MIPS Quality Program Coordinator

2 weeks ago


Reading, Pennsylvania, United States MBMS Medical Billing and Management Services Full time
Job Overview

MBMS Medical Billing and Management Services is actively seeking a dedicated and detail-oriented MIPS Program Coordinator to join our dynamic team in a full-time remote capacity.

Attractive Sign-On Bonus and Potential for Additional Incentives

This role is pivotal in driving quality improvement and enhancing patient care through effective management of the MIPS program. The ideal candidate will be committed to optimizing financial incentives for our clients while ensuring compliance with MIPS performance standards.

Key Responsibilities:
  1. Collaborate closely with departmental leaders and key program managers.
  2. Facilitate the continuous achievement of successful reporting performance while providing expertise related to the CMS MIPS Quality Payment Program.
  3. Stay informed on the latest developments in the CMS Quality Payment Program (QPP), including the Merit-based Incentive Payment System (MIPS).
  4. Monitor eligibility requirements for providers.
  5. Identify the most effective measures for each practice on an annual basis.
  6. Conduct audits to ensure compliance with established measures.
  7. Review provider documentation and generate feedback reports for selected quality measures.
  8. Educate providers on the MIPS/QPP program and best practices to maximize Medicare reimbursement.
  9. Document gap analyses and identify areas for improvement.
  10. Assist in the creation of MIPS templates.
  11. Conduct quarterly and year-to-date scoring evaluations and presentations.
  12. Facilitate retrospective reviews, coding, and provider feedback in collaboration with Revenue Cycle Management leadership.
  13. File small practice exceptions via the QPP portal.
  14. Report Improvement Activities annually through the QPP portal.
  15. Conduct targeted reviews as necessary.
  16. Process exceptions applications as required.
  17. Adhere to departmental policies, procedures, and guidelines.
Qualifications:
  1. Certification as a Professional Coder (CPC) is preferred.
  2. A minimum of 3 years of recent experience in MIPS documentation and reporting.
  3. Familiarity with the QPP portal and the ability to navigate its processes; experience with NRDR is a plus.
  4. Highly organized with excellent oral and written communication skills.
  5. Proficient in Microsoft Excel and Word.
  6. Strong attention to detail with the ability to prioritize and manage multiple assignments.
  7. Willingness to travel occasionally.

We provide a comprehensive benefits package that includes Medical, Dental, and Vision insurance, along with a 401K plan featuring employer matching, 9 Paid Holidays, and generous Paid Time Off.

Equal Employment Opportunity Statement

MBMS, LLC is committed to providing 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.


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