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Puyallup Tribal Health Authority

Tribal health clinic serving Native communities

Medical Coder and Biller

Clinical Support & Patient AdministrationUpdated on Nov 13
Full-timeFife, WA, USA$28 - $34.66 /hrIn-person

About the Job

Requirements

  • A professional coding certification (CPC or CHONC) is required.
  • At least 5 years of professional medical coding and revenue cycle experience is required.
  • Demonstrated expertise reviewing medical records and physician documentation and independently assigning CPT, HCPCS, and ICD-10 codes is required, including knowledge of oncology, hematology, infusion, specialty coding, oncology pharmaceuticals, and J-code reimbursement.
  • At least 5 years of hands-on billing, denial management, payment posting, and reconciliation experience is required, including electronic claims submission and knowledge of payer-specific billing requirements.
  • At least 2 years of experience reviewing, correcting, and resolving claim errors, coding-related denials, rejected claims, underpayments, and patient account issues is required, including identifying root causes and implementing corrective action.
  • A strong understanding of medical coding guidelines, payer requirements, documentation standards, and reimbursement practices is required, including the ability to identify discrepancies, missing documentation, and coding errors that may impact reimbursement.
  • Demonstrated proficiency using electronic health record systems and electronic claims processing platforms is required.
  • Strong analytical and problem-solving skills related to coding, billing, and revenue cycle functions are required.

Responsibilities

  • Accurately assign ICD-10-CM, CPT, and HCPCS codes for oncology services, including hematology conditions, chemotherapy, infusions, and immunotherapy.
  • Review provider documentation for completeness, accuracy, and compliance.
  • Prepare and submit clean claims to reduce denials and optimize reimbursement.
  • Investigate and resolve claim denials, including managing appeals through final determination.
  • Conduct infusion billing audits to ensure proper documentation of drug usage and waste.
  • Track coding trends, identify compliance risks, and recommend improvements.
  • Collaborate with providers, clinical staff, and finance teams to support revenue cycle operations.
  • Serve as a subject matter expert on coding, billing practices, and payer requirements.
  • Help resolve patient billing questions with professionalism and empathy.

About the Company

Puyallup Tribal Health Authority

Tribal health clinic serving Native communities

Puyallup Tribal Health Authority is a tribally chartered clinic serving eligible American Indian and Alaska Native residents of Pierce County, Washington. Its medical, dental and behavioral health services connect outpatient treatment with preventive care and local community health programs. Patients also receive pharmacy, laboratory and X-ray services, while a referral program arranges eligible care outside the clinic. The authority operates under a self-determination contract with the federal Indian Health Service and supplies direct services free of charge to eligible local patients. It opened in 1976 and is headquartered in Tacoma, Washington.

Company size
201-500
Company stage
Not listed
Total funding
Not listed
Headquarters
Tacoma, WA
Founded
1976

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