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Merit Payment Support Specialist - MIPS in Knoxville, TN at TeamHealth

Date Posted: 8/26/2021

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Knoxville, TN
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    8/26/2021

Job Description

Position Summary

The MIPS Support Specialist helps bridge clinicians and leadership with the Quality Payment Program’s (QPP) Merit-Based Incentive Payment System (MIPS) team. This position serves as a point of contact for the MIPS program and helps resolve program issues. This position also assists with performing research and analysis to better understand root causes of complex MIPS-related issues. Additionally, this position analyzes medical records and billing data audits to identify discrepancies and assist in problem resolution.

Reporting Relationship

Reports To: Mgr Value Based Care Operations

Supervisory Responsibilities: None

Job Duties and Responsibilities

  • Point of contact for all customers with program and application questions and issues. Ensures prompt resolution of outstanding issues.
  • Resolves as many user-reported issues as expertise permits, using available tools and following procedures and policies for the handling of support cases.
  • Reviews medical record documentation from all clinical service lines.
  • Assists in data validation to comply with CMS requirements and helps confirm accuracy of data reported to CMS.
  • Helps troubleshoot complex issues and assists with resolution strategies.
  • Maintains in-depth knowledge of QPP and MIPS supported services.
  • Helps prepare reports and presentations for clinicians and leadership regarding MIPS programs.
  • Maintains communication with customers throughout the resolution process.
  • Performs other related duties as assigned.

 

Job Requirements

Education

Bachelor’s degree in business, communication, healthcare operations or related field required.

Experience

Two years of related experience required, preferably in healthcare or hospital-based environment.

Understanding of Medicare and coding rules and regulations required.

Licensures and Certifications

None required.

Knowledge, Skills and Abilities

  • Excellent interpersonal skills;
  • Excellent verbal and written communications skills;
  • Excellent computer skills (must have intermediate proficiency in excel, word and PowerPoint)
  • Excellent judgment and decision-making skills; ability to work well independently with minimal supervision;
  • Excellent analytical skills;
  • Good organizational skills and attention to detail;
  • Ability to manage multiple tasks and deadlines;
  • Ability to adapt to rapid change;
  • Ability to manage stress and conflict;
  • Ability to work with minimal direction and supervision; and
  • Ability to work in a team oriented environment.

Physical Requirements and Working conditions

  • Job performed in a well-lighted, modern office setting;
  • Occasional lifting/carrying (20 pounds or less);
  • Occasional standing/bending/stooping/reaching;
  • Occasional overnight travel;
  • Moderate stress;
  • Prolonged sitting and
  • Prolonged work in a computer/PC.

This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.

Disclaimer

The above list of duties is intended to describe the general nature and level of work performed by people assigned to this classification. It is not to be considered as an exhaustive list of duties performed by the people so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his/her supervision.