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Senior Coding Quality & Compliance Lead – Epic & RADV Audits

Job in Springfield, Sangamon County, Illinois, 62777, USA
Listing for: CVS Health
Full Time position
Listed on 2026-09-02
Job specializations:
  • Healthcare
    Healthcare Compliance, Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 66000 - 146000 USD Yearly USD 66000.00 146000.00 YEAR
Job Description & How to Apply Below

Oak Street Health, part of CVS Health, seeks an experienced Manager of Coding Quality and Compliance to lead chart auditing, Epic rule engine optimization, and external CMS RADV readiness. You will collaborate with Rev Cycle, Coding, Clinical Documentation, and leadership to ensure accurate coding and compliant documentation.

The role emphasizes maternal risk adjustment workflows, deletion/log reconciliation, and payer data auditing to maintain CMS standards and protect program integrity.

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Position Requirements
10+ Years work experience
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