MIPS Program Manager

MBMS, LLC; Newark (DE); Remote; USD 75,000 - 95,000; Full time

Job summary

Join a fast-paced medical billing company as a MIPS Program Manager. This role focuses on enhancing patient care and optimizing financial incentives for clients. Responsibilities include managing MIPS performance, educating providers, and ensuring compliance with CMS standards. The company offers a competitive benefits package and opportunities for growth.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401K with employer match

9 Paid Holidays

Generous PTO

Qualifications

• 3+ years of recent MIPS documentation and reporting experience.
• Experience with the QPP portal and navigation processes.

Responsibilities

• Manage and coordinate all aspects of the MIPS program.
• Monitor provider eligibility requirements and audit charts for compliance.
• Educate providers on MIPS/QPP and best practices.

Skills

Communication

Organizational Skills

Attention to Detail

Education

Certified Professional Coder (CPC)

Tools

Microsoft Excel

Microsoft Word

Job description

Join to apply for the MIPS Program Manager role at MBMS, LLC

Fast-paced medical billing company seeking a full-time remote MIPS Program Manager.

SIGN-ON BONUS AND OPPORTUNITY FOR ADDITIONAL INCENTIVES!

Leading Radiology Medical Billing Company is seeking a highly motivated, detail-oriented, and quality improvement-committed professional to serve as MIPS Program Manager. This individual should focus on enhancing patient care and optimizing financial incentives for our clients.

The MIPS Program Manager will be responsible for managing and coordinating all aspects of the MIPS program, including performance monitoring, data submission, and quality improvement initiatives. This role requires a proactive approach to ensure healthcare providers meet and exceed MIPS performance standards, ultimately enhancing patient care and financial incentives.

Key Responsibilities

1. Work closely with department leaders and key program managers.
2. Facilitate successful reporting performance and provide expertise related to the CMS MIPS Quality Payment Program.
3. Stay updated on the CMS Quality Payment Program (QPP), including MIPS.
4. Monitor provider eligibility requirements.
5. Determine the best measures for each practice annually.
6. Audit charts for compliance with measures.
7. Review provider documentation and prepare feedback reports.
8. Educate providers on MIPS/QPP and best practices to maximize Medicare reimbursement.
9. Document gap analysis and areas for improvement.
10. Assist in developing MIPS templates.
11. Evaluate and present quarterly and YTD scores.
12. Facilitate retrospective reviews, coding, and provider feedback with RCM leadership.
13. Handle small practice exceptions filing and annual improvement activity reporting via the QPP portal.
14. Conduct targeted reviews and manage exception applications as needed.
15. Adhere to departmental policies, procedures, and guidelines.

Qualifications

1. Certified Professional Coder (CPC) preferred.
2. 3+ years of recent MIPS documentation and reporting experience.
3. Experience with the QPP portal and navigation processes; experience with NRDR is a plus.
4. Highly organized with excellent communication skills.
5. Proficient in Microsoft Excel and Word.
6. Attention to detail and ability to handle multiple tasks.
7. Some travel may be required (less than an RVP).

We offer an excellent benefits package including Medical, Dental, Vision insurance, 401K with employer match, 9 Paid Holidays, and generous PTO. There are opportunities for growth and advancement at MBMS!

Equal Employment Opportunity

MBMS, LLC is committed to ensuring equal employment opportunity. All employment decisions are in accordance with applicable laws and policies against discrimination and harassment.