[Hiring] MIPS Specialist @Ventra Health

Role Description

The Regulatory Affairs Specialist provides cross‑specialty administrative, compliance, and quality reporting support for Radiology, Anesthesia, Emergency Medicine, Hospital Medicine, and additional service lines as assigned. Reporting to the Healthcare Quality Director, this role assists in organizing, auditing, and maintaining the company’s regulatory and quality programs—ensuring accuracy, compliance, and readiness for internal and external review.

The Regulatory Affairs Specialist plays a key role in:

• Auditing documentation and coding
• Preparing regulatory materials
• Updating internal resources
• Supporting the operational execution of quality programs such as MIPS (Merit‑Based Incentive Payment System)

This position collaborates closely with Operations, Coding, and Business Intelligence.

Qualifications

• 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

Requirements

• Strong written and verbal communication skills
• Proficiency in Microsoft Office and Windows-based applications with special focus on Excel
• High level of accuracy, attention to detail, and organizational skill
• Ability to analyze data, identify patterns, and document findings clearly
• Strong time management and task prioritization capabilities
• Ability to produce clear, professional materials for internal or external audiences
• Self‑directed, proactive, and able to work independently with minimal supervision
• Comfortable in a fast‑paced, deadline‑driven environment

Benefits

• Eligible for Ventra performance-based incentive plan
• Referral bonus for referring friends
• Compensation based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons
• Eligible for a discretionary incentive bonus in accordance with company policies