Senior Manager - Revenue Integrity Compliance & Education
About The Position
At Memorial Sloan Kettering, this Senior Manager – Revenue Integrity Compliance & Education role provides enterprise leadership in billing compliance, audit oversight, and provider education. The position partners across clinical, revenue, compliance, and technology teams to strengthen compliant charge capture, reduce risk, and drive sustainable operational excellence in support of MSK’s mission to end cancer for life. Serve as enterprise subject matter expert for Revenue Integrity compliance, regulatory interpretation, and audit strategy. Lead compliance monitoring programs assessing charging, documentation, and billing practices for regulatory and payer adherence. Own internal and external audit lifecycle activities, including readiness, response coordination, remediation, and follow-up. Design and deliver comprehensive provider and operational education programs aligned to audit findings and regulatory updates. Create scalable educational content including presentations and reference materials for clinical teams. Act as senior consultant and escalation resource for complex billing, documentation, and Epic workflow cases. Partner with departments to identify root causes and influence sustainable practice change. Provide compliance oversight of charge master review and Epic revenue workflow optimization. Operate as a leadership-level individual contributor, influencing outcomes through expertise rather than direct management.
Requirements
- Extensive experience in healthcare billing compliance, audit management, and regulatory interpretation.
- Prior leadership or management experience with enterprise-level accountability and decision-making authority.
- Deep knowledge of federal and state billing regulations, payer requirements, CMS guidance, and audit standards.
- Demonstrated experience designing and delivering provider education and training programs.
- Advanced familiarity with Epic revenue workflows, charge capture processes, and compliance monitoring tools.
- Strategic thinking and systems-level problem solving across complex operational environments.
- Influential communication and stakeholder engagement to drive behavioral and workflow change.
- Analytical rigor with strong judgment in high-risk regulatory and compliance scenarios.
- Ability to operate independently while aligning tightly with organizational priorities and governance standards
Responsibilities
- Serve as enterprise subject matter expert for Revenue Integrity compliance, regulatory interpretation, and audit strategy.
- Lead compliance monitoring programs assessing charging, documentation, and billing practices for regulatory and payer adherence.
- Own internal and external audit lifecycle activities, including readiness, response coordination, remediation, and follow-up.
- Design and deliver comprehensive provider and operational education programs aligned to audit findings and regulatory updates.
- Create scalable educational content including presentations and reference materials for clinical teams.
- Act as senior consultant and escalation resource for complex billing, documentation, and Epic workflow cases.
- Partner with departments to identify root causes and influence sustainable practice change.
- Provide compliance oversight of charge master review and Epic revenue workflow optimization.
- Operate as a leadership-level individual contributor, influencing outcomes through expertise rather than direct management.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
