Seattle Cancer Care Alliance (SCCA) brings together the leading research teams and cancer specialists of Fred Hutch, Seattle Childrens, and UW Medicine. One extraordinary group whose sole mission is the pursuit of better, longer, richer lives for our patients. SCCA's purpose 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.
Every individual at SCCA plays a unique role in supporting our mission. Our collective success hinges on each of us conducting ourselves in accord with a set of core values:
We are patient-centered. Everything we do must be linked to our ability to deliver better, safer outcomes for our patients.
We are innovative. We nurture an environment that fosters unconventional thinking, a passion for discovery, and the open-mindedness to invite discovery from unexpected places.
We are respectful. We are deeply respectful of our patients, their families, and each of our colleagues who serve them in so many different and important ways.
We are collaborative. We understand that asking for and offering help in how to do better is not just a right, but among our most important responsibilities.
We are agile. We cannot just be comfortable with change; we must embrace it as proof that we are making progress.
We are responsible. Because our work is focused on people's well-being, we approach it with the highest level of ethical, fiduciary, and environmental responsibility.
This is an extraordinary opportunity to lead disruptive continuous innovations in the fight against cancer.
Under the direction of the Senior Manager, Clinical Billing Integrity this position performs daily activities required to fulfill the goals, audit plans, work plans, initiatives, and duties of the Integrity Program with a specific focus on billing, coding, and documentation.
Assist the Senior Manager, Clinical Billing Integrity in executing an effective auditing and monitoring plan by supporting clinical billing audits and investigations
Receive and respond to inquiries, requests for consultation, and complaints
Assist in the preparation of written reports of audit findings/results, including recommendations for improvement and corrective actions (e.g., education, training, or disciplinary action)
Provide feedback on results of auditing and monitoring activities to operational departments, staff, and practitioners
Assist in conducting risk assessments, identify high risk areas and communicate results to Director and Corporate Integrity Officer
Assist in the development, implementation and maintenance of privacy policies and procedures
Develop standard education, training and reports to communicate regulatory requirements, internal and external enforcement trends. Provide reports on these activities to the Director for reporting to the Clinical Billing Integrity Committee (CBIC)
Perform other duties as may be assigned
Bachelor's Degree in Business administration or health care related field
Minimum of three years experience in billing and coding operations or compliance
Extensive knowledge of APC's, ICD-9-CM (diagnosis), CPT and HCPCS coding principles and guidelines
Excellent oral and written communication skills including the ability to present findings and recommendations effectively
Proficiency with electronic medical record systems, databases, and related automated systems. CERNER (ORCA), EPIC, COGNOS and Mede-Analytics are a plus
Coding, documentation, and reimbursement content area expertise in one or more of the following: utilization management, medical necessity, inpatient coding, or outpatient coding
Proficiency with MS Office applications (Excel, Word, Outlook, PowerPoint)
Strong critical thinking and data analysis abilities. Demonstrated attention to detail
Comprehensive knowledge of federal and state regulations related to medical record documentation, coding, and billing
Ability to independently prioritize and organize work efficiently
Certified Professional Coder-Hospital (CPC-H) and/or Registered Health Information Administrator (RHIA) or Technician (RHIT)
Facility billing experience
Knowledge of coding billing compliance requirements
Demonstrated proficiency in project management and tools
Excellent organizational skills
Working Knowledge of data analytics and software tracking mechanisms for compliance issues
Experience with report generation for analyzing and presenting data
Ability to develop and maintain collaborative working relationships with all departments involved in the audit and investigation process
Ability to collaborate with others in seeking resolutions of problems
Ability to exercise strict confidentiality with all aspects of the position
Ability to gather information from multiple sources in order to gain a thorough understanding of problems/issues under investigation
Our Commitment to Diversity
We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, 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 email@example.com or by calling 206-667-4700.
At Fred Hutchinson Cancer Research Center, teams of world-renowned scientists and humanitarians work together to prevent, diagnose and treat cancer, HIV/AIDS and other diseases. Researchers are discovering new ways to detect cancers earlier, improve treatments, and learn how to prevent cancers from growing. Although Fred Hutchinson opened its doors in 1975, its history began about 20 years before that. In 1962 Fred Hutchinson envisioned a center devoted to studying cancer, a disease that took his brother’s life. Today Fred Hutchinson is contributing to the next waves of breakthrough treatments and prevention strategies. Fred Hutchinson collaborates with the Seattle Cancer Alliance, the National Cancer Institute, and the University of Washington.