The aims of this study were to design and use teaching module to implement remedial instruction for improving mathematics learning performance of fourth grade students on two-step integer operations of word problem. Action research was adopted as a method, and research procedure was designed as two stages. The first, according to related researches, was to understand students’ performance, strategies and misconceptions when they solved the word problem of integer operations, in order to design the individual remedial instruction module. The second was to implement remedial instruction that included six students who were ranked the last 27% of class on the written test. According to the pre-test, this study found most students could not understand the meaning of the problem, use key word to solve problem, and usually confuse about the concept of multiplication and division. So researcher adopted various teaching strategies that including operation concrete objects and drawing pictures to help the students understand the meaning of problem, and designed learning environment that fitted students’ life experience for improving students’ learning interests and understanding the meaning of the problem. After remedial instruction, we found that students had obvious progress on the performance of written test. With regarding strategy using, students were getting use more effective method to understand the meaning of problem, and using symbolic representation to solve it. The feeling about mathematics learning, students felt learning helpless before attending remedial instruction, but were getting like mathematics class and looking forward it coming. It showed the effectiveness of applied teaching module to the remedial instruction of two-step integer operations of word problem.