Become a part of our caring community and help us put health first The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Sources data within the data warehouse aiding in the creation of new state layout extracts. Looks for long term improvements of encounter submission processes. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior Encounter Data Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Use your skills to make an impact Required Qualifications - Bachelor's degree in Business, Data Management, Operations or other related fields - 5 or more years of related experience - Demonstrated proficiency in SQL or Microsoft Access coding - ​Ability to manage multiple tasks and deadlines with attention to detail - Excellent communication skills - Self-starter, ability to work independently - Ability to manage multiple priorities simultaneously - Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Excel - Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications - Master's Degree in Business Administration or a related field - Prior demonstrated experience with pharmacy claims and encounters - Prior experience with Medicare and Medicaid programs - Six Sigma certification a plus Additional Information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. 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. $78,400 - $107,800 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 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ 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.

Overview CentraState Healthcare System, headquartered in Freehold, New Jersey, is a leading nonprofit healthcare provider dedicated to serving the community. Its comprehensive network includes CentraState Medical Center, a community-focused hospital, along with an ambulatory campus, two senior living facilities, three free-standing community health pavilions, and a charitable foundation. As the third-largest employer in Monmouth County, CentraState has earned repeated recognition as a Great Place to Work-Certified™ company, reinforcing its reputation as an exceptional workplace. CentraState Medical Center currently has an employment opportunity available for an Emergency Department (ED) Coder to support the Health Information Management department. The ED Coder is responsible for accurately assigning ICD-10-CM and CPT-4 diagnosis and procedure codes to emergency department records. This role ensures proper identification of facility and procedure-level codes in compliance with coding guidelines and regulatory requirements. This position may be remote or hybrid. Responsibilities - Reviews ED records to ensure complete and accurate documentation to support all diagnoses and procedures. - Accurately abstracts data such as a point of origin, discharge disposition, consultations and procedures - In a 7.5 hour day completes an average of ED charging and coding 60-65 accounts per day - Meets 95% or greater coding and charging accuracy Qualifications - High school diploma or equivalent with training in medical terminology and medical coding. - A minimum of one year of coding experience required. - Knowledge of medical terminology and coding required. - Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team. About Us CentraState Healthcare System, in partnership with Atlantic Health System, is a fully accredited, not-for-profit, community-based health system dedicated to providing comprehensive health services in central New Jersey. Beyond offering a wide range of advanced diagnostic and treatment options, CentraState is committed to being a valuable health partner, focusing on disease prevention, promoting healthy behaviors, and helping individuals of all ages live well. Located in Freehold, CentraState includes a 284-bed acute-care hospital, a dynamic health and wellness campus, two award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions. These pavilions offer primary care, specialty physician practices, and access to outpatient services such as lab work and physical therapy. CentraState is proud to be among the less than two percent of hospitals nationwide to earn Magnet® designation for nursing excellence five times. Additionally, it has been recognized as a Great Place to Work-Certified™ Company by Great Place to Work® for four consecutive years. Joining CentraState means becoming part of a pioneering healthcare facility committed to high-quality, patient-focused care. We invite you to make a difference in our community and advance your career with us. We support our employees with work/life balance initiatives, tuition assistance, career advancement opportunities, and more. Discover why our employees love their jobs and being part of the CentraState family! CentraState Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. What We Offer: - Medical, Dental, Vision, Prescription Coverage (30 hours per week or above for full-time and part-time team members) - Life & AD&D Insurance - Long-Term Disability (with options to supplement) - 403(b) Retirement Plan with employer match - 401(a) Retirement Plan with employer contribution - PTO - Tuition Reimbursement - Well-Being Rewards - Employee Assistance Program (EAP) - Fertility Coverage, Healthy Pregnancy Program - Flexible Spending & Commuter Accounts - Pet, Home & Auto, Identity Theft and Legal Insurance - Growth Opportunity and Workforce Development Initiatives - Continuing Education / Onsite Training - A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care - Concierge Services with Work & Family Benefits - Magnet recognized healthcare facility Compensation Range: $23.00 - $36.80 per hour The compensation above reflects the established range from CentraState Healthcare System (CSHS) for this position at the time the job was posted. CSHS considers many factors to determine compensation, including education, experience, skills, licenses, certification, and training. As such, team member compensation may fall outside this range. Additionally, the compensation range reflects base salary and does not include extra shift rates or incentives tied to quality, productivity, etc., as applicable. The benefits outlined also reflect CSHS’ policy at the time of posting. Benefits as are made available to other similarly situated team members of CSHS, although participation is at all times in accordance with and subject to the eligibility and other provisions of such plans and programs. CSHS may modify its benefits plans or programs at any time. CSHS is proud to comply with all pay equity and pay transparency laws.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves coding outpatient records for a healthcare organization. - Reviews and interprets health record documentation to identify pertinent diagnosis/procedures that require code assignment for outpatient ancillary, diagnostic, therapeutic and emergency department records. - Maintains adequate production. - Abstracts pertinent information from patient medical records. - Maintains coding proficiency by keeping up-to-date on coding guidelines as published in Coding Clinic and CPT Assistant. Qualifications - H.S. Diploma or Equivalent with completion of ICD 10 and CPT Coding courses/program from a nationally recognized organization (e.g., AAPC, AHIMA) - Must provide proof of PPE/Internship - Associate's Degree in Health Information Technology - Bachelor's Degree in Health Information Administration - 1 year experience in acute care hospital outpatient coding preferred, or if completion of ICD 10 and CPT Coding courses/program, or Associate's Degree in HIT, or Bachelor's Degree in HIA - no experience required Requirements - CCA - Certified Coding Associate (12 Months) - COC - Certified Outpatient Coder (12 Months) - RHIT - Registered Health Information Technician (12 Months) - CPC - Certified Professional Coder (12 Months) - RHIA - Registered Health Information Administrator (12 Months) - Other team members hired prior to January 2021 will have 12 months to obtain coding certification as outlined in job description - due January 31, 2025 Skills - Effective oral and written communication skills - Ability to apply definition of principal diagnosis to arrive at correct code assignment - Accurately distinguishes between symptoms and a true diagnosis - Applies knowledge of ICD 10-CM and CPT Procedure Guidelines for simple procedures - Able to read and interpret health record documentation relevant to coding, typically provided by a single provider - Keeps abreast of new developments in coding - Basic knowledge of automated encoding system and computer assisted coding methods - General knowledge of EHRs (electronic health record systems) - Demonstrated ability to utilize decision tree logic to arrive at basic coding assignment preferred - Basic knowledge of Microsoft Office Suite (i.e., Outlook, Excel, Word) Benefits - 401(k) with match - Paid time off - Competitive health insurance choices - Healthcare and dependent care spending account options - Wellness programs to keep you and your family healthy - Tuition reimbursement - Student loan repayment program

Your future role at a glance Location: Remote Facility: Seton Family of Hospitals Department/Specialty: Revenue Cycle Management Schedule: Monday - Friday | 8:00 am - 5:00 pm Salary: $23.60 - 31.92 per hour Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter. Benefits that help you thrive - Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options - Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance - Time to recharge: pro-rated paid time off (PTO) and holidays - Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning - Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources - Family support: parental leave, adoption assistance and family benefits - Other benefits: optional legal and pet insurance, transportation savings and more Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process. How you’ll make an impact in this role - Precision Health Data Management: Directly impact the organization’s clinical and financial integrity by accurately abstracting patient data and assigning complex diagnostic and procedural codes (ICD, CPT, HCPCS) to ensure seamless claim processing. - Collaborative Clinical Liaison: Act as a strategic partner to medical staff by proactively querying physicians to clarify documentation, ensuring that every patient record is an accurate, high-quality reflection of the care provided. - Compliance & Educational Leadership: Serve as a subject matter expert by conducting sophisticated chart audits and providing essential education to associates and physicians on evolving coding guidelines and reimbursement requirements. - Commitment to Ethical Excellence: Uphold the highest industry standards by adhering to AHIMA’s Ethical Coding guidelines, maintaining peak productivity and accuracy rates while staying at the forefront of regulatory changes. What minimum requirements you’ll need Licensure / Certification / Registration: - One or more of the following required: - Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. - Certified Outpatient Coding (COC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. - Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. - Medical Certified Professional Coder (CPC) credentialed from the Practice Management Institute (PMI) obtained prior to hire date or job transfer date. - Coder obtained prior to hire date or job transfer date. - Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. - Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. Education: - High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. - Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable. What additional preferences we're seeking - Must have surgical coding experience - 3 years of professional coding experience in a clinic or facility setting - CPC or CCS certifications preferred Equal employment opportunity employer Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster. Fraud prevention notice Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. E-Verify statement Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.