Medical Coder and Biller

Salish Cancer Center; Fife (WA); On-site; USD 58,000 - 72,000; Full time

Job summary

Salish Cancer Center in Fife, WA, is seeking a skilled Medical Coder & Biller with oncology experience to join our revenue cycle team. In this on-site, full-time role, you will code ICD-10-CM, CPT, and HCPCS for hematology/oncology services, review documentation for accuracy and compliance, and prepare clean claims to maximize reimbursement.

You’ll also investigate denials, support coding audits, and collaborate with clinicians and finance staff to strengthen revenue integrity.

Qualifications

• 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 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, identifying root causes and corrective actions.
• Strong understanding of medical coding guidelines, payer requirements, documentation standards, and reimbursement practices.
• Demonstrated proficiency using EHR systems and electronic claims processing platforms, with strong analytical and problem-solving skills related to coding, billing, and revenue cycle functions.

Responsibilities

• 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

Skills

oncology coding

denial management

EHR systems

claims processing

problem solving

Education

Professional coding certification (CPC or CHONC)

Tools

EHR systems

Electronic claims processing platforms

Job description

Description

Integrative Medicine with Purpose, Compassion, and Impact.

Location: Salish Cancer Center | Fife, WA | On-Site

Status: Full-Time | 1.0 FTE | 40 Hrs/Wk

Hiring Range: $28.00 - $34.66 per hour

Position Close Date: October 2, 2026

At 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, in0cluding 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?

You’ll be part of a passionate, multidisciplinary team dedicated to transforming the lives of those touched by cancer. We blend state-of-the-art oncology care with integrative, patient-centered approaches that support the whole person — body, mind, and spirit.

• 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. If you are passionate about integrative oncology and want to make a meaningful impact in a collaborative and community-focused environment, we would love to hear from you.

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