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Lead Director, Coding Audit & Compliance

CVS Health • TX, US • published 2026-09-30 07:58:48.884409

Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. **Position Introduction and Overview:** In this role you will provide strategic leadership and organizational oversight for the Coding Audit and Coding Compliance functions. You will be accountable for establishing and executing the coding quality, audit, and compliance strategy to ensure accurate, complete, and consistent coding in accordance with CMS requirements, ICD\-10\-CM guidelines, risk adjustment requirements, internal policies, and client contractual obligations. You will also establish governance, audit methodologies, quality controls, coding policies, and risk\-management processes across internal and external coding operations. You will serve as a senior coding subject matter expert and escalation point for complex coding, audit, comp...

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