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
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 a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
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.
About Us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.