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Coding Audit and Coding Compliance Director at CVS Health - ApplyBlast

Coding Audit and Coding Compliance Director

CVS Health

1 month ago

3.2 on Glassdoor

Remote

Full Time

Senior

0 applicants

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About this role

This role provides strategic leadership and organizational oversight for the Coding Audit and Coding Compliance functions, ensuring accurate and consistent coding in accordance with CMS requirements and internal policies. The position involves establishing governance, audit methodologies, and risk-management processes while serving as a senior subject matter expert for complex coding and compliance matters. The incumbent will advise executive leadership on material risks, trends, and mitigation strategies to support the organization's health care objectives.

Responsibilities

Establish and execute coding quality, audit, and compliance strategy
Lead development and maintenance of coding policies and compliance requirements
Provide senior escalation point for complex coding and regulatory matters

Skills

Qualifications

Certified Professional Coder (CPC)Certified Coding Specialist (CCS)Certified Risk Adjustment Coder (CRC)Certified Professional Medical Auditor (CPMA)Registered Health Information Administrator (RHIA)

About CVS Health

cvshealth.com

Headquarters

Woonsocket, Rhode Island, United States

Company Size

10001+ employees

Founded

1963

View Profile

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.