Humana-posted 3 days ago
Full-time • Mid Level
Hybrid • The Villages, FL
5,001-10,000 employees

Become a part of our caring community and help us put health first The RN Coding Education Facilitator is responsible for delivering clinically relevant coding education to providers, nurse practitioners (NPs), and physician assistants (PAs) in a value-based primary care setting. This role uses clinical expertise and knowledge of risk adjustment and coding to present educational materials in a way that improves documentation accuracy, coding integrity, and patient outcomes—while supporting provider efficiency and well-being. You'll work directly with providers and advanced practice clinicians, presenting education that aligns with value-based care priorities like risk adjustment accuracy, quality performance, compliance, and effective patient management. Targeting candidates that live near The Villages (including Orlando and Tampa)

  • Deliver coding education and presentations focused on value-based primary care for providers, NPs, and PAs
  • Present materials on topics such as chronic condition documentation, preventive care, and quality measure alignment
  • Facilitate role-based education sessions (providers, APPs, care teams) using case studies, scenarios, and practical examples
  • Provide easy-to-use resources such as microlearning, job aids, and point-of-care tools
  • Translate complex coding and compliance concepts into clear, clinically meaningful information for provider workflows
  • Collaborate with coding, compliance, and quality teams to ensure educational content is accurate and current
  • Align education delivery with EMR workflows and documentation tools to promote efficiency
  • Gather and use feedback from learners to improve presentations and education materials
  • Support providers and care teams during EMR implementations or workflow changes with focused education
  • Monitor success using metrics like documentation accuracy, risk score stability, and provider satisfaction
  • 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
  • Clinical credibility and rapport with providers, NPs, and PAs
  • Strong presentation and education delivery skills
  • Workflow optimization mindset
  • Clear written and verbal communication
  • Data-driven improvement approach
  • Collaborative and able to influence without authority
  • 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.
  • Experience in value-based primary care or Medicare Advantage
  • Familiarity with EMR optimization and documentation workflows
  • Background in adult education or program delivery
  • Experience in large, multi-site healthcare organizations
  • Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our 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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