Oncology Medical Coder & Biller — On-Site

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

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.