Clinical Revenue Cycle Educator Careers at WVU Medicine - Remote | Apply Now!
WVU Medicine
Clinical Revenue Cycle Educator Careers at WVU Medicine - Remote | Apply Now!
Job Description
Clinical Revenue Cycle Educator at WVU Medicine
Role Overview
The Clinical Revenue Cycle Educator at WVU Medicine plays a pivotal role in ensuring the accuracy, compliance, and efficiency of clinical revenue cycle functions. This position is responsible for designing, coordinating, and delivering training programs across various areas, including Clinical Documentation Improvement (CDI), medical coding, denial management, and utilization review. By developing comprehensive educational content and facilitating continuous feedback loops, the Educator helps to maintain staff competency and supports enterprise-wide initiatives to enhance quality and financial performance.
A Day in the Life
On a typical day, the Clinical Revenue Cycle Educator might:
- Design and update training materials for CDI, coding, UR, and denial management based on data analysis and audit outcomes.
- Conduct training sessions for new and existing staff, focusing on DRG/CPT updates, clinical criteria, and payer policies.
- Provide individualized support to staff and providers, addressing questions related to documentation, coding, and medical necessity.
- Develop and distribute concise tip sheets, payer grids, and documentation guides to ensure consistent practices.
- Participate in internal audits to assess documentation and coding accuracy.
- Collaborate with other departments to align training efforts and support enterprise initiatives.
- Stay current with industry trends and best practices in clinical revenue cycle management.
Why Location (Remote)
This remote position offers the flexibility to work from anywhere, providing a better work-life balance. WVU Medicine supports remote work arrangements to attract top talent and promote employee well-being. The remote setup allows for collaboration with a diverse team across different locations, contributing to a rich and innovative work environment.
Career Path
The Clinical Revenue Cycle Educator role can serve as a stepping stone to various career paths within WVU Medicine. Potential advancement opportunities include:
- Senior Clinical Revenue Cycle Educator
- Revenue Cycle Manager
- Clinical Documentation Improvement Manager
- Compliance Officer
- Revenue Cycle Director
WVU Medicine is committed to providing opportunities for professional growth and development, offering ongoing training and mentorship programs to help employees achieve their career goals.
Salary & Benefits
The estimated salary range for the Clinical Revenue Cycle Educator position is $75,000 to $110,000 per year. WVU Medicine offers a comprehensive benefits package, including:
- Comprehensive health insurance (medical, dental, vision)
- Paid time off (PTO) for vacation, sick leave, and holidays
- Retirement plan with employer matching
- Life insurance
- Disability insurance
- Flexible spending accounts (FSAs)
- Health savings accounts (HSAs)
- Employee assistance program (EAP)
- Tuition reimbursement for continuing education
- Professional development opportunities
- Employee discount programs
- Wellness programs
WVU Medicine Culture
WVU Medicine is committed to creating a supportive and inclusive work environment where employees can thrive. The organization values teamwork, innovation, and a patient-centered approach to healthcare. Employees are encouraged to collaborate, share ideas, and continuously improve processes to enhance the quality of care provided to patients. WVU Medicine also emphasizes diversity and inclusion, ensuring that all employees feel valued and respected.
How to Apply
To apply for the Clinical Revenue Cycle Educator position, please click the "Apply" button at the top of this page and complete the application form. Be sure to include your resume, cover letter, and any relevant certifications or licenses. If you have any questions about the application process, please contact the WVU Medicine HR department.
FAQ
- What qualifications are required for this position?
A current Registered Nurse license and at least one of the following certifications: CCS, CCDS, CDIP, HCQM, ACM, or CCM. Additionally, two years of experience in inpatient acute care coding, CDI, Denials, Utilization Review, or Appeals, and three years of RN experience are required.
- Is a Bachelor's Degree in Nursing required?
A Bachelor's Degree in Nursing is preferred. Candidates with an Associate of Science in Nursing Degree (ASN) or Diploma are encouraged to apply, provided they are currently enrolled in a BSN program and complete it within three years of hire.
- What are the key responsibilities of the Clinical Revenue Cycle Educator?
Key responsibilities include designing and leading training programs, developing curriculum, providing individualized support to staff and providers, and participating in internal audits.
- What is the salary range for this position?
The estimated salary range is $75,000 to $110,000 per year.
- What benefits does WVU Medicine offer?
WVU Medicine offers a comprehensive benefits package, including health insurance, paid time off, retirement plan, life insurance, disability insurance, and more.
- Is this a remote position?
Yes, this is a remote position.
- What opportunities for advancement are available?
Potential advancement opportunities include Senior Clinical Revenue Cycle Educator, Revenue Cycle Manager, and Clinical Documentation Improvement Manager.
- What is the work environment like at WVU Medicine?
WVU Medicine is committed to creating a supportive and inclusive work environment where employees can thrive.
- How do I apply for this position?
To apply, click the "Apply" button at the top of this page and complete the application form.
- Who can I contact if I have questions about the application process?
You can contact the WVU Medicine HR department for assistance.
Locations
- Remote, West Virginia, United States (Remote)
Salary
82,500 - 121,000 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Clinical Documentation Improvement (CDI)intermediate
- Medical Codingintermediate
- Utilization Reviewintermediate
- Denial Managementintermediate
- Revenue Cycle Managementintermediate
- Training and Developmentintermediate
- Curriculum Developmentintermediate
- Competency Assessmentintermediate
- Data Analysisintermediate
- DRG/CPT Codingintermediate
- Payer Policiesintermediate
- Provider Onboardingintermediate
- Documentation Improvementintermediate
- Medical Necessity Reviewintermediate
- Appeals Processintermediate
- Complianceintermediate
- Auditingintermediate
- Communicationintermediate
- Problem-solvingintermediate
- Critical Thinkingintermediate
- Registered Nurse (RN)intermediate
- Healthcare Quality Managementintermediate
Required Qualifications
- Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC). (experience)
- Certified Coding Specialist (CCS) through American Health Information Management Association (AHIMA) OR (experience)
- Certified Clinical Documentation Specialist (CCDS) through Association of Clinical Documentation Integrity Specialists OR (experience)
- Certified Documentation Improvement Practitioner (CDIP) through American Health Information Management Association (AHIMA) OR (experience)
- Health Care Quality and Management Certification (HCQM) through American Board of Quality Assurance and Utilization Review Physicians OR (experience)
- Accredited Case Manager (ACM) through American Case Management Association OR (experience)
- Certified Case Manager (CCM) through Commission for Case Manager Certification. (experience)
- Two (2) years of experience in inpatient acute care coding, CDI, Denials, Utilization Review, or Appeals. (experience)
- Three (3) years of RN experience in a nursing or clinical role. (experience)
- Bachelor's Degree in Nursing OR Associate of Science in Nursing Degree (ASN) or Diploma (Preferred). (experience)
- BSN completion within three (3) years of hire (Preferred for ASN/Diploma). (experience)
- Five (5) years in a hospital revenue cycle role with exposure to multiple functions (coding, CDI, UR) (Preferred). (experience)
- Three (3) years of direct educator/trainer experience designing and delivering clinical or operational training programs (Preferred). (experience)
- Hands-on experience with appeals, payer communication, and denial prevention strategies (Preferred). (experience)
Responsibilities
- Design and lead systemwide CDI, coding, UR, and denial management training programs.
- Develop data-driven curriculum based on competency assessments and audit outcomes.
- Implement training strategies to improve accuracy, compliance, and reduce preventable denials.
- Provide focused training on DRG/CPT updates, clinical criteria, and payer policies.
- Support onboarding of new providers and hospitals with standardized documentation and utilization expectations.
- Offer individualized, case-based support to staff and providers.
- Address real-time documentation, coding, medical necessity, and appeals questions.
- Develop concise tip sheets, payer grids, documentation guides, and workflow references.
- Ensure training materials reflect current CMS and payer guidelines.
- Conduct ongoing education and training sessions to maintain staff competency.
- Facilitate feedback loops to identify areas for improvement in clinical revenue cycle processes.
- Participate in internal audits to assess documentation and coding accuracy.
- Support enterprise initiatives aimed at improving quality and financial performance.
- Monitor and analyze key performance indicators (KPIs) to evaluate the effectiveness of training programs.
- Collaborate with other departments to ensure alignment of training efforts.
- Stay current with industry trends and best practices in clinical revenue cycle management.
- Serve as a subject matter expert on CDI, coding, UR, and denial management.
Benefits
- general: Comprehensive health insurance (medical, dental, vision)
- general: Paid time off (PTO) for vacation, sick leave, and holidays
- general: Retirement plan with employer matching
- general: Life insurance
- general: Disability insurance
- general: Flexible spending accounts (FSAs)
- general: Health savings accounts (HSAs)
- general: Employee assistance program (EAP)
- general: Tuition reimbursement for continuing education
- general: Professional development opportunities
- general: Employee discount programs
- general: Wellness programs
- general: Relocation assistance (if applicable)
- general: Competitive salary
- general: Remote work options (as applicable)
- general: Opportunities for advancement within the organization
- general: Supportive work environment
- general: Commitment to diversity and inclusion
- general: Employee recognition programs
- general: Access to state-of-the-art technology and resources
Tags & Categories
Answer 10 quick questions to check your fit for Clinical Revenue Cycle Educator Careers at WVU Medicine - Remote | Apply Now! @ WVU Medicine.
Related Books and Jobs
Clinical Revenue Cycle Educator Careers at WVU Medicine - Remote | Apply Now!
WVU Medicine
Clinical Revenue Cycle Educator Careers at WVU Medicine - Remote | Apply Now!
Job Description
Clinical Revenue Cycle Educator at WVU Medicine
Role Overview
The Clinical Revenue Cycle Educator at WVU Medicine plays a pivotal role in ensuring the accuracy, compliance, and efficiency of clinical revenue cycle functions. This position is responsible for designing, coordinating, and delivering training programs across various areas, including Clinical Documentation Improvement (CDI), medical coding, denial management, and utilization review. By developing comprehensive educational content and facilitating continuous feedback loops, the Educator helps to maintain staff competency and supports enterprise-wide initiatives to enhance quality and financial performance.
A Day in the Life
On a typical day, the Clinical Revenue Cycle Educator might:
- Design and update training materials for CDI, coding, UR, and denial management based on data analysis and audit outcomes.
- Conduct training sessions for new and existing staff, focusing on DRG/CPT updates, clinical criteria, and payer policies.
- Provide individualized support to staff and providers, addressing questions related to documentation, coding, and medical necessity.
- Develop and distribute concise tip sheets, payer grids, and documentation guides to ensure consistent practices.
- Participate in internal audits to assess documentation and coding accuracy.
- Collaborate with other departments to align training efforts and support enterprise initiatives.
- Stay current with industry trends and best practices in clinical revenue cycle management.
Why Location (Remote)
This remote position offers the flexibility to work from anywhere, providing a better work-life balance. WVU Medicine supports remote work arrangements to attract top talent and promote employee well-being. The remote setup allows for collaboration with a diverse team across different locations, contributing to a rich and innovative work environment.
Career Path
The Clinical Revenue Cycle Educator role can serve as a stepping stone to various career paths within WVU Medicine. Potential advancement opportunities include:
- Senior Clinical Revenue Cycle Educator
- Revenue Cycle Manager
- Clinical Documentation Improvement Manager
- Compliance Officer
- Revenue Cycle Director
WVU Medicine is committed to providing opportunities for professional growth and development, offering ongoing training and mentorship programs to help employees achieve their career goals.
Salary & Benefits
The estimated salary range for the Clinical Revenue Cycle Educator position is $75,000 to $110,000 per year. WVU Medicine offers a comprehensive benefits package, including:
- Comprehensive health insurance (medical, dental, vision)
- Paid time off (PTO) for vacation, sick leave, and holidays
- Retirement plan with employer matching
- Life insurance
- Disability insurance
- Flexible spending accounts (FSAs)
- Health savings accounts (HSAs)
- Employee assistance program (EAP)
- Tuition reimbursement for continuing education
- Professional development opportunities
- Employee discount programs
- Wellness programs
WVU Medicine Culture
WVU Medicine is committed to creating a supportive and inclusive work environment where employees can thrive. The organization values teamwork, innovation, and a patient-centered approach to healthcare. Employees are encouraged to collaborate, share ideas, and continuously improve processes to enhance the quality of care provided to patients. WVU Medicine also emphasizes diversity and inclusion, ensuring that all employees feel valued and respected.
How to Apply
To apply for the Clinical Revenue Cycle Educator position, please click the "Apply" button at the top of this page and complete the application form. Be sure to include your resume, cover letter, and any relevant certifications or licenses. If you have any questions about the application process, please contact the WVU Medicine HR department.
FAQ
- What qualifications are required for this position?
A current Registered Nurse license and at least one of the following certifications: CCS, CCDS, CDIP, HCQM, ACM, or CCM. Additionally, two years of experience in inpatient acute care coding, CDI, Denials, Utilization Review, or Appeals, and three years of RN experience are required.
- Is a Bachelor's Degree in Nursing required?
A Bachelor's Degree in Nursing is preferred. Candidates with an Associate of Science in Nursing Degree (ASN) or Diploma are encouraged to apply, provided they are currently enrolled in a BSN program and complete it within three years of hire.
- What are the key responsibilities of the Clinical Revenue Cycle Educator?
Key responsibilities include designing and leading training programs, developing curriculum, providing individualized support to staff and providers, and participating in internal audits.
- What is the salary range for this position?
The estimated salary range is $75,000 to $110,000 per year.
- What benefits does WVU Medicine offer?
WVU Medicine offers a comprehensive benefits package, including health insurance, paid time off, retirement plan, life insurance, disability insurance, and more.
- Is this a remote position?
Yes, this is a remote position.
- What opportunities for advancement are available?
Potential advancement opportunities include Senior Clinical Revenue Cycle Educator, Revenue Cycle Manager, and Clinical Documentation Improvement Manager.
- What is the work environment like at WVU Medicine?
WVU Medicine is committed to creating a supportive and inclusive work environment where employees can thrive.
- How do I apply for this position?
To apply, click the "Apply" button at the top of this page and complete the application form.
- Who can I contact if I have questions about the application process?
You can contact the WVU Medicine HR department for assistance.
Locations
- Remote, West Virginia, United States (Remote)
Salary
82,500 - 121,000 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Clinical Documentation Improvement (CDI)intermediate
- Medical Codingintermediate
- Utilization Reviewintermediate
- Denial Managementintermediate
- Revenue Cycle Managementintermediate
- Training and Developmentintermediate
- Curriculum Developmentintermediate
- Competency Assessmentintermediate
- Data Analysisintermediate
- DRG/CPT Codingintermediate
- Payer Policiesintermediate
- Provider Onboardingintermediate
- Documentation Improvementintermediate
- Medical Necessity Reviewintermediate
- Appeals Processintermediate
- Complianceintermediate
- Auditingintermediate
- Communicationintermediate
- Problem-solvingintermediate
- Critical Thinkingintermediate
- Registered Nurse (RN)intermediate
- Healthcare Quality Managementintermediate
Required Qualifications
- Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC). (experience)
- Certified Coding Specialist (CCS) through American Health Information Management Association (AHIMA) OR (experience)
- Certified Clinical Documentation Specialist (CCDS) through Association of Clinical Documentation Integrity Specialists OR (experience)
- Certified Documentation Improvement Practitioner (CDIP) through American Health Information Management Association (AHIMA) OR (experience)
- Health Care Quality and Management Certification (HCQM) through American Board of Quality Assurance and Utilization Review Physicians OR (experience)
- Accredited Case Manager (ACM) through American Case Management Association OR (experience)
- Certified Case Manager (CCM) through Commission for Case Manager Certification. (experience)
- Two (2) years of experience in inpatient acute care coding, CDI, Denials, Utilization Review, or Appeals. (experience)
- Three (3) years of RN experience in a nursing or clinical role. (experience)
- Bachelor's Degree in Nursing OR Associate of Science in Nursing Degree (ASN) or Diploma (Preferred). (experience)
- BSN completion within three (3) years of hire (Preferred for ASN/Diploma). (experience)
- Five (5) years in a hospital revenue cycle role with exposure to multiple functions (coding, CDI, UR) (Preferred). (experience)
- Three (3) years of direct educator/trainer experience designing and delivering clinical or operational training programs (Preferred). (experience)
- Hands-on experience with appeals, payer communication, and denial prevention strategies (Preferred). (experience)
Responsibilities
- Design and lead systemwide CDI, coding, UR, and denial management training programs.
- Develop data-driven curriculum based on competency assessments and audit outcomes.
- Implement training strategies to improve accuracy, compliance, and reduce preventable denials.
- Provide focused training on DRG/CPT updates, clinical criteria, and payer policies.
- Support onboarding of new providers and hospitals with standardized documentation and utilization expectations.
- Offer individualized, case-based support to staff and providers.
- Address real-time documentation, coding, medical necessity, and appeals questions.
- Develop concise tip sheets, payer grids, documentation guides, and workflow references.
- Ensure training materials reflect current CMS and payer guidelines.
- Conduct ongoing education and training sessions to maintain staff competency.
- Facilitate feedback loops to identify areas for improvement in clinical revenue cycle processes.
- Participate in internal audits to assess documentation and coding accuracy.
- Support enterprise initiatives aimed at improving quality and financial performance.
- Monitor and analyze key performance indicators (KPIs) to evaluate the effectiveness of training programs.
- Collaborate with other departments to ensure alignment of training efforts.
- Stay current with industry trends and best practices in clinical revenue cycle management.
- Serve as a subject matter expert on CDI, coding, UR, and denial management.
Benefits
- general: Comprehensive health insurance (medical, dental, vision)
- general: Paid time off (PTO) for vacation, sick leave, and holidays
- general: Retirement plan with employer matching
- general: Life insurance
- general: Disability insurance
- general: Flexible spending accounts (FSAs)
- general: Health savings accounts (HSAs)
- general: Employee assistance program (EAP)
- general: Tuition reimbursement for continuing education
- general: Professional development opportunities
- general: Employee discount programs
- general: Wellness programs
- general: Relocation assistance (if applicable)
- general: Competitive salary
- general: Remote work options (as applicable)
- general: Opportunities for advancement within the organization
- general: Supportive work environment
- general: Commitment to diversity and inclusion
- general: Employee recognition programs
- general: Access to state-of-the-art technology and resources
Tags & Categories
Answer 10 quick questions to check your fit for Clinical Revenue Cycle Educator Careers at WVU Medicine - Remote | Apply Now! @ WVU Medicine.
Related Books and Jobs