Waste & Error Coding Manager - Lead Coding Audits

CVS Health Corporation; Austin (TX); Hybrid; USD 54,000 - 146,000; Full time

Benefits offered by this job

Hybrid work environment

Comprehensive benefits package

Bonus program

Job summary

CVS Health Corporation is seeking a Waste & Error Certified Coding Manager to lead the Certified Coding Analysts and oversee coding audits, quality, and compliance across payment integrity operations.

The role emphasizes people leadership, staffing, performance management, and accountability while partnering with senior leaders and Medical Directors to drive improvements and ensure audit readiness.

Qualifications

• 5+ years of medical coding, claims review, auditing, or payment integrity.
• 2+ years in people leadership and performance management.
• Strong knowledge of CPT, HCPCS, ICD-10, CMS 1500, UB-04.
• Experience with Medicaid auditing and appeals preferred.
• Ability to manage multiple priorities and meet deadlines.

Responsibilities

• Lead Certified Coding Analysts and team, set goals and development plans.
• Oversee coding audits, reviews, and waste/abuse activities.
• Ensure compliance with coding guidelines and reimbursement rules.
• Develop KPIs and monitor productivity, quality, and efficiency.
• Partner with Legal, Compliance, Medical Directors, Analytics and leadership.
• Support internal and external audits and documentation requests.
• Drive process improvements and system enhancements.

Skills

Medical coding

CPT/HCPCS/ICD-10

People leadership

Auditing & compliance

Data analysis

Education

High school diploma or GED

Tools

EncoderPro

Job description

CVS Health Corporation is seeking a Waste & Error Certified Coding Manager to lead the Certified Coding Analysts and oversee coding audits, quality, and compliance across payment integrity operations.

The role emphasizes people leadership, staffing, performance management, and accountability while partnering with senior leaders and Medical Directors to drive improvements and ensure audit readiness.