Waste & Error Coding Manager: Lead Coding Audits & Team

CVS Health Corporation; Denver (CO); Hybrid; USD 54,000 - 146,000; Full time

Benefits offered by this job

Hybrid work environment

Comprehensive benefits

Job summary

CVS Health is seeking a Waste & Error Certified Coding Manager to lead a team of Certified Coding Analysts and Senior Analysts. You will drive coding audits, performance management, and operational readiness while partnering with legal, compliance, and medical leadership to deliver quality outcomes.

The role emphasizes staffing, coaching, and escalation management within a hybrid work environment, with opportunities to impact payer integrity and billing accuracy.

Qualifications

• Active coding credentials and significant coding/auditing experience.
• Experience leading coding quality programs and productivity management.
• Strong knowledge of CPT, HCPCS, ICD-10 and reimbursement requirements.

Responsibilities

• Lead and develop a Certified Coding Analysts team and set performance goals.
• Oversee coding audits, workflows, and turnaround times to meet service levels.
• Ensure compliance with coding guidelines and regulatory requirements.
• Partner with senior leaders to drive process improvements and outcomes.

Skills

Medical coding

Claims review

Auditing

Fraud waste abuse

People leadership

CMS guidelines

CPT/HCPCS/ICD-10

Excel

Communication

Education

High school diploma or GED

Tools

EncoderPro

Excel

Word

Job description

CVS Health is seeking a Waste & Error Certified Coding Manager to lead a team of Certified Coding Analysts and Senior Analysts. You will drive coding audits, performance management, and operational readiness while partnering with legal, compliance, and medical leadership to deliver quality outcomes.

The role emphasizes staffing, coaching, and escalation management within a hybrid work environment, with opportunities to impact payer integrity and billing accuracy.