RN Clinical Coding Educator – Value-Based Primary Care jobs in United States
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Humana · 3 weeks ago

RN Clinical Coding Educator – Value-Based Primary Care

Humana is a leading healthcare company focused on providing value-based primary care. The RN Coding Education Facilitator is responsible for delivering clinically relevant coding education to healthcare providers, enhancing documentation accuracy and patient outcomes while aligning with value-based care priorities.

Health CareHealth InsuranceInsuranceVenture Capital
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H1B Sponsor Likelynote

Responsibilities

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

Qualification

Active RN licenseAHIMA coding credentialRisk adjustment knowledgeClinical education deliveryValue-based care understandingEMR optimization familiarityAdult education backgroundPresentation skillsClear communicationCollaborative mindset

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

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

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 (282)
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