Revenue Integrity Analyst II

Memorial Sloan Kettering Cancer Center•New York, NY

1d•Hybrid

About The Position

The Revenue Integrity Analyst II serves as a coding and revenue cycle subject matter expert, supporting accurate charge capture, diagnostic coding, billing compliance, and financial integrity across Memorial Sloan Kettering Cancer Center. The role partners with clinical, coding, and operational teams to optimize charging workflows, maintain regulatory compliance, and strengthen reimbursement outcomes. The analyst reviews Charge Description Master (CDM) records, investigates coding and charging discrepancies, resolves Revenue Integrity tickets, and evaluates Epic work queues, coding edits, and charge review reports to identify reimbursement risks and revenue leakage. The position also supports coding updates and regulatory changes, educates stakeholders, and presents audit findings and process-improvement recommendations to leadership and governance committees. The role is hybrid, primarily remote, with on-site work as needed at 633 Third Avenue in New York, NY. The schedule is 9:00 AM–5:00 PM EST, Monday through Friday. The position reports to the Director, Revenue Integrity. The stated pay range is $83,800–$134,000, and the position is classified as exempt.

Requirements

Bachelor's degree or an 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 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 in a complex healthcare environment.
Demonstrated experience analyzing coding edits, denials, charge reconciliation issues, and reimbursement impacts.
Advanced analytical skills 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.
Strong organizational, problem-solving, and cross-functional collaboration skills, with a focus on accuracy, accountability, and continuous process improvement.

Nice To Haves

Epic experience and familiarity with revenue cycle applications, coding work queues, and charge review tools.

Responsibilities

Serve as a subject matter expert on revenue integrity, charge capture, diagnostic coding, and billing compliance.
Review 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 involving 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 support 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.
Conduct coding education, training, and audit feedback sessions to drive sustainable improvements.