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MIPS Program Manager
2 months ago
MBMS Medical Billing and Management Services is a dynamic medical billing organization seeking a dedicated and detail-oriented MIPS Program Coordinator to join our remote workforce.
Attractive Compensation Package Available
We are in search of a highly driven professional who is committed to quality enhancement and patient care. The MIPS Program Coordinator will play a crucial role in managing and coordinating the various elements of the MIPS program, focusing on performance assessment, data reporting, and quality enhancement initiatives.
Key Responsibilities:
- Collaborate closely with departmental leaders and key program stakeholders.
- Facilitate the ongoing achievement of successful reporting outcomes while providing expertise related to the CMS MIPS Quality Payment Program.
- Stay informed about the CMS Quality Payment Program (QPP), including the Merit-based Incentive Payment System (MIPS).
- Monitor eligibility criteria for providers.
- Identify the most effective measures for each practice on an annual basis.
- Conduct audits to ensure compliance with each measure.
- Review provider documentation and generate feedback reports for selected quality measures.
- Educate providers on the MIPS/QPP program and best practice recommendations to maximize Medicare reimbursement.
- Document gap analyses and review areas needing improvement.
- Assist in creating MIPS templates.
- Conduct quarterly and year-to-date scoring evaluations and presentations.
- Facilitate retrospective reviews, coding, and provider feedback in partnership with RCM leadership.
- File small practice exceptions through the QPP portal.
- Report Improvement Activities annually via the QPP portal.
- Conduct targeted reviews as necessary.
- Process exceptions applications as required.
- Adhere to departmental policies, procedures, and guidelines.
Qualifications:
- Certified Professional Coder (CPC) preferred.
- Minimum of 3 years of recent experience in MIPS documentation and reporting.
- Familiarity with the QPP portal and ability to navigate required processes.
- Experience with NRDR is a plus.
- Highly organized with excellent oral and written communication skills.
- Proficient in Microsoft Excel and Word.
- Strong attention to detail with the ability to prioritize and manage multiple tasks.
- Some travel may be required.
Benefits:
We offer a comprehensive benefits package that includes Medical, Dental, and Vision insurance, a 401K plan with employer matching, 9 Paid Holidays, and generous Paid Time Off (PTO). Opportunities for professional growth and advancement are always available at MBMS.
Equal Employment Opportunity Statement:
MBMS, LLC is dedicated to ensuring equal employment opportunities. All employment decisions, policies, and practices comply with applicable federal, state, and local anti-discrimination laws. We do not tolerate unlawful discrimination or harassment based on any protected status.
