Coding Audit & Quality Lead — Waste & Error Manager

CVS Health Corporation; Nashville (TN); Hybrid; USD 54,000 - 146,000; Full time

Benefits offered by this job

Hybrid work policy

Comprehensive benefits package

Bonus eligibility

Job summary

CVS Health Corporation seeks a Waste & Error Certified Coding Manager to lead the Certified Coding Analysts and Team Lead roles. You will drive audits, ensure coding accuracy, and manage staffing, performance, and development across the team.

Partner with senior leadership to deliver compliant, high‑quality results. The role emphasizes operational oversight, quality control, and continuous improvement within a hybrid work environment.

Qualifications

• Active AAPC CPC/CCS/RHIT or RN license required.
• 5+ years in medical coding, claims review, auditing, or payment integrity.
• 2+ years of people leadership experience.
• Experience leading coding quality programs and productivity management.
• Strong knowledge of CPT, HCPCS, ICD-10, CMS 1500, UB-04, coding compliance.
• Experience researching and applying state, federal, CMS, and organizational policies.
• Excellent written and verbal communication with stakeholders and teams.

Responsibilities

• Lead, coach, and develop a team of Certified Coding Analysts and Senior Analysts.
• Oversee staffing, onboarding, training, and performance management.
• Manage coding audits, workloads, and service level commitments.
• Ensure accurate application of coding guidelines and reimbursement standards.
• Monitor quality metrics and drive continuous improvement initiatives.
• Collaborate with senior leadership and cross-functional partners on initiatives.
• Support audits and regulatory reviews as needed.

Skills

Medical coding

Leadership

Auditing & compliance

Data analysis

Communication

Education

AAPC CPC/CCS/RHIT or RN license

Tools

EncoderPro

Job description

CVS Health Corporation seeks a Waste & Error Certified Coding Manager to lead the Certified Coding Analysts and Team Lead roles. You will drive audits, ensure coding accuracy, and manage staffing, performance, and development across the team.

Partner with senior leadership to deliver compliant, high‑quality results. The role emphasizes operational oversight, quality control, and continuous improvement within a hybrid work environment.