Revenue Management Educator - Remote

Overview

The Revenue Management Educator is responsible for developing and delivering educational materials to improve coding accuracy for healthcare providers, ensuring compliance with Medicare and Medicaid reimbursement methodologies.

In Short

• Develop and implement educational resources for coding accuracy.
• Support providers in understanding Medicare Advantage and Medicaid reimbursement.
• Conduct quality assurance activities related to coding.
• Collaborate with internal and external stakeholders.
• Ensure compliance with CMS and DHS policies.
• Utilize knowledge of CPT, ICD-9, and ICD-10 coding.
• Provide training in healthcare coding and documentation guidelines.
• Assist in strategic action and quality improvement plans.
• Maintain knowledge of healthcare regulations and reimbursement guidelines.
• Work full-time, Monday to Friday, during day shifts.

Requirements

• Bachelor’s degree in business or medical field, or RN degree.
• Completion of coding courses (CPT, ICD-9, ICD-10).
• Three years of experience in health insurance or related field.
• Knowledge of anatomy/physiology and medical terminology.
• Proficiency in Word, Excel, PowerPoint, and Access.
• Certified Professional Coder certification required within one year.
• State of Wisconsin RN license (if applicable).
• Experience in adult education and curriculum development preferred.

Benefits

• Comprehensive benefit packages based on hours worked.
• Opportunities for professional development.
• Supportive work environment focused on patient care.
• Access to resources for career advancement.
• Community engagement and recognition opportunities.