Waste & Error Coding Manager: Lead Coding Audits & Compliance

CVS Health Corporation; Richmond (VA); Hybrid; USD 54,000 - 146,000; Full time

Benefits offered by this job

Hybrid work environment

Comprehensive benefits package

Job summary

CVS Health Corporation is seeking a Waste & Error Certified Coding Manager to lead a team of Certified Coding Analysts. You will oversee coding audits, accuracy, and compliance while driving performance and employee development.

Hybrid work environment with opportunities to partner with senior leaders, Medical Directors, Legal, Compliance, Analytics, and Operations to improve billing integrity and process improvements.

Qualifications

• Active AAPC/CPC/CCS/RHIT or RN license with coding/auditing experience.
• 5+ years in medical coding, claims review, auditing or payment integrity.
• 2+ years in people leadership or team management.
• Experience leading coding quality programs and productivity management.
• Strong CPT, HCPCS, ICD-10, CMS 1500/UB-04 knowledge.
• Experience researching and applying state, federal, CMS, and internal policies.
• Ability to manage multiple priorities and meet deadlines.

Responsibilities

• Lead and develop Certified Coding Analysts and Senior Analysts.
• Oversee staffing, performance management, and coaching.
• Ensure adherence to coding guidelines and payment integrity.
• Monitor quality, productivity, and audit readiness.
• Collaborate with Legal, Compliance, Medical Directors, and leaders.
• Present performance results to stakeholders and drive improvements.

Skills

AAPC CPC/CCS/RHIT/RN license

5+ years medical coding experience

2+ years people leadership

Coding quality programs

CPT, HCPCS, ICD-10 knowledge

CMS 1500, UB-04 knowledge

Policy research & application

Analytical & reporting skills

Excel & Word proficiency

Education

High school diploma or GED

Tools

Microsoft Excel

Microsoft Word

Job description

CVS Health Corporation is seeking a Waste & Error Certified Coding Manager to lead a team of Certified Coding Analysts. You will oversee coding audits, accuracy, and compliance while driving performance and employee development.

Hybrid work environment with opportunities to partner with senior leaders, Medical Directors, Legal, Compliance, Analytics, and Operations to improve billing integrity and process improvements.