Lead Clinical Data Specialist

Memorial Sloan Kettering Cancer Center; New York (NY); Remote; USD 49,000 - 76,000; Full time

Benefits offered by this job

Remote work

Job summary

Memorial Sloan Kettering Cancer Center in New York seeks a Lead Clinical Data Specialist to advance accurate, compliant coding across Radiology. You will lead a team, mentor staff, and collaborate with clinical and IT partners to strengthen reimbursement, reporting, and research.

The role requires deep ICD-10-CM and CPT-4 expertise, experience in coding inpatient/outpatient encounters, and strong analytical skills.

Qualifications

• High school diploma or GED is required.
• 4–7 years of professional coding experience is required.
• Radiology coding is preferred.
• Current certified coding credential is required (e.g., CPC, CCS, CCS-P).
• Advanced knowledge of ICD-10-CM and CPT-4 coding guidelines for compliant billing and reporting.
• Experience reviewing inpatient and outpatient encounters, Radiology records, and coding edits is preferred.
• Proficiency with coding, clinical, billing and reporting systems, including Excel.
• Experience with Epic, HIS, CodeAssist or comparable platforms is highly relevant.

Responsibilities

• Review inpatient and outpatient encounters and assign ICD-10-CM and CPT-4 codes per principles and policies.
• Analyze medical records and treatment details to capture complete, specific clinical data.
• Identify and correct improper codes to support accurate reimbursement and regulatory reporting.
• Collaborate 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.
• Serve as primary administrator for CodeAssist and coordinate with 3M CEE; assist with system testing and coding-rule adjustments.

Skills

High school diploma or GED

Professional coding experience (4–7)

ICD-10-CM and CPT-4 coding knowledge

CodeAssist administration

Epic/HIS/CodeAssist familiarity

Coding systems proficiency (Excel)

Radiology coding experience

Education

High school diploma or GED

Tools

Epic

HIS

CodeAssist

Job description

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 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, Interventional Radiology 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,maintainsaccuratereporting, 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
• Helpful Links:Compensation PhilosophyBenefitsPay Range: $35.59 - $55.18 FSLA Status: Non-Exempt Closing: At MSK, we believe in fair, competitive pay that reflects your job, experience, and skills.

Equal Opportunity Statement

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.

Accommodations

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.

Company Highlights

Our multi-disciplinary teams work together to provide exceptional patient care, develop innovative research, and deliver outstanding educational programs. Learn More The people of MSK make this an incredible place to work, grow and make a difference. Discover what makes us unique