Mendry · Florida 501(c)(3) Nonprofit · Veteran-Built & Independent

Mendry

DCSP Hub · Hub 07

Role

of 10

Medical Coding & Documentation Integrity

Translating clinical care into compliant claims

AAPC

CPC · COC · CPMA · CRC

AHIMA

CCS · CCS-P · CDIP · RHIA · RHIT

NCRA

CTR

ACDIS

CCDS

State Boards

Coding Compliance

01 Cancer Registrar (CTR) A Cancer Registrar (CTR) abstracts and codes oncology cases for cancer registries… Reading 02 Clinical Documentation Integrity (CDI) Specialist A Clinical Documentation Integrity (CDI) Specialist works at the intersection of clinical… Up Next 03 Coding Auditor A Coding Auditor conducts coding audits — reviewing samples of coded encounters… Series 04 HCC Coding Specialist An HCC Coding Specialist focuses specifically on Hierarchical Condition Category coding work… Series 05 Inpatient Coder An Inpatient Coder assigns ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes for… Series 06 Outpatient Coder An Outpatient Coder assigns CPT and HCPCS procedure codes plus ICD-10-CM diagnosis… Series 07 Professional Fee Coder A Professional Fee Coder assigns CPT and ICD-10-CM codes for physician and… Series 08 Registered Health Information Administrator (RHIA) A Registered Health Information Administrator (RHIA) holds the senior HIM credential awarded… Series 09 Registered Health Information Technician (RHIT) A Registered Health Information Technician (RHIT) holds the foundational HIM credential awarded… Series 10 Risk Adjustment Coder A Risk Adjustment Coder specializes in coding for Medicare Advantage, ACA Marketplace,… Series

DCSP Hub · Medical Coding & Documentation Integrity

Role

of 10

Cancer Registrar (CTR)

A Cancer Registrar (CTR) abstracts and codes oncology cases for cancer registries that track cancer incidence, treatment, and outcomes. Cancer registries support hospital cancer programs, state-level cancer surveillance, and national cancer research databases. The work is highly specialized — requiring deep oncology knowledge, mastery of cancer-specific coding (ICD-O for tumor topography and morphology), and understanding of cancer staging systems (TNM, AJCC). The credential is hospital-specific because most cancer registrars work in hospital cancer programs.

How This Work Happens

Cancer registrar work happens in three places: as a hospital or health-system employee, as a contractor working through a practice management or services company, or as an independent business owner. This page covers all three so you can choose the path that fits your life.

Mendry supports the third path. We are a Florida 501(c)(3) membership platform full of opportunities — not an employer, not a placement agency. We list independent professionals so the practices that need them can find them. Your business. Your contracts. Your rates. Your decisions.

MEMBER ACKNOWLEDGMENT

Membership in Mendry’s DCSP Network is built on these understandings about your business.

Fifteen points. Read carefully. This is the agreement.

You set your own rates. Mendry does not suggest, publish, recommend, or facilitate the sharing of rate information between members.

You bill your own clients and collect your own payment. Mendry does not invoice, collect, hold, distribute, or process payment between you and your clients.

You hold and maintain current professional liability and errors-and-omissions insurance appropriate to your specialty. Mendry does not insure you, indemnify you, or provide coverage of any kind.

You handle your own taxes as an independent business. Mendry does not withhold, report, file, or remit taxes for you. You are responsible for federal, state, and local tax obligations including estimated quarterly payments.

You sign your own contracts directly with your clients. Mendry is never a party to, signatory of, or guarantor of your client agreements, and Mendry does not negotiate, review, or approve your contract terms.

When your work touches Protected Health Information (PHI), you execute a Business Associate Agreement (BAA) directly with each client before beginning work. Mendry is never a party to your BAAs, and Mendry’s website never touches, stores, or transmits PHI.

You hold and maintain all federal, state, and local business licenses, registrations, and certifications your business and work require. Mendry does not verify licenses on your behalf or vouch for your licensure status.

You complete the continuing education your credential requires and maintain current documentation. Mendry does not track CE on your behalf, report CE to credentialing bodies, or guarantee that your CE meets any specific requirement.

You carry full professional responsibility for the quality, accuracy, and timeliness of your work product. Errors, omissions, missed deadlines, and quality disputes are between you and your client. Mendry does not mediate, intervene, indemnify, or carry any liability for your work.

You market your own business and represent yourself accurately to clients. You do not represent yourself as employed by, certified by, endorsed by, or operating under the authority of Mendry. You may accurately state that you are a listed member of the Mendry DCSP Network.

Your professional relationships are with your DCP clients. You do not have a direct service relationship with veterans through Mendry, and Mendry does not refer veterans to you as patients or clients.

You maintain your own client records, working files, and business records on systems and tools you control. Mendry does not host, back up, store, or have access to your client files or business data.

Your membership in the DCSP Network is conditional on maintaining current credentials, insurance, licenses, and good standing. Mendry may suspend or terminate your directory listing if these standards lapse.

Your membership fee pays for your listing and the educational resources Mendry provides. It does not buy referrals, leads, work, or placement, and is not refundable based on the work you do or do not receive.

You are a member of an independent professional directory. You are not an employee, contractor, agent, partner, joint venturer, or representative of Mendry. Mendry does not direct, supervise, control, schedule, or assign your work.

What This Really Means

The same fifteen points — explained the way a friend would explain them.

01 You decide what to charge.

You research what other professionals in your specialty charge. You look at job boards. You ask peers. You decide what your work is worth, and you tell your clients that number. Mendry does not tell you what to charge. We do not share rate information. That keeps us out of antitrust trouble and keeps you free to price your work the way you choose.

02 You send the bill. You collect the money.

Every month, you send your client an invoice. The client pays you directly — usually by ACH bank transfer or check. Mendry does not touch the money. We never see your invoices. We never collect for you. Money flows from client to you. Period.

03 You buy your own insurance.

Professional liability insurance protects you if a client says your work cost them money. Errors and omissions insurance protects you if you make a mistake in your work product. Every working DCSP needs both. You shop for it. You pay for it. You keep it current. Mendry does not insure you, and the directory does not list you as covered by us.

04 You pay your own taxes — four times a year.

As an independent business, you pay estimated taxes every quarter — April, June, September, and January. You file a Schedule C with your tax return. Mendry does not withhold anything. We do not report your income to the IRS. You are responsible for tracking your income, your expenses, and your tax payments. A bookkeeper or CPA pays for itself.

05 You sign your own contracts.

Every client gives you a contract — sometimes called a Master Service Agreement or a Statement of Work. You read it. You sign it. If something looks off, you take it to your own attorney. Mendry does not read your contracts, does not negotiate them, and is not a party to them.

06 You sign a BAA with every client before you start.

When your work touches information about real patients — their names, dates of birth, diagnoses — that information is called PHI. Before any client lets you near their patient information, you sign a Business Associate Agreement. Every client. Every time. Mendry’s website never touches PHI — we educate you about it, that’s it.

07 You hold your own business licenses.

Some states require a business license to operate. Some cities require a local one. You research what your state and city require, and you hold whatever licenses apply. Mendry does not verify your licenses for you — the verification badge on your directory profile reflects what you upload, not what we check with the state.

08 You keep your credentials and CE current.

Your professional credential needs continuing education hours to stay active. You complete the CE. You track the hours. You report them to your credentialing body. Mendry does not report for you and does not guarantee your CE is enough — that’s between you and your credentialing body.

09 You own the quality of your work.

If you make a mistake in your work, the client may lose money. They may ask you to fix it. They may charge you for the loss. Your insurance and your reputation handle this — not Mendry. Build clean files. Communicate well. Hit your deadlines.

10 You market yourself accurately.

You can tell clients: “I am a listed member of the Mendry DCSP Network.” That is accurate. You cannot tell clients: “I work for Mendry” or “Mendry certified me.” Stick to “listed member of the directory.”

11 Your clients are DCP practices. Veterans are not your clients.

You serve the doctor’s practice or the clinic — the DCP. The veteran is the DCP’s patient, not yours. Mendry does not refer veterans to you. The chain goes: Mendry lists DCPs. DCPs hire DCSPs. DCSPs serve DCPs. You are two steps removed from the patient, which is exactly where you should be.

12 You keep your own records.

Your client files, your invoices, your work product, your tax records — all of it lives on systems you control. Mendry does not host your work. We do not back up your data. Use cloud backup. Treat your business like a real business.

13 Your directory listing is conditional, not permanent.

If your credential lapses, your listing pauses. If your insurance expires, your listing pauses. Membership is a standing — you maintain it by keeping everything current. We send you reminders before things lapse. The directory only works if every member listed is actually current.

14 Your membership fee pays for listing — not for leads.

Mendry does not promise you work. The fee you pay covers your spot in the directory and the educational resources we publish. Whether you win the work after that depends on you — your profile, your responsiveness, your rates, your references. Membership is an opportunity, not a guarantee.

15 You are a member. We are a platform. That is the whole relationship.

Mendry does not employ you. We do not contract with you. We do not represent you. We list you. You operate your business. The line between us is clean and clear — and the clean line is what protects both of us.

What This Role Involves

Cancer Registrars abstract oncology cases. They review the complete oncology medical record — diagnosis documentation, treatment records, follow-up. They abstract case data into cancer registry databases per standards set by national cancer registries (Commission on Cancer for hospital programs, NCI SEER for population surveillance).

Cancer-specific coding and staging matter centrally. Registrars apply ICD-O codes for tumor topography (location) and morphology (cell type). They apply AJCC TNM staging classifications. They follow cancer-specific coding rules that differ from general medical coding.

Long-term follow-up is core specialty work. Cancer registries track patients longitudinally — annual follow-up data on recurrence, additional treatment, vital status. Registrars coordinate follow-up data collection across years and decades.

The Honest Description

The Cancer Registrar role rewards oncology specialty depth and the patience for longitudinal data work. Members who do well in this work enjoy specialty oncology knowledge, take pride in clean cancer registry data, and find satisfaction in supporting cancer surveillance, research, and treatment improvement.

The Core Activities

1

Abstract cancer cases into registry databases

Review complete oncology records. Abstract case data per registry standards.

2

Apply cancer-specific coding (ICD-O)

Use ICD-O for tumor topography and morphology coding.

3

Apply AJCC TNM staging

Apply AJCC staging classifications accurately. Stay current on staging system updates.

4

Coordinate long-term follow-up

Track patients longitudinally for follow-up data collection over years and decades.

5

Support cancer program accreditation

Maintain registry data quality supporting Commission on Cancer accreditation requirements.

Where This Role Appears in the Field

In a hospital cancer program

Hospital Cancer Registrars work within cancer programs supporting Commission on Cancer accreditation. Most cancer registrars work in hospital settings.

In a cancer registry services company

Companies offering cancer registry services to hospital cancer programs.

As an independent contractor

Hospital cancer programs facing registry backlogs or transitions hire independent Cancer Registrars for project-based engagements.

Federal Payer Workflow

VA CCN, TRICARE & CHAMPVA Credentialing

VA hospital cancer programs maintain cancer registries supporting Commission on Cancer accreditation and VA cancer surveillance. Cancer Registrars supporting VA hospital cancer programs need federal payer cancer registry expertise.

VA CCN oncology services involve community cancer care with potential registry coordination. Cancer Registrars working with VA-aligned oncology work bring valuable cross-program expertise.

The two-hat reality. In a two-hat practice, this work runs on two parallel tracks at once — VA Community Care credentialing and claims under federal authority, and state medical cannabis practitioner participation under state authority. The two tracks never share a workflow, but they share a deadline: a lapse on either side stops payment and access on both. Members who can hold both tracks steady at the same time are the ones two-hat practices keep.

Your Roadmap to becoming an independent Cancer Registrar (CTR)

This is the step-by-step path. Follow each step in order.

Step

Complete NCRA-accredited program or eligibility pathway

NCRA offers multiple eligibility pathways including accredited certificate programs and on-the-job training pathways.

Step

Pass NCRA CTR examination

Pass the Certified Tumor Registrar examination.

Step

Build hospital cancer registry experience

Most independent Cancer Registrars have 2 to 4 years of hospital cancer registry experience.

Step

Set up your business

Step

Get professional liability insurance

Errors and omissions coverage.

Step

Sign HIPAA Business Associate Agreements

Every client signs a BAA.

Step

Find your first client

Hospital cancer programs with registry backlogs or transitions are natural first clients.

Step

List in the Mendry DCSP Network

Position yourself around cancer registry specialty work.

Step

Build your book of business

Cancer Registrars often work with 1 to 2 hospital clients on retainer or project engagements.

Education & Experience Pathways

Members exploring this role typically come into the work through one of these learning paths:

NCRA-accredited certificate programs

NCRA accredits certificate programs designed for cancer registry careers.

Coding and HIM transitions

Experienced coders and HIM professionals with oncology interest can pursue CTR through eligibility pathways.

Military MOS adjacent paths

Military medical administration with documentation experience supports cancer registry transition — 68G (Patient Administration), HM with administrative experience.

The Skill That Distinguishes Strong Specialists

Cancer Registrars who grow fastest are the ones who develop deep expertise in specific cancer types or treatment modalities. Specialty depth in hematologic malignancies, pediatric oncology, or specific solid tumor types creates premium positioning over generalist cancer registry work.

The Realities of the Work

The Cancer Registrar role is highly specialized work with strong job security in hospital cancer programs. Commission on Cancer accreditation requires cancer registry function, creating sustained demand.

It is increasingly remote-work friendly. Most major cancer registry software is cloud-accessible. Compensation reflects the specialized credential and oncology expertise required.

Income — Research the Range

Mendry does not publish specific income figures because numbers vary based on credential, geographic market, employment type, specialty focus, and experience. Here are the authoritative sources to research current income data:

BLS — Medical Records Specialists

BLS occupational data.

bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm

NCRA Compensation Data

National Cancer Registrars Association publishes CTR compensation data.

ncra-usa.org

AHIMA Salary Snapshot

AHIMA data covering registry work.

ahima.org

Indeed & Glassdoor — Real-Time Market Data

Active market data for cancer registrar positions.

indeed.com · glassdoor.com (search "cancer registrar CTR")

How to Know If This Role Fits You

The Cancer Registrar role is a good fit for members who want highly specialized work in oncology data management. Members who can master cancer-specific coding and staging systems. Members who enjoy longitudinal data work. It requires the CTR credential and oncology focus. For the right person with oncology interest, it offers one of the most specialized niches in healthcare administration with strong job security.

About this content. Mendry is a Florida 501(c)(3) nonprofit membership platform. This page is educational and does not constitute medical, legal, financial, or placement advice. Medical coding requirements, code set updates (ICD-10, CPT, HCPCS), and audit standards vary by payer, setting, and code year. Mendry does not employ, place, refer, or supervise coding professionals. All members listed in the DCSP Network operate their own independent businesses, set their own rates, sign their own contracts, and carry their own insurance. Mendry does not provide treatment, prescribe or sell cannabis, complete state forms, or collect PHI. Emergency: 911 · Veterans Crisis Line: 988 (Press 1) · Text 838255.

Your Specialty. Your Business. Your Network.

Mendry lists independent credentialing professionals so the two-hat practices that need them can find them. Your business, your rates, your clients, your decisions — we provide the visibility and the platform.