Overview

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world's deadliest diseases and make life beyond cancer a reality.

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. These values are grounded in and expressed through the principles of diversity, equity and inclusion. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. Fred Hutch is in pursuit of becoming an anti-racist organization. We are committed to ensuring that all candidates hired share our commitment to diversity, anti-racism and inclusion.

The Radiation Oncology Coding Specialist is responsible for ensuring all services rendered in the clinical setting are captured timely, coded accurately, and complies with the Official Coding Guidelines in ICD-10-CM and CPT coding conventions to assign for diagnoses and procedure codes for Fred Hutch outpatient-hospital facility services. This position will collaborate with the denials prevention team to resolve coding-related denials and work closely with the authorizations team to ensure proper authorizations are requested. This position will code and abstract from the electronic medical record to support the appropriate reimbursement, clinician documentation improvement, clinical effectiveness, outcome studies, and research to meet regulatory accreditation requirements for state and federal reporting and other external reporting purposes.

Responsibilities

• Responsible for managing the Radiation Oncology facility and professional revenue charge capture.
• Research appropriate documentation standards and coding standards to maximize reimbursement of services rendered.
• Analyzes and review medical record documentation for the purpose of assigning code sets to the documentation for submission to insurance payers.
• Queries physicians, physician assistants, advance practice provider, and other clinicians for documentation and charge capture accuracy.
• Knowledge and expertise necessary to perform the query process to clarify and confirm clinical documentation.
• Initiate high-level decision-making by auditing facility services according to the rules and regulations established through CMS and the AMA.
• Coding encounters with the proper codes and modifiers for billable facility services utilizing ICD-10-CM, CPT, and HCPCS codes sets in accordance with coding guidelines, federal and state regulations.
• Codes for 100% of medical records/encounters for each assigned clinic or encounter type with 95% coding accuracy as demonstrated by quarterly coding audit.
• Codes for 100% of medical records/encounters for each assigned clinic or encounter type daily with recommended productivity standard as set forth by Coding Manager.
• Utilize time management to ensure that all codes are audited and correctly entered or added. All edits are resolved timely.
• Alert coding educator, supervisor, and/or manager of coding in identifying and analyzing problems or issues that prevent coding of encounters.
• Maintain Continue Education Units ("CEUs"): For credentials/certifications and education to stay current with all coding and skills to accurately abstract and code medical encounters and records.

Qualifications

Required:

• Bachelor's degree or equivalent combination of education and experience.
• Minimum 4 years Radiation Oncology professional and outpatient facility coding (ICD-10-CM, HCPCS, and CPT) and facility modifiers in Mosaiq.
• Prior experience reviewing clinical documentation, and entering, manipulating, and tagging charges in Mosaiq.
• ROCC and CPC or COC, or CCS-P
• Working knowledge of all facets of the role, relevant regulations, and organization and departmental policies and procedures for Radiation Oncology services.
• Analysis & Critical Thinking: problem solving; analysis; independent decision making and judgment; time management and ability to prioritize multiple tasks; high-level of organization; detail oriented.
• Effectively manage own time, conflicting priorities, stress, and professional development.
• Ability to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.
• Ability to collaborate across various levels of management, departments and teams.
• Knowledge of insurance plans, CCI, and LCD/NCDs.
• Strong interpersonal skills including effective verbal and written communication.
• Knowledge of medical terminology, Anatomy, and Physiology.

Preferred:

• Bachelor's degree.
• RHIT or RHIA
• Experience in Hematology/Oncology outpatient facility coding (ICD-10-CM, HCPCS, and CPT) and facility modifiers.
• Epic HB Module
• Encoders

A statement describing your commitment and contributions toward greater diversity, equity, inclusion, and antiracism in your career or that will be made through your work at Fred Hutch is requested of all finalists.

The hourly pay range for this position is from $30.65 to $43.64 and pay offered will be based on experience and qualifications.

Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks), and partially paid sabbatical leave (up to 6 months).

Our Commitment to Diversity