Job Details

Senior Auditor, Billing Compliance

At Memorial Sloan Kettering (MSK), our Compliance team ensures the highest standards of integrity and accountability across our institution. As a Senior Auditor, Billing Compliance, 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

• Bachelor's degree with 4+ years' experience in billing, coding (Evaluation & Management focus), and compliance audits

• 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

Pay Range: $90,700.00 - $145,300.00 FSLA Status: Exempt

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.