventional cancer care.
• State-of-the-Art Facility. Our center features a modern infusion suite and on-site pharmacy, with advanced clinical resources that help staff deliver high-quality oncology services in a supportive setting.
• Inclusive Culture and Values. We uphold values of compassion, respect, integrity, and health, and we are committed to an inclusive workplace where every team member and patient feels welcomed and valued.
• Community Impact. As a not-for-profit entity of the Puyallup Tribe, Salish Cancer Center plays a meaningful role in the community - offering hope, support, and care that honors culture, tradition, and individual healing journeys.
• Our team is deeply committed to supporting patients and families with dignity, compassion, and excellence.

In accordance with federal law, Native American Preference in employment applies and job placements are given on a competitive basis, using job related factors.