Exciting Opportunity at MSK: Revenue Integrity Analyst II
At Memorial Sloan Kettering (MSK), our Revenue Integrity team plays a critical role in ensuring accurate coding, charge capture, compliance, and financial integrity, directly supporting MSK's mission to end cancer for life. The Revenue Integrity Analyst II serves as a coding and revenue cycle subject matter expert, partnering with clinical, coding, and operational teams to optimize charging workflows, maintain regulatory compliance, and strengthen reimbursement outcomes across the organization.
Role Overview - Serve as a subject matter expert on revenue integrity, charge capture, diagnostic coding, and billing compliance.
- Perform comprehensive reviews of Charge Description Master (CDM) records to ensure coding accuracy, compliance, and ongoing integrity.
- Investigate coding and charging discrepancies, identify root causes, and implement standardized corrective actions.
- Manage and resolve Revenue Integrity tickets related to coding edits, charge capture issues, CDM maintenance, and billing discrepancies while maintaining clear audit trails.
- Partner with Diagnostic Coding teams, including Radiology and Pathology coders, to ensure accurate application of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines.
- Evaluate Epic work queues, coding edits, and charge review reports to identify reimbursement risks and revenue leakage opportunities.
- Collaborate with Revenue Operations, HIM, Billing, and Clinical departments on quarterly and annual coding updates and regulatory changes.
- Educate clinical departments and operational stakeholders on coding requirements, charge capture accuracy, documentation standards, and compliant billing practices.
- Present coding audit findings, revenue integrity trends, and process improvement recommendations to leadership and governance committees.
Key Qualifications - Bachelor's degree or equivalent combination of education and relevant healthcare revenue cycle experience.
- Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, charge capture processes, and billing compliance requirements especially related to LCD NCD regulations.
- Professional coding certification required or strongly preferred, including CPC, COC, CCS, RHIA, or RHIT.
- Experience collaborating with coding, HIM, revenue cycle, finance, and clinical teams within a complex healthcare environment.
- Demonstrated experience analyzing coding edits, denials, charge reconciliation issues, and reimbursement impacts.
- Epic experience and familiarity with revenue cycle applications, coding work queues, and charge review tools preferred.
Core Skills - Advanced analytical skills with the ability to identify coding trends, documentation gaps, workflow deficiencies, and compliance risks.
- Strong understanding of healthcare reimbursement methodologies, coding regulations, and revenue cycle operations.
- Ability to communicate complex coding and revenue integrity concepts clearly to clinical, operational, and leadership audiences.
- Proven ability to conduct coding education, training, and audit feedback sessions that drive sustainable improvements.
- Strong organizational, problem-solving, and cross-functional collaboration skills with a focus on accuracy, accountability, and continuous process improvement.
Additional Information - Schedule: 9:00 AM - 5:00 PM EST, Monday - Friday
- Location: Hybrid; Primary remote with on site as needed at 633 Third Avenue, New York, NY
- Reporting To the Director, Revenue Integrity
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Compensation Philosophy
Benefits
Pay Range: $83,800.00 - $134,000.00
FSLA Status: Exempt
