• Case Review & Coding: Review individual coding cases (estimated 30–45 minutes per case), applying accurate medical codes in line with project guidelines and standards. • Quality Assurance & Data Accuracy: Ensure consistent and accurate application of medical codes following provided guidelines and project standards. • Platform-Based Review: Use a dedicated labeling platform to review, code, and validate cases efficiently. • Feedback & Collaboration: Provide feedback to improve coding guidelines, identify ambiguities in source data, and support the improvement of AI-assisted coding mappings.

Become a part of our caring community The Senior Configuration Professional work focuses on accessing and configuring an application or system that is integrated with business processes/data and IT infrastructure including building modules, developing tables/reports, and creating complex functions. The Senior Configuration Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Configuration Professional responsibilities can include advising the business, evaluating requests, implementing new features and changes, troubleshooting, resolving testing issues, configuring processes and experiences. integrating, developing interfaces, and maintaining documentation. 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. This position reports to the Associate Director, Product Management. Additional Responsibilities: - Strategic thinking and planning capabilities; organized and detail-oriented - Ability to use appropriate problem solving, research and analysis tools - Proficient with Data Analysis - Understanding Data and how to interpret and use it - Demonstrated ability to articulate ideas effectively in both written and oral forms (ability to interact effectively with people at all levels within a team both, internal and external) - Enthusiasm and motivation are essential; a confident change-agent; strong selling and presentation skills (oral and written) - Experience facilitating with mixed teams, and indirect matrix teams - Ability to identify gaps in process performance and recommend process improvements - Ability to work with internal support groups to drive business results Use your skills to make an impact Required Qualifications - Must successfully obtain Epic certification within 60 days of completing Epic training; travel is required - Must have 5 or more years of professional experience in Product Management, Health Informatics, Business, Computer Science, Engineering, or a related field OR a bachelor’s degree in one of these fields - Must have at least 2 years of healthcare experience supporting Medicare and/or Medicaid Preferred Qualifications - Epic Healthy Planet Fundamentals for Health Plans Certification or Healthy Planet Link - Working knowledge and experience in healthcare systems - Experience in user provisioning - EPIC analyst certification/accreditations as they related to business functions (utilization management, care management, etc.…) - Previous experience operating in electronic health records (such as Epic, Cerner, etc.…) - Experience building digital capabilities - Results driven - Ability to lead project teams and drive implementation - Knowledge of Humana's internal policies, procedures, and systems Additional Information: Travel Requirements - Must be willing to travel up to 25% annually for stakeholder engagement and product initiatives - Must be willing to travel to Wisconsin 3–5 times within the first 60 days of employment to attend required training and certification classes Work Schedule - Standard work hours are Monday–Friday, 8:00 a.m.–5:00 p.m. EST or CST - Occasional weekend work is required based on business needs Work-At-Home Requirements - WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. - A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. - Satellite and Wireless Internet service is NOT allowed for this role. - A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. 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. $97,900 - $133,500 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: 04-30-2026 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.

Employment Type: Full timeShift: Description: Holy Cross Health named Forbes America's Best Employer for Healthcare Professionals! Job Summary: Must be a Certified Oncology Data Specialist (active ODS certification required). Will be responsible for providing remote cancer registry operations to include but not limited to abstracting, case finding and follow-up according to CoC and state standards, and timely completion of the organization’s data requests. Highlights: - Day 1 benefits, no waiting period! Comprehensive benefit packages available including medical, dental, vision, paid time off and 403B retirement. - Colleague Referral Program to earn cash and prizes. - Unlimited career growth opportunities. - Please visit our Career Center Home Page for more about our benefits. What You Will Do: - Review all diagnostic reports and the disease index to determine whether a case is eligible. - Enter newly identified cases into the cancer registry database, METRIQ. - Reportable cases should be abstracted within six months of date of first contact and capture all data elements required. - Follow up information is obtained at least annually for all living patients included in the cancer registry database. - Regularly transmit data to the Florida Cancer Data System (FCDS), Rapid Cancer Reporting System (RCRS) and the National Cancer Data Base (NCDB) - Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of conduct, as well as other policies & procedures in order to ensure adherence in a manner that reflects honest, ethical & professional behavior. Education & Qualifications Licensure: - Active Certified Oncology Data Specialist, ODS required - Minimum of an Associate’s degree with completed coursework in Anatomy and Physiology, pathophysiology, medical terminology, and pharmacology and computer basics ​ Minimum Qualifications - Minimum of 1-3 years varied experience in cancer registry, including abstracting duties, and experience working in a commission on cancer accredited facility. - Proficient knowledge and extensive experience with STORE; Site Specific Data Item Manual, AJCC Staging, knowledge of the SEER and NAACCR Standards; knowledge of state reporting requirements. - Direct experience with ACoS survey under the current standards is required. - Proficient with various Cancer Registry software- i.e., Metriq; Oncolog; ERS, Rocky Mountain; CNext; Abstract Plus. - Experience with electronic health records, EPIC and Mosaiq,is preferred. - Ability to consistently code at 95% threshold for both accuracy and quality while maintaining Trinity Health production and/or quality standards. - Ability to communicate effectively in a variety of settings including with colleagues, medial staff, other hospital departments, and act as a change agent to implement operational efficiencies. - Proficient knowledge of MS Office including Word, Excel and PowerPoint. Ministry/Facility Information: - A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-service, not-for-profit, Catholic, teaching hospital operating in the spirit of the Sisters of Mercy. We are the only not-for-profit Catholic hospital in Broward and Palm Beach counties. Through strategic collaborations and a commitment to being a person-centered, transforming, healing presence, the 557-bed hospital offers progressive inpatient, outpatient and community outreach services and clinical research trials to serve as our community’s trusted health partner for life. - We are committed to providing compassionate and holistic person-centered care. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Job Description UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODER. Experience in a Level 1 Trauma center or teaching facility is preferred. WORK SCHEDULE - 100% FTE, Days - Mondays - Fridays - 100% Remote POSITION HIGHLIGHTS - Implements the mission and goals of Enterprise Records and Health Information, and incorporating a “patients are first” service culture. - Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing - Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction. PRIMARY JOB RESPONSIBILITIES - Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the appropriate coding for the facility inpatient billing and reimbursement - Reviews patient records upon admission and at discharge to the inpatient Rehabilitation Unit; assigns codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients - Abstracts and/or reviews necessary patient data within EPIC and 3M 360 CAC to ensure data integrity, accurate reimbursement, proper case mix and hospital decision support. - Identifies the need for documentation clarity and works with the Clinical Documentation Improvement (CDI) department to review clinical documentation and/or request provider documentation clarification - Maintains four day turnaround times for inpatient coding based on the discharge date and understand charge lag impacts, especially for high dollar accounts and long length of stays (LOS). REQUIRED POSITION QUALIFICATIONS - High school diploma or equivalent and three years of coding experience or equivalent education/experience. - Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). UW Medicine – Where your Impact Goes Further UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Compensation, Benefits and Position Details Pay Range Minimum: $34.16 hourlyPay Range Maximum: $48.89 hourlyOther Compensation: -Benefits: For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/Shift: First Shift (United States of America)Temporary or Regular? This is a regular positionFTE (Full-Time Equivalent): 100.00%Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.