Billing Compliance Curriculum Development Specialist

Billing Compliance Curriculum Development Specialist

The Billing Compliance Curriculum Development Specialist is responsible for the design, development, implementation, and evaluation of enterprise-wide billing compliance education programs at Dana-Farber Cancer Institute (DFCI). This role serves as a subject-matter expert in professional and technical billing compliance, with a strong emphasis on oncology services, regulatory requirements, and risk-based education strategies. The position partners closely with Billing Compliance leadership, Revenue Cycle, HIM, Clinical Operations, and Compliance to ensure education is standardized, scalable, evidence-based, and aligned with CMS, OIG, NCCI, payer guidance, and institutional risk priorities.

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

• Design, develop, and maintain billing compliance curricula for providers, coders, reviewers, and revenue cycle staff, including onboarding, annual education, and targeted risk-based training.

• Translate audit findings, regulatory updates, and compliance risk areas into role-specific education materials.

• Develop standardized learning materials including presentations, job aids, reference guides, assessments, and virtual learning modules.

• Deliver education through live, virtual, small-group, and one-on-one formats using adult learning principles.

• Support new provider and staff onboarding with required billing compliance education.

• Collaborate with compliance reviewers to reinforce audit findings through targeted education.

• Align education priorities with the Billing Compliance annual work plan and enterprise risk assessment.

• Incorporate CMS, OIG, NCCI, and payer guidance into curriculum and communicate regulatory changes.

• Analyze audit and quality data to identify education gaps and measure effectiveness.

• Track and report education participation and outcomes.

• Serve as a billing compliance education resource across the organization.

• Maintain current knowledge of oncology billing, documentation, and coding requirements.

Knowledge, Skills and Abilities

• Advanced knowledge of billing compliance regulations and coding guidelines (ICD-10-CM, CPT, HCPCS). Strong instructional design and adult learning skill.

• Excellent written and verbal communication skills.

• Strong analytical skills with the ability to translate data into actionable education.

• Proficiency with Microsoft Office (Word, Excel, PowerPoint).

• Strong organizational skills and ability to manage multiple priorities.

• Ability to work independently in a remote environment.

Minimum Job Qualifications

•Bachelor's Degree. Healthcare Administration, Health Information Management, Business, Education, or related field required.

• Minimum of 5 years of experience in healthcare billing, coding, auditing, compliance, or education.

• Demonstrated experience in curriculum development, training delivery, or provider education.

• Experience in oncology professional and technical billing compliance preferred.

• Experience supporting enterprise compliance or audit programs preferred.

• Experience with Epic preferred.

• Experience developing virtual or asynchronous learning content preferred.

License/Certification/Registration Required

One or more of the following certifications required: CPC, CCS, CCS-P, CPMA, COC, RHIT, RHIA

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.