CenterWell Senior Primary Care
Clinical Coding Education Facilitation Lead – Provider Coding Curriculums
CenterWell Senior Primary Care, Orlando, Florida, us, 32885
Clinical Coding Education Facilitation Lead – Provider Coding Curriculums
CenterWell Senior Primary Care is looking for a registered nurse (RN) with a passion for education, clinical documentation, and coding to lead provider education programs focused on clinical documentation, risk adjustment, and coding accuracy in a value‑based care environment.
Job Summary In this role you will blend clinical expertise—especially in Medicare Risk Adjustment (MRA) and Hierarchical Condition Category (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.
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 such as 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.
Required Qualifications
Active RN license.
Minimum five years of clinical experience in primary care, internal medicine, family medicine, or a similar field.
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.
Ability 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 and verbal communication.
Data‑driven decision making.
Collaboration and influence in cross‑functional teams.
Additional Information
Remote role; weekly travel to The Villages (approximately 1 day per week).
Targeting candidates who live near The Villages (including Orlando and Tampa).
Work‑From‑Home Requirements
Minimum download speed 25 Mbps and upload speed 10 Mbps; wireless, wired cable, or DSL connection is recommended.
Satellite, cellular, and microwave connections may be used only with leadership approval.
Employees working from home in California, Illinois, Montana, or South Dakota receive a bi‑weekly payment for internet expenses.
Company supplies telephone equipment appropriate to business requirements.
Dedicated workspace with minimal interruptions is required to protect PHI/HIPAA information.
Scheduled Weekly Hours 40 hours
Pay Range $86,300 – $118,700 per year. Bonus incentive plan may be available based on performance.
Benefits Humana offers competitive benefits including medical, dental, vision, 401(k), paid time off, disability, life insurance, and more.
About Us CenterWell Senior Primary Care provides proactive, preventive care to seniors. Our integrated teams spend up to 50 % more time with patients, delivering compassionate, personalized care that improves health outcomes. CenterWell, part of Humana Inc., offers stability, industry‑leading benefits, and growth opportunities for clinicians.
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.
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Job Summary In this role you will blend clinical expertise—especially in Medicare Risk Adjustment (MRA) and Hierarchical Condition Category (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.
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 such as 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.
Required Qualifications
Active RN license.
Minimum five years of clinical experience in primary care, internal medicine, family medicine, or a similar field.
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.
Ability 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 and verbal communication.
Data‑driven decision making.
Collaboration and influence in cross‑functional teams.
Additional Information
Remote role; weekly travel to The Villages (approximately 1 day per week).
Targeting candidates who live near The Villages (including Orlando and Tampa).
Work‑From‑Home Requirements
Minimum download speed 25 Mbps and upload speed 10 Mbps; wireless, wired cable, or DSL connection is recommended.
Satellite, cellular, and microwave connections may be used only with leadership approval.
Employees working from home in California, Illinois, Montana, or South Dakota receive a bi‑weekly payment for internet expenses.
Company supplies telephone equipment appropriate to business requirements.
Dedicated workspace with minimal interruptions is required to protect PHI/HIPAA information.
Scheduled Weekly Hours 40 hours
Pay Range $86,300 – $118,700 per year. Bonus incentive plan may be available based on performance.
Benefits Humana offers competitive benefits including medical, dental, vision, 401(k), paid time off, disability, life insurance, and more.
About Us CenterWell Senior Primary Care provides proactive, preventive care to seniors. Our integrated teams spend up to 50 % more time with patients, delivering compassionate, personalized care that improves health outcomes. CenterWell, part of Humana Inc., offers stability, industry‑leading benefits, and growth opportunities for clinicians.
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.
#J-18808-Ljbffr