Waste & Error Coding Manager — Lead Audits & Compliance

CVS Health Corporation; Columbus (OH); Hybrid; USD 54,000 - 146,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health is seeking a Waste & Error Certified Coding Manager to lead the Certified Coding Analysts and Team Lead roles. You will oversee medical claim reviews, coding audits, and opportunities to improve payment integrity, while ensuring compliance and staff development.

The role requires 5+ years in medical coding and at least 2 years of people leadership, with strong CPT/HCPCS/ICD-10 knowledge and a focus on quality and efficiency.

Qualifications

• Active AAPC/CPC/CCS/RHIT or RN license
• 5+ years of medical coding, claims review, auditing, or payment integrity
• 2+ years of people leadership or team management experience
• Experience leading coding quality programs, productivity management, and remediation

Responsibilities

• Lead, coach, and develop Certified Coding Analysts and Team Lead roles.
• Oversee coding audits and workload management to meet turnaround time and quality goals.
• Ensure CPT, HCPCS, ICD-10, CMS rules and reimbursement requirements are applied.
• Partner with senior leadership, Legal, Compliance, Medical Directors, and Analytics to resolve issues.

Skills

AAPC CPC/CCS/RHIT/RN

Medical coding

People leadership

CPT/HCPCS/ICD-10

Regulatory compliance

Data analysis

Excel

EncoderPro

Education

High school diploma or GED

Tools

EncoderPro

Job description

CVS Health is seeking a Waste & Error Certified Coding Manager to lead the Certified Coding Analysts and Team Lead roles. You will oversee medical claim reviews, coding audits, and opportunities to improve payment integrity, while ensuring compliance and staff development.

The role requires 5+ years in medical coding and at least 2 years of people leadership, with strong CPT/HCPCS/ICD-10 knowledge and a focus on quality and efficiency.