MIPS Quality Specialist
Remote, United States
Corporate – Compliance /
Full-time /
Remote
At Zotec Partners, our People make it happen.
Transforming the healthcare industry isn’t easy. But when you build a team like the one we have, that goal can become a reality. Our accomplishments can’t happen without our extraordinary people – those across the country who make up our diverse Zotec family and help make this company a best place to work.
Over 25 years ago, we started Zotec with a clear purpose, to make a difference by improving the way that healthcare works for everyone. Today we are more than 1000 employees strong, and we continue to use our incredible talent and energy to bring that purpose to life.
We're seeking a MIPS Quality Specialist to join us.
As a MIPS Quality Specialist, you will be responsible for the administration of the MIPS program through quality reporting on selected measures for various medical specialties, primarily hospital based.
What you'll do:
- Monitors for changes to annual measure coding and documentation requirements, and program requirements. Works closely with production coding to ensure appropriate quality reporting levels are maintained for all applicable clients in all specialties.
- Works with software developers to update quality metrics and MIPS Performance Dashboard metrics.
- Consistently monitors MIPS reporting and performance on the MIPS Performance dashboard to identify metric outliers and to ensure capture of all client-elected measure reporting.
- Work with managers, and clients as applicable to finalize, track and submit annual data to MIPS Registries.
- Provide clinical documentation improvement education by reviewing samples of reports and clinical documentation; assists in development and distribution of MIPS documentation material and provide coding and documentation feedback.
- Work with managers and clients when applicable to guide appropriate Quality Measure selection along with other category requirements to enable optimum performance.
- Assist in development and implementation of MIPS measure coding guidelines including assistance with the development and revision of MIPS educational material.
- Works closely with production coding to ensure appropriate quality reporting levels are maintained for all applicable clients in all specialties.
- Assure MIPS coding quality standards through consistent auditing of MIPS coding accuracy, creation of feedback results, and follow up activities.
- Respond to MIPS and Quality Program related questions from staff with appropriate responses provided in a timely and accurate manner.
- Participate in professional development activities including maintenance of coding certifications, maintain industry expertise regarding guidelines, rules, regulations, and continue to grow professional skills in necessary areas.
- Work closely with other team members and departments and communicate with the Director regarding projects and assignments.
What you'll bring to Zotec:
- 3 or more years of clinical documentation review experience preferred
- Hospital based specialty billing experience preferred
- Experience with MIPS or similar payer quality programs preferred
- Advanced Microsoft Excel and Word experience
- Ability to communicate clearly both verbally and in writing
- Flexible mentality; willing and capable of performing varied tasks and adapting to change
- Must be energetic, outgoing, and self-motivated with the entrepreneurial spirit
- Able to work in a team environment
- Professionally exercises discretion and independent judgment in day-to-day work
- Attentive to detail
- High school diploma or equivalent
At Zotec, you will enjoy a network of highly experienced professionals in an environment where you can operate with autonomy yet have the resources and backing of other professionals in a similar role. Entrepreneurial and enterprising is the spirit of our team. If you are an original thinker and opportunity seeker, we'd like to talk to you!
Learn more about our organization, by visiting us at www.zotecpartners.com
E-Verify and Equal Opportunity Employer
