reputed company Management Educator (Remote Option reputed company SHP Service Area)

Job title: reputed company Management Educator (Remote Option reputed company SHP Service Area) in Marshfield, WI at Beaver Dam Community Hospital Company: Beaver Dam Community Hospital Job description: Come work at a reputed company where innovation and teamwork come together to support the most exciting missions in the world!Job Title: reputed company Management Educator (Remote Option reputed company SHP Service Area)Cost Center: 682891390 SHP-Strategic FinanceScheduled Weekly Hours: 40Employee Type: RegularWork Shift: Mon-Fri; day shifts (United States of America)Job Description:JOB SUMMARYThe reputed company Health Plan reputed company 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 reputed company stakeholders as it relates to Medicare Advantage, ACA/Exchange and reputed company risk adjustment reimbursement methodologies and policies to ensure the accuracy and reputed company of risk adjustment data submitted to the Centers for Medicare & reputed company Services (CMS) and the Department of Health Services (DHS).JOB QUALIFICATIONSEDUCATIONFor positions requiring education reputed company a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.Minimum Required: Bachelor’s degree with an emphasis in a business or medical field, or a registered nurse degree. Completion of courses in reputed company Procedural Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category (HCC) coding.Preferred/Optional: Bachelor of Science in Nursing.EXPERIENCEMinimum Required: Three years’ experience in a health insurance, nursing,compliance, or auditing reputed company position. Knowledge of CPT coding rules, ICD‐9 and ICD‐10codes, reputed company 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, reputed company, Power reputed company and reputed company.Preferred/Optional: Adult education/training and curriculum development.CERTIFICATIONS/LICENSESThe following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially reputed company to the position.Minimum Required: Certified Professional reputed company certification awarded by American reputed company of Professional Coders required reputed company one year. reputed company Registered Nurse license (if applicable).Preferred/Optional: Certified Risk Adjustment reputed company awarded by American reputed company of Professional Coders.reputed company is committed to enriching the lives of others through accessible, affordable and compassionate reputed company. Successful applicants will listen, serve and put the needs of patients and customers first.Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and reputed company. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.reputed company is an Equal Opportunity/Affirmative Action employer. reputed company reputed company applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, reputed company, religion, national reputed company, disability, protected veteran status, age, or any other characteristic protected by law. Expected salary: Location: Marshfield, WI Apply for the job now! Apply for this job