[Hiring] Senior Coding & Quality Specialist @Ventra Health

Role Description

The Senior Regulatory Affairs Specialist serves as a key leader in managing the Merit-Based Incentive Payment System (MIPS) for Hospital Medicine and Emergency Medicine clients. Reporting directly to the Director of Healthcare Quality, this role supports the coordination, execution, and continuous improvement of the company’s quality reporting programs.

• Proactively reviews and interprets federal regulatory guidelines.
• Develops specialty-specific MIPS strategies.
• Supports client communications.
• Ensures accurate, compliant, and timely quality reporting.
• Works in close collaboration with Operations, Business Intelligence, Client Management, and other key stakeholders to deliver strong MIPS outcomes.

Qualifications

• High school diploma or equivalent required.
• Current CPC (Certified Professional Coder) credential required.
• Minimum of two years administrative experience.
• Healthcare experience preferred; regulatory affairs or quality reporting experience strongly preferred.
• Experience with Hospital Medicine and/or Emergency Medicine coding and documentation highly desirable.

Requirements

• Strong verbal and written communication skills.
• Proficiency with Windows and Microsoft Office products.
• Excellent critical thinking, data analysis, and regulatory research abilities.
• Strong organizational and prioritization skills.
• Ability to craft and refine client-facing regulatory communications.
• Self-directed, proactive, and able to work independently.
• Comfortable working in a fast-paced, deadline-driven environment.

Benefits

• Eligible for Ventra performance-based incentive plan.
• Base compensation based on various factors unique to each candidate.
• Eligible for a discretionary incentive bonus in accordance with company policies.