Top 7 Nurse educator Jobs in Marshfield Wi

Revenue Management Educator - Health Plan
Sanford Health —Marshfield, WI
- $26.00 - $41.50 an hour
- Online Application
- Remote
- Background check
- Nursing
- Anatomy knowledge
- Health insurance
- Dental insurance
Quick Apply
RN Clinical Trainer
Family Health Center —Marshfield, WI
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Dental insurance
Quick Apply
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Staff RN - ECMO Spec / FT, D/N
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule

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nurse educator jobs near marshfield wi

Revenue Management Educator - Health Plan

Sanford Health -
Marshfield, WI

Quick Apply

Job Details

Full-time
$26.00 - $41.50 an hour

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Life insurance

Qualifications

Training program design for professional development
Optimizing workflow processes
Affordable Care Act (ACA)
Data integrity assurance
Nursing
Anatomy knowledge
Risk-based auditing
Medicare
RN License
Health education for healthcare providers
Health insurance policy knowledge
CMS
Bachelor's degree in business
Healthcare documentation compliance audits
Training material drafting
Research
Mid-level
Adult education instructional development
CMS regulatory compliance
Policy & process development
Retrospective medical coding audits
Bachelor's degree
Quality risk management
Operational risk mitigation
Medicare regulations
Specialized healthcare curriculum instruction
Health information data integrity
Industry trends
Quality control
Centers for Medicare & Medicaid Services (CMS) billing regulations

Full Job Description

Careers With Purpose

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Facility: Marsh Security Hlth Plan
Location: Marshfield, WI
Address: 1515 N St Joseph Ave, Marshfield, WI 54449, USA
Shift: Day
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $26.00 - $41.50

Job Summary

The Revenue Management Educator is accountable for the successful development, implementation and delivery of educational and training resource materials to assist providers in coding accuracy. The Educator develops and implements strategic action, quality improvement and risk management plans. The Educator provides overall educational support and coding quality assurance activities to both internal and external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the accuracy and integrity of risk adjustment data submitted to the Centers for Medicare & Medicaid Services (CMS) and the Department of Health Services (DHS). Develops educational materials for providers in relation to diagnostic coding and risk adjustment revenue management to educate providers on thorough documentation and accurate coding. Identifies inadequate or erroneous documentation and/or coding to determine process improvement and educational opportunities.

Research's appropriate material (terminology, testing, abbreviations) to accurately assess documentation.

Analyzes coding and documentation to make appropriate judgments based on coding/ guidelines and policies. Monitors and audit performance in areas of compliance risk ensuring that established policies and procedures are being followed. Identifies the root cause of any errors to determine process improvement opportunities that may result in training, reference material revisions, and process changes. Assists in audits as it related to risk adjustment revenue management to address clinical issues related to documentation and coding. Assesses health insurance products, compliance, or operational risks and develop risk management strategies to improve revenue and reduce audit risk. Reviews, interprets and disseminates information relating to pending industry changes, trends and best practices to include CMS and DHS guidelines related to revenue management to anticipate necessary audits and education for providers.

Qualifications

Bachelor’s degree required with an emphasis in a business or medical field, or a registered nurse degree. Completion of courses in Current Procedural Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category (HCC) coding required

Will consider years of experience in lieu of bachelor's degree.

Three years’ experience required in a health insurance, nursing, compliance, or auditing related position. Knowledge of CPT coding rules, ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding, use of modifiers, documentation guidelines, CMS Policy requirements, and other reimbursement guidelines. Demonstrated knowledge of anatomy/physiology, medical terminology, Word, Excel, Power Point and Access.

Adult education/training and curriculum development preferred.

Certified Professional Coder certification awarded by American Academy of Professional Coders required within one year required. State of Wisconsin Registered Nurse license (if applicable).

Certified Risk Adjustment Coder awarded by American Academy of Professional Coders preferred.

Benefits

Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [email protected] .

Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0254070
Job Function: Health Plan
Featured: No

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nurse educator jobs in marshfield wi

Revenue Management Educator - Health Plan

RN Clinical Trainer

Staff RN - ECMO Spec / FT, nights

Staff RN - ECMO Spec / FT, D/N

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