The Seattle Cancer Care Alliance (SCCA), located in Seattle, Washington, is part of a dynamic collaboration among three organizations known nationally and internationally for their patient care and research: Fred Hutchinson Cancer Research Center, University of Washington, and Seattle Children's. Over the past 25 years, these institutions have worked together to support their mission of adult and pediatric oncology patient care services, research and education.
This Revenue Cycle Department Role provides data analysis and interpretation to support the departments EPIC Destination 1 initiatives. This role collaborates with Revenue Cycle and Clinical Leadership to support the implementation of EPIC Destination 1 related to coding and charge capture. Provides medical staff and others ongoing education and information regarding documentation guidelines for supporting medical necessity. Responsible for abstracting facility services to ensure appropriate code assignment of CPT and ICD10 codes while maintaining department coding productive standards.
Epic Coding and Charge Capture Operations:
Responsible for provider and nursing missing documentation deficiency review and reporting
Performs Q/A coding audits and other special project audits related to coding and charge capture
Recommend or educate others on policies regarding the proper use of CPT Codes, modifiers and diagnosis codes in order to comply with regulations set forth by Medicare, Medicaid, Managed Care, PPO Contracts, Indemnity Insurers, and all other healthcare payers. This may include distribution of guidelines to providers.
Collaborate with clinical departments, Compliance, Quality and Revenue Cycle to improve any process gaps identified in front end charge capture processes.
Monitors assigned work queues and reviews accounts for coding and or charge capture edits
Serve as a resource during the Epic Care (D1) project and stabilization
Other duties as assigned
Reviews documentation for appropriate diagnosis and procedure code assignment for facility visits using the ICD-10-CM, CPT, and HCPCS coding systems.
Meets or exceeds productivity and quality standards.
Works independently and takes initiative to identify opportunities to maximize efficiencies.
Ensures coding compliance by applying all coding principles and guidelines
Responds to billing and coding questions from providers, staff and administrators
Provides follow-up related to clinical documentation clarification to support medical necessity
Associate's degree or an equivalent combination of education and CDI experience
RHIA, RHIT, CCS, CPC, COC, CCS-P
Minimum of 2 years of certified coding and hospital and billing experience including appeals, denials and payor policies/guidelines
Ability to work independently and as part of a team, organize, and prioritize concurrent responsibilities and demands
Excellent communications and interpersonal skills
Strong presentations skills
Ability to collaborate and engage others
Ability to analyze data and provide appropriate interpretation
Ability to apply critical thinking and analytic skills to formulate recommendations and resolve problems
Ability to utilize resources for process improvement
CDI, case management/utilization review experience
Minimum of 2 years in education and training of medical providers regarding coding and documentation guidelines. Experience may be substituted for a Bachelor's degree in a medical field of study along with required certification.
Prior experience working with clinical professionals
Prior oncology or transplant coding, prior training experience, surgical and infusion coding
EPIC HB, 3M encoder, ORCA experience
We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We are proud to be an Equal Opportunity and VEVRAA Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability, marital or veteran status, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to our Employee Services Center at firstname.lastname@example.org or by calling 206-667-4700.
The Seattle Cancer Care Alliance was incorporated in 1998 as a separate, jointly governed non-profit that included the cancer programs of three partners. Seattle Cancer Care Alliance is a cancer treatment center that unites doctors from Fred Hutchison Cancer Research Center, University of Washington Medical Center, and Seattle Children’s. The purpose of this organization is to provide state-of the-art patient and family centered care; support the conduct of cancer clinical research and education; enhance access to improved cancer interventions; and advance the standard of cancer care regionally and beyond. The Seattle Cancer Care Alliance is the only NCI-designated comprehensive cancer center in the Northwest, and according to the National Cancer Data Base, Seattle Cancer Care Alliance patients in general have better survival rates than patients treated at other cancer treatment centers.