Become a part of our caring community The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. They are a vital contributor to Humana’s Workforce Management team, supporting the Clinical Intake and Support Medicare Inpatient segment. This role is responsible for executing scheduling, timekeeping, attendance line management, and absence administration, with a strong emphasis on accuracy, compliance, and service delivery. Key Responsibilities: - Administers daily workforce processes including staff scheduling, timekeeping, attendance line, and absence management to ensure operational continuity. - Assesses organizational staffing needs, identifies requirements, and recommends effective solutions to meet workforce objectives aligned with enterprise strategic planning. - Provides thorough analysis of talent and staffing needs, leveraging data to inform decision-making and support optimal resource allocation. - Demonstrates a comprehensive understanding of departmental, segment, and organizational strategies, as well as operating objectives and their interconnections with related business areas. - Applies strong soft skills and effective communication in collaboration with leadership and back-office teams, promoting a positive and productive work environment. - Exercises sound judgment in determining appropriate work methods, including the ability to resolve issues in ambiguous situations with minimal supervision. - Adheres to established guidelines and procedures, while seeking guidance as needed to ensure compliance with organizational standards and regulatory requirements. - Maintains professionalism and confidentiality in all workforce management activities. Use your skills to make an impact Required Qualifications - 3 years or more of Workforce Management experience - Knowledge & experience with a WFO software such as Verint and Genesys - Ability to work Eastern Standard Time - Comprehensive knowledge of Microsoft products such as OneDrive, Excel and PowerPoint - Demonstrated ability to articulate ideas effectively in both written and oral forms - Strong analysis, critical thinking, and analytical problem-solving skills - Ability to handle multiple tasks and deadlines with attention to detail - Proven ability to work effectively with leadership and cross-functional teams in a back-office environment. Preferred Qualifications - Medicare and/or Medicaid experience Work At Home / Internet Information: 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 required; 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. SSN Information: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. 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. $59,300 - $80,900 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. Application Deadline: 04-13-2026 About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. ​ 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.

• This job reviews and accurately codes and abstracts the most complex hospital services, in-patient procedures, overnight/multi-night stay services and all other complex medical services. • Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement. • Works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment and works closely with management to resolve problems and meet deadlines. • Accurately assigns ICD-10 codes within the established coding guidelines, rules and regulations. • Ensures the data integrity of coded patient records by reviewing the medical documentation and validating that documentation is sufficient to support the assigned codes. • Acts as a resource by researching patient accounts in response to questions and/or errors. • Consistently complies with established department productivity and accuracy standards. • Collaborates with the CDI nurse to identify query opportunities for documentation improvement and to ensure accurate DRG assignment. • Works in collaboration with team members and other departments to meet departmental monthly goals which may include one or more of the following: DNFB, Pre-AR, Denials and Claim Edits. • Verifies correct discharge disposition based on medical documentation.

• Code Facility Outpatient accounts - Same Day Surgery, Observation, Ancillary, Woundcare Clinic and/or Pain Management records for acute care facilities. • Abstracts clinical data appropriately. • Mitigates diagnosis. • Tolerates short-term assignments for up to two different clients. • Participates in client and Savista meetings and training sessions as instructed by management. • Maintains an ongoing current working knowledge of the coding convention in play at client assignments. • Performs other related duties as required.

At Palm Primary Care (PPC) our patients have the peace of mind knowing that their health and well-being are our primary concerns. We give our health plan clients the confidence that their members are well taken care of. With more than 24,000 at-risk members, we provide primary care and other services to seniors and families in our medical centers that are comfortable, convenient and staffed with caring professionals. Our activity and wellness facilities are filled with health plan members who know us for our distinct events and programs that cater to the communities we serve. Every day, we deliver on our promise to bring value based, quality healthcare to our patients. Overview PPC is looking for a CDI/Certified Professional Coder who will demonstrate deep knowledge in Medical Risk Adjustment, HEDIS, CNS Coding guidelines, billing standards and regulations. A teamwork person who will deliver a high standard of quality of work to drive improved business performance. Duties and Responsibilities - Conduct workflows in Coding and Quality processes, medical record completion and department projects for accuracy in medical record documentation as needed. - Ensures proper code selection for compliance with ICD-10-CM Official Guidelines for Coding and Reporting. - Educates physicians on proper documentation and compliance standards. - Reviews medical record to include consultations (inpatient and outpatient) and hospital discharge summaries to ensure continuity of care and continued coding for accurate risk adjustment. - Performs pre-post audits to ensure medical record completeness, consistency, and compliance. - Works collaboratively with medical and supporting staff to follow-up on documentation needs to support the diagnosis and quality measures based on patient age and chronic conditions. - Uses only pre-approved source documents as validation for recommendations on documentation that meets the technical specifications in support of a measure. - Develops and maintains professional skills and knowledge through training programs including education sessions for ICD-10-CM and CPT codes. - Demonstrates a thorough understanding of Coding Guidelines. - Demonstrates understanding of company policies which impact Coding functions and takes ownership for compliance for own area of responsibility. - Collaborates with Supervisor as necessary to clarify and verify information. Reports opportunities identified in concurrent and retrospective clinical documentation to support quality, regulatory compliance, and effective coding. - Participates in department meetings. Consistently demonstrates awareness and willingness to fulfill Service Excellence Commitments. - Works collaboratively with team members, other departments, and clinical staff consistent with the Mission and Vision of the company. - Willingly performs similar or related tasks as assigned. - Assists in teaching any office staff and/or providers in proper documentation and coding guidelines as necessary. - Reports any issues to Quality, Compliance and Operations as necessary. - Accurately enters all identified and validated procedures codes in claims into the practice’s EMR. - Assists in all RAPS submission projects as they occur if needed. - Performs all other coding and documentation reviews and/or projects as asked and assists/coordinates strategies as defined by the department head or assistant. Education and Experience: - Certified Professional Coder (CPC) through AAPC or AHIMA. - 2 years of experience as Certified Professional Coder at minimum. - Proficient in assigning ICD-10-CM codes according to provider documentation level to comply with federal regulations and insurance requirements. - Computer skills, Word, Excel, HER. - Ability to travel to medical centers if needed and/or work remotely. - Foreign graduate, nurse, or some Medical background is a plus. Required Skills/Abilities: - Excellent verbal and written communication skills. - Excellent customer service skills. - Excellent organizational skills and attention to detail. - Ability to effectively present information in one-on-one situations to providers, office staff, insurance companies, and other employees. - To perform this job successfully, an individual must have knowledge of Microsoft Word, Excel, Internet software, Email software, and insurance web sites. - Strong sense of business ethics. - Ability to follow company policies and procedures. Physical Requirements: - Prolonged periods of sitting at a desk and working on a computer. - While performing the duties of this job the employee is regularly required to sit, use hands and arms, talk and hear. - Must be able to lift up to 10 pounds at times. Benefits: - Health insurance - Dental Insurance - Vision insurance - Life insurance - 401(k) - Paid time off Schedule: - 8 hour shift - Day shift - Monday to Friday Job Type: In Office Palm Primary Care is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Primary Care makes hiring decisions based solely on qualifications, merit, and business needs at the time.