MIPS Data & Reporting Specialist

We are seeking a detail-oriented professional with 2 to 3 years of hands-on experience in MIPS reporting and electronic health record (EHR) systems. The successful candidate will join our team to prepare, validate, analyze, and submit MIPS data for healthcare practices. This role demands practical experience working with patient records, encounter-level data, quality measures, and various reporting platforms to ensure accurate and timely submissions.

Key Responsibilities

- Extract and organize clinical and billing data from EHR systems, practice management software, and claims reports.
- Review encounter-level data, including patient information, provider identifiers, CPT codes, ICD-10 codes, and quality reporting codes.
- Validate data for accuracy, completeness, duplicates, and correct provider and practice attribution.
- Review clinical documentation against measure requirements, such as eligible populations, performance criteria, exclusions, and exceptions.
- Identify missing documentation, reporting codes, and data gaps; collaborate with team members and practice staff to resolve these issues.
- Prepare and validate quality measure reports, including numerator, denominator, and performance calculations.
- Assist with Promoting Interoperability and Improvement Activities reporting by supporting data collection, attestations, and documentation.
- Review available cost performance reports and highlight significant findings for the team.
- Prepare files for upload to reporting platforms and troubleshoot upload errors or validation issues.
- Complete assigned submission tasks through EHR or registry platforms and verify submission confirmations.
- Maintain organized supporting records, validation logs, and audit documentation.
- Track reporting deadlines and provide regular updates on data readiness and outstanding issues.

Required Qualifications

- 2 to 3 years of relevant experience, including direct involvement in MIPS data preparation, validation, reporting, and submission.
- Practical experience using EHR systems and generating clinical or billing reports.
- Working knowledge of MIPS categories, measure specifications, and reporting requirements.
- Strong Excel skills, including filtering, lookup formulas, pivot tables, and data reconciliation.
- Ability to interpret clinical documentation and work accurately with large datasets.
- Strong attention to detail, effective communication skills, and ability to meet deadlines.
- Understanding of patient confidentiality and secure handling of healthcare information.

Preferred Qualifications

- Experience with EHR platforms such as eClinicalWorks, NextGen, Epic, Practice Fusion, Tebra, AdvancedMD, or similar systems.
- Experience supporting multiple providers, specialties, or practices.
- Familiarity with retrospective chart review and quality reporting code validation.

The ideal candidate is someone who can independently manage assigned MIPS tasks, investigate data discrepancies, prepare accurate reports, and support timely submissions while collaborating closely with the team. This role offers the opportunity to contribute to quality healthcare reporting and improve practice performance through meticulous data management.