Waste & Error Coding Manager — Lead Quality & Compliance

CVS Health Corporation; Jefferson City (MO); Hybrid; USD 54,000 - 146,000; Full time

Benefits offered by this job

Hybrid work environment

Job summary

CVS Health Corporation is seeking a Waste & Error Certified Coding Manager to lead a team of Certified Coding Analysts and Senior Analysts, ensuring accurate CPT/HCPCS/ICD-10 coding and high‑quality audits. The role emphasizes staffing, coaching, and accountability within a hybrid work model.

The manager partners with leadership across Legal, Compliance, and Medical Directors to drive process improvements and regulatory compliance while delivering measurable business outcomes.

Qualifications

• Active AAPC Certified Coder CPC, CCS, RHIT or RN license w/significant coding/auditing experience may be considered.
• 5+ years of experience in medical coding, claims review, auditing, payment integrity, fraud, waste, abuse, or error review.
• 2+ years of people leadership, supervisory, or team management experience, including performance management, coaching, and employee development.
• Experience leading coding quality programs, productivity management, workload oversight, and targeted remediation activities.
• Strong knowledge of CPT, HCPCS, ICD-10, CMS 1500, UB-04, coding compliance, and reimbursement requirements.
• Experience researching and applying state, federal, CMS, and organizational policies.
• Demonstrated ability to manage multiple priorities, resolve complex issues, and meet operational deadlines.
• Strong written and verbal communication skills, including the ability to present performance results and case decisions to internal and external stakeholders.
• Proficiency with Microsoft Excel and Word; ability to interpret operational and quality data.

Responsibilities

• Lead, coach, and develop a team of Certified Coding Analysts and Senior Certified Coding Analysts.
• Establish clear role expectations, performance goals, productivity standards, quality requirements, and accountability measures.
• Conduct regular performance discussions, provide timely feedback, recognize strong performance, and address performance or conduct concerns.
• Oversee hiring, onboarding, training, succession planning, engagement, and retention for the coding team.
• Deliver technical coaching, peer support, quality remediation, and ongoing education.
• Create an inclusive, collaborative team environment that promotes knowledge sharing, sound judgment, and continuous learning.

Skills

AAPC Certified Coder CPC

CCS

RHIT or RN license

coding/auditing experience

Excel proficiency

Verbal/written communication

Education

High school diploma or GED

Tools

EncoderPro

coding research tools

Job description

CVS Health Corporation is seeking a Waste & Error Certified Coding Manager to lead a team of Certified Coding Analysts and Senior Analysts, ensuring accurate CPT/HCPCS/ICD-10 coding and high‑quality audits. The role emphasizes staffing, coaching, and accountability within a hybrid work model.

The manager partners with leadership across Legal, Compliance, and Medical Directors to drive process improvements and regulatory compliance while delivering measurable business outcomes.