Clinical Coding Education Facilitation Lead - Provider Coding Curriculums

Become a part of our caring community and help us put health first

We're looking for a Registered Nurse (RN) who's passionate about education, clinical documentation, and coding to join our team as a Clinical Coding Education Facilitation Lead - Provider Coding Curriculums. In this role, you'll blend your clinical expertise-especially in Medicare Risk Adjustment (MRA) and HCC coding-with instructional design skills to create engaging, practical learning experiences for providers and care teams. You'll help providers document care accurately, support compliance, and drive quality outcomes in a value-based care environment.

Key Responsibilities:

* Design and develop provider education programs focused on clinical documentation, risk adjustment, and coding accuracy for value-based primary care.

* Create interactive, learner-friendly materials (e-learning modules, job aids, facilitator guides, scenario-based learning) using adult learning principles.

* Collaborate with providers, clinical leaders, coding teams, educators, and operational partners to ensure content is clinically relevant and aligned with workflows and EMR tools.

* Simplify complex coding and compliance concepts into practical education that fits seamlessly into daily provider routines.

* Integrate documentation best practices and EMR optimization into training, aiming to reduce provider burden and support efficient, high-quality care.

* Gather and apply feedback from learners and stakeholders to continuously improve educational content.

* Monitor, measure, and report on training effectiveness using metrics like coding accuracy, risk score stability, and provider engagement.

* Serve as a subject matter resource for MRA coding, documentation improvement, and regulatory updates.

* Support change management during EMR implementations and workflow/process changes.

Use your skills to make an impact

Required Qualifications

* Active RN license

* A minimum of five years of clinical experience in primary care, internal medicine, family medicine, or similar

* AHIMA coding credential (CCS, or equivalent) or AAPC CPC certification

* Strong understanding of risk adjustment, HCC coding, value-based care, and preventive/chronic disease management

* Experience delivering clinical or coding education to providers, Nurse Practitioners, or Physician Assistants

* Able to communicate complex coding and regulatory requirements in a practical, provider-friendly manner

Preferred Qualifications:

* Clinical experience in value-based primary care or Medicare Advantage.

* Knowledge of EMR optimization, documentation workflows, and large-scale EMR implementations.

* Background in curriculum development, adult education, or program design.

* Experience working across multi-market or matrixed healthcare organizations.

Key

Competencies:

* Clinical credibility and rapport with providers.

* Adult learning and instructional design expertise.

* Systems thinking and workflow optimization.

* Strong written/verbal communication.

* Data-driven decision making.

* Collaboration and influence in cross-functional teams.

Additional Information

* Remote Role

* Weekly travel to The Villages; anticipating 1x per week

* Targeting candidates that live near The Villages (including Orlando and Tampa)

Work at Home Requirements

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

* At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

* Satellite, cellular and microwave connection can be used only if approved by leadership

* Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

* Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

* Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects…