Waste & Error Coding Manager | Audit & Quality Lead

CVS Health Corporation; United States; Hybrid; USD 60,000 - 146,000; Full time

Benefits offered by this job

Hybrid work environment

Comprehensive benefits package

Bonus eligibility

Job summary

CVS Health seeks a Waste & Error Certified Coding Manager to lead a team of Certified Coding Analysts and Senior Analysts, driving accuracy, efficiency, and compliance in medical claim reviews and audits.

You will partner with cross-functional leaders, oversee staffing and coaching, and champion quality improvements with a focus on performance metrics and risk mitigation. Hybrid work is supported.

Qualifications

• Active AAPC/CPC or CCS, RHIT or RN license.
• 5+ years in medical coding, auditing or payment integrity.
• 2+ years of people leadership experience.
• Experience leading coding quality programs and productivity management.
• Strong CPT/HCPCS/ICD-10 and CMS knowledge.
• Experience with state/federal policies.
• Proficient in Excel and Word.
• Excellent communication skills.

Responsibilities

• Lead and develop a team of Certified Coding Analysts and Senior Analysts.
• Oversee coding audits and waste/ error activities; manage priorities and workload.
• Ensure adherence to CPT, HCPCS, ICD-10, CMS guidelines and documentation standards.
• Partner with Legal, Compliance, Analytics, and leadership to drive improvements.
• Provide coaching, performance feedback, and development planning.

Skills

Medical coding

Auditing

Leadership

Quality assurance

Training

Education

High school diploma

Tools

Excel

Word

Job description

CVS Health seeks a Waste & Error Certified Coding Manager to lead a team of Certified Coding Analysts and Senior Analysts, driving accuracy, efficiency, and compliance in medical claim reviews and audits.

You will partner with cross-functional leaders, oversee staffing and coaching, and champion quality improvements with a focus on performance metrics and risk mitigation. Hybrid work is supported.