Lead Clinical Data Specialist

About the role

Exciting Opportunity Join Memorial Sloan Kettering Cancer Center as a Lead Clinical Data Specialist and help advance accurate, compliant clinical coding across Radiology. In this high-impact role, you will combine deep coding expertise, data quality leadership, team mentorship, and systems collaboration to strengthen reimbursement, reporting, research, and operational excellence across MSK enterprise-wide initiatives.

Responsibilities

• Review inpatient and outpatient encounters and assign accurate ICD-10-CM and CPT-4 codes in accordance with established coding principles, departmental policies, and Medicare requirements
• Analyze medical records, diagnoses, procedures, complications, and treatment details to capture complete and appropriately specific clinical data
• Identify and 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, collaborate with 3M CEE, submit technical tickets, and assist with system testing, coding-rule adjustments, and connection issues
• Collaborate with areas such as Nuclear Medicine, General Radiology, Interventional Radiology and Breast modalities to 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

Qualifications