Senior Regulatory Affairs Specialist

Medsuite Inc

Senior Regulatory Affairs Specialist managing MIPS for Hospital Medicine and Emergency Medicine at Ventra Health. Ensuring compliance with regulatory guidelines and improving quality reporting outcomes.

Posted 4/24/2026full-timeRemote • 🇺🇸 United StatesSeniorWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

Ventra performance-based incentive plan
Referral Bonus

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

MIPS data validationcoding reviewperformance metric confirmationerror troubleshootingannual MIPS submissiondata analysisregulatory researchworkflow designmeasure selectiondocumentation review

Soft Skills

verbal communicationwritten communicationcritical thinkingorganizational skillsprioritization skillsself-directedproactiveindependent workclient-facing communicationfast-paced environment adaptability

Certifications

CPC (Certified Professional Coder)