MIPS Specialist, Radiology & Emergency Coding

Role Overview

• Provides administrative and operational support for regulatory and quality programs across all supported specialties.
• Assists in maintaining program timelines, project plans, task lists, and internal tracking tools (e.g., Smartsheets).
• Helps prepare specialty-specific materials, workflows, and documentation for internal teams and clients.
• Supports the creation and maintenance of Standard Operating Procedures (SOPs), reference guides, and educational materials.
• Conducts documentation, coding, and data audits under the direction of senior regulatory staff.
• Validates data used for MIPS and other quality programs to ensure accuracy and compliance.
• Assists with preparing, collecting, and organizing documentation for internal quality reviews or external audits.
• Identifies potential errors, inconsistencies, or compliance risks and appropriately escalates findings.
• Assists with MIPS data validation, workflow documentation, reporting preparation, and annual submission tasks.
• Helps track program performance and organize specialty-specific reporting deliverables.
• Works with internal teams across multiple specialties to ensure consistent application of regulatory requirements.
• Performs additional administrative, auditing, or regulatory tasks as assigned.
• Supports continuous improvement efforts within the Regulatory Affairs team.

Requirements

• High school diploma or equivalent required; associate or bachelor’s degree preferred.
• Current Certified Professional Coder (CPC) credential required.
• Minimum of three years working with the MIPS program is required.
• Minimum of two years administrative experience.
• Familiarity with Radiology, Anesthesia, Emergency Medicine, or Hospital Medicine coding is a plus but not required.

Benefits

• Ventra performance-based incentive plan
• Referral bonus