Lead Clinical Data Specialist

Exciting Opportunity

Join Memorial Sloan Kettering Cancer Center as aLead Clinical Data Specialistand help advanceaccurate, compliant clinical coding across Radiology. In this high-impact role, you will combine deep codingexpertise, data quality leadership, team mentorship, and systems collaboration to strengthen reimbursement, reporting, research, and operational excellence across MSK enterprise-wide initiatives.

Role Overview

• Review inpatient and outpatient encounters and assignaccurateICD-10-CM and CPT-4 codesin accordance withestablished coding principles, departmental policies, and Medicare requirements

• Analyze medical records, diagnoses, procedures, complications, and treatment details to capture complete and appropriately specific clinical data.

• Identifyand correct improper codes to support medical and legal accuracy, regulatory reporting,appropriate reimbursement, research, planning, and statistical analysis.

• Investigate coding inconsistencies, inaccuracies, omissions, billing rejections, and denials, providing supporting documentation and follow-up as needed.

• Partner with HIM leadership, physicians, Revenue Integrity, Patient Billing, and Radiology leadership to resolve documentation and coding issues.

• Lead, train, and mentor Clinical Data Specialists, review their work and explain coding rationales to strengthen quality and productivity.

• Serve as a primary administrator for CodeAssist,collaboratewith 3M CEE,submittechnical tickets, andassistwith system testing, coding-rule adjustments, and connection issues.

• Collaborate with areas such as Nuclear Medicine,GeneralRadiology, InterventionalRadiology and Breastmodalitiesto improve coding and documentation.

• Support advanced special projects,including charge master maintenance, charge mapping, fee coordination, coding updates, rejection correction, and year-end code changes.

Key Qualifications

• High school diploma or GEDrequired.

• Four to seven years of professional coding experiencerequired.Radiologycodingpreferred.

• Current certified coding credentialrequired, e.g., CPC, CCS, CCS-P

• Advanced knowledge of ICD-10-CM and CPT-4 coding guidelines, with the ability to apply codes at the level of specificityrequiredfor compliant billing and reporting.

• Experience reviewing inpatient and outpatient encounters, Radiology medical records, billing rejections, coding edits, and clinical documentation preferred.

• Proficiencyusing coding, clinical, billing, and reporting systems, including Excel. ExperiencewithEpic, HIS,CodeAssistor comparable platforms is highly relevant.

Core Skills

• Expert judgment and attention to detail:Consistently interprets complex clinical information and producesaccurate, compliant coding without compromising productivity.

• Leadership and mentorship:Guides coders through constructive review, practical training, and clear explanations of coding decisions.

• Analytical problem-solving:Recognizes recurring errors, investigates root causes, and recommends systematic improvements that strengthen quality and reimbursement outcomes.

• Collaboration and communication:Builds effective working relationships with HIM leadership, physicians, , ,Revenue Integrity,Patient Billing, technical teams, and clinical departments.

• Accountability and continuous learning:Meets established quality and productivity standards,maintains accuratereporting, and shares knowledge gained through advanced coding education.

Additional Information:

• Schedule:8Flexed hoursstarting at 7am. During training: 8am to 4pmMondays through Fridays.

• Work type: Remote

• Reports to: Manager II, Health Information Management

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