What are the responsibilities and job description for the MIPS Program Coordinator position at SimonMed?
Join the fastest growing outpatient radiology practice in the Nation, SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best-in-class technology allows us to be an industry leader in the constantly evolving health care environment. Secure your spot now and take advantage of a unique career opportunity to advance your skills while working alongside a dedicated team of board-certified subspecialty radiologists. We can’t wait to meet you!
JOB TITLE: MIPS Program Coordinator
LOCATION: Remote
Travel: 10%
JOB SUMMARY
As the MIPS Program Coordinator, you will be responsible for facilitating the continuous attainment of successful reporting performance while providing subject matter expertise to meet the organization’s goals as they relate to the CMS MIPS Quality Payment Program.
ESSENTIAL JOB FUNCTIONS
- Proactively stay up to date on the CMS Quality Payment Program (QPP), which includes the Merit-based Incentive Payment System (MIPS)
- Monitor provider eligibility requirements.
- Determine which measures will provide the best outcome for each practice, annually.
- Audit charts to ensure compliance with each measure.
- Review provider documentation and prepare feedback reports required for selected quality measures.
- Provider education related to the MIPS/QPP program and best practice recommendations providing guidance to maximize Medicare reimbursement.
- Documentation of gap analysis and review of areas requiring improvement.
- Assist in the development of MIPS templates.
- Qualified Clinical Data Registry (QCDR) practice and provider enrollments.
- Quarterly, YTD scoring evaluation and presentation based on QCDR data.
- Facilitation of retrospective reviews, coding, and provider feedback in collaboration with RCM leadership and billing vendors as needed.
- Data uploads from the billing software to the QCDR monthly.
- Small practice exceptions filing via the QPP portal.
- Improvement Activity annual reporting via the QPP portal.
- Targeted reviews as required.
- Exceptions applications as needed.
- Adheres to policies, procedures, and guidelines relative to departmental operations.
OTHER DUTIES: Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time and/or without notice.
BENEFITS: Your health, happiness, and future matters! At SimonMed Imaging, we offer medical, vision and dental insurance, significant Imaging discounts, 401(k) eligibility, paid holidays plus PTO, Sick Time, opportunity for growth, and much more!
MINIMUM QUALIFICATIONS:
Education:
- Bachelor’s degree preferred but may substitute with experience.
License/Certification:
- Certified Professional Coder (CPC)
Experience:
- 3 years of recent MIPS documentation and reporting experience
- Experience with the QPP portal and ability to navigate the required processes
- Radiology coding experience, preferred
- Highly organized
- Excellent oral and written communication skills
- Imagine Billing experience, preferred
- Excellent computer skills including Microsoft Excel and Word
PHYSICAL DEMANDS: This position may require duties including lifting and carrying up to 40 pounds, sitting for prolonged periods of time, with frequent standing and walking.
DRESS ATTIRE: Business Casual.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Employment is contingent upon successful completion of drug and background screening. Some positions will require a favorable driving record.
