About The Position

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.

Requirements

  • 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

Nice To Haves

  • 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.

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

Benefits

  • Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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