Clinical Coding Education Facilitation Lead – Provider Coding Curriculums jobs in United States
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Humana · 22 hours ago

Clinical Coding Education Facilitation Lead – Provider Coding Curriculums

Humana is a leading healthcare company focused on proactive and preventive care for seniors. They are seeking a Clinical Coding Education Facilitation Lead to develop and deliver education programs on clinical documentation and coding for providers, enhancing compliance and quality outcomes in a value-based care environment.

Health CareHealth InsuranceInsuranceVenture Capital
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H1B Sponsor Likelynote

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

Qualification

Active RN licenseAHIMA coding credentialRisk adjustment knowledgeClinical experienceCoding education deliveryEMR optimization knowledgeAdult learning expertiseCommunicationCollaboration skills

Required

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

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

Benefits

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

Company

Humana is a health insurance provider for individuals, families, and businesses.

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (202)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Colin Drylie
Senior Vice President, Experience Transformation
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Company data provided by crunchbase