Senior Healthcare Coding & Billing Compliance Specialist (Auditor)
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 pursueour missionat MSK and around the globe. Exciting Opportunity at MSK: Senior Healthcare Coding & Billing Compliance Specialist (Auditor) At Memorial Sloan Kettering (MSK), our Compliance team ensures the highest standards of integrity and accountability across our institution. As a Senior Healthcare Coding & Billing Compliance Specialist (Auditor), you'll help safeguard MSK by conducting audits, monitoring documentation practices, supporting staff education, and ensuring adherence to billing, coding, and regulatory requirements. Role Overview
- Support prevention and detection of non-compliance across MSK, state, and federal policies
- Conduct compliance audits, reviews, and assessments of billing, coding, and documentation practices
- Analyze, oversee, and monitor physician documentation for compliance with guidelines and MSK policy
- Manage inquiries, including intake, fact-gathering, analysis, and reporting of compliance matters
- Review and approve complex external activities, such as data sharing and third-party audits
- Prepare, assemble, and present audit results to clinicians, Service Chiefs, and administrators
- Deliver compliance outreach, trainings, and awareness programs for staff and clinicians
- Respond to inquiries by interpreting billing, coding, and regulatory requirements
- Contribute to the drafting and implementation of compliance-related policies, guidelines, and SOPs
Key Qualifications
- Active coding certification (AAPC, AHIMA) required; strong expertise in billing and coding rules
- Proven experience researching and resolving billing, coding, and compliance issues
- Strong background in regulatory compliance, investigations, and audits within healthcare or academic medicine
- Demonstrated ability to manage confidential, sensitive matters with discretion and professionalism
Core Skills
- Advanced analytical, investigational, and problem-solving skills
- Strong written and oral communication skills, including the ability to present and train clinicians
- Effective interpersonal and conflict management skills for working with diverse stakeholders
- Excellent organizational and time-management skills to prioritize multiple initiatives
Additional Information:
- Location: Remote
- Schedule: Monday - Friday, 9 am - 5 pm
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Pay Range: $90,700.00 - $145,300.00 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. Apply tot his job Apply To this Job