Revenue Integrity Analyst II

Memorial Sloan Kettering Cancer Center•New York, NY

2d•$83,800 - $134,000•Hybrid

About The Position

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.

Requirements

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.
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.

Nice To Haves

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

Responsibilities

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.