Mips Data & Reporting Specialist

Description:

Seeking a detail-oriented professional with 2–3 years of hands-on experience in MIPS reporting and EHR systems. The employee will work within our team to prepare, validate, analyze, and submit MIPS data for healthcare practices. This role requires practical experience working with patient records, encounter-level data, quality measures, and reporting platforms.

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, including eligible populations, performance criteria, exclusions, and exceptions.

• Identify missing documentation, reporting codes, and data gaps; coordinate with the team and practice staff to resolve them.

• Prepare and validate Quality measure reports, including numerator, denominator, and performance calculations.

• Assist with Promoting Interoperability and Improvement Activities reporting, including supporting data, attestations, and documentation.

• Review available Cost performance reports and highlight findings for the team.

• Prepare files for upload to reporting platforms and resolve 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

• 2–3 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, communication skills, and ability to meet deadlines.

• Understanding of patient confidentiality and secure handling of healthcare information.