Radiation Oncology Revenue Cycle Senior Manager

Overview

Reporting to the Vice President of Radiation Oncology, the Radiation Oncology Revenue Cycle Senior Manager works collaboratively with Radiation Oncology clinical operations leaders, DFCI Patient Financial Services, DFCI Clinical Authorizations & Referrals, Physician Organization leadership, hospital stakeholders, and Dana-Farber network affiliates as a subject matter expert in radiation oncology documentation, coding, charge workflows, and departmental billing compliance initiatives. They are responsible for supporting the Department of Radiation Oncology’s charge capture, billing compliance, coding accuracy, authorization coordination, and reimbursement optimization activities across the department. This role serves as a key operational and financial resource, ensuring that professional and hospital-based radiation oncology services are billed in a timely, complete, and compliant manner.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

Primary Duties and Responsibilities

• Serves as the primary liaison across partner organizations, network collaborative and affiliate radiation oncology sites, and internal stakeholders to ensure consistent radiation oncology billing, charge capture, and revenue cycle workflows across multiple sites. Coordinates issue escalation and resolution to support standardized practices and reduce variation. Provides subject-matter guidance to operational and revenue cycle teams to sustain alignment as workflows and payer requirements evolve.
• Participates in recurring meetings with private payers and medical directors to identify emerging reimbursement and claims processing issues affecting radiation oncology. Investigates root causes, recommends corrective actions, and partners with internal teams to implement solutions. Provides expert consultation on payer policy interpretation, claim requirements, and radiation oncology billing topics.
• Leads the departmental Billing Compliance Committee and drives billing compliance initiatives across professional and technical services. Oversees corrective action plans stemming from audits, compliance reviews, investigations, or self-identified issues, ensuring timely remediation and sustainable process changes. Drafts formal responses to payer and regulatory inquiries related to coding, billing practices, and documentation standards.
• Serves on the Clinical Operations Committee and collaborates with operational leaders to develop and optimize workflows and Carepaths within ARIA that support revenue cycle requirements. Ensures clinical documentation and operational processes translate into accurate, compliant charge capture and billing. Partners with stakeholders to maintain efficient end-to-end workflows across settings and sites.
• Provides expert guidance on radiation oncology professional and technical billing and coding, including documentation requirements, coding standards, and compliance expectations. Educates providers and staff to improve documentation quality, coding accuracy, and regulatory adherence. Supports authorization documentation needs by ensuring required clinical details (e.g., staging, physician notes, dose/treatment information) are complete and audit-ready.
• Maintains and updates the Radiation Oncology Charge Description Master (CDM) to ensure correct CPT/HCPCS codes, modifiers, and units are applied. Ensures charge capture processes produce timely, complete, and accurate billing, including charge/modifier review and ad hoc charge entry and reconciliation as needed. Oversees the daily ARIA-to-Epic interface/upload process to ensure accurate workflow transmission and minimize billing disruption.
• Performs operational and financial impact analyses of coding/billing changes to support budgeting and identify revenue variances. Supports Revenue Cycle teams with A/R work queue follow-up, denials review and resolution, and claims issue investigation in collaboration with internal stakeholders. Serves as the point of contact for patient concerns related to radiation oncology charges and bills, driving timely clarification and resolution.

Knowledge, Skills and Abilities

• Expert knowledge of revenue cycle workflows, including charge capture, coding, claim submission, payment, denial and A/R follow-up.
• Advanced knowledge of CPT, HCPCS, ICD-10-CM (as applicable) and documentation compliance standards.
• Knowledge of regulatory and compliance frameworks (CMS, HIPAA, payer audit processes) and standard audit/appeal expectations.
• Strong analytical and problem-solving skills to identify root causes of charge, coding, reimbursement, and interface issues. Ability to quantify financial impact and develop actionable recommendations.
• Excellent written and verbal communication and stakeholder management skills to align clinical, operations, IT, and revenue cycle partners without direct authority.
• Strong understanding of healthcare and radiation oncology IT systems.
• Ability to work collaboratively across clinical, operational, financial, and compliance teams.
• Ability to prioritize and organize work under stress and time constraints.
• Ability to make and implement decisions independently and as part of a multidisciplinary group.

Minimum Job Qualifications

• Bachelor’s degree required. Master’s degree preferred.
• Minimum of 10–15 years of experience in healthcare billing, coding, compliance, revenue integrity, or reimbursement required.
• Experience with Charge Description Master (CDM) maintenance, charge reconciliation, denials, and audit support required.
• Experience in radiation oncology, oncology, or another complex procedural specialty preferred.
• Familiarity with EPIC, ARIA and radiation oncology clinical workflows preferred.

License/Certification/Registration Required: None

Supervisory Responsibilities: No

Patient Contact: Yes, occasional virtual patient interactions to address patient concerns with radiation oncology charges and bills.

Special Working Conditions: May require travel to affiliate radiation oncology sites.

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.

Pay Transparency Statement

The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications.

For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA).