Revenue Integrity Analyst II

About Us:

The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursue our mission at MSK and around the globe.

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

Closing :

At MSK, we believe in fair, competitive pay that reflects your job, experience, and skills.

MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.