Senior Regulatory Affairs Specialist

Job Description:

• Serves as the primary operational owner for MIPS within Hospital Medicine and Emergency Medicine specialties
• Works on annual planning, measure selection, workflow design, and reporting strategies tailored to inpatient and emergency care environments
• Conducts detailed MIPS data validation, including coding/documentation review, performance metric confirmation, and error troubleshooting
• Assists with annual MIPS submission for clients
• Leads and coordinates internal MIPS meetings
• Serves as the central point of contact for all MIPS-related inquiries from internal departments and external clients
• Tracks and analyzes specialty-specific MIPS performance trends
• Develops and maintains internal guidance documents, workflows, SOPs, and educational materials

Requirements:

• 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
• 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:

• Ventra performance-based incentive plan
• Referral Bonus