After his playing career ended, Pitts was an assistant coach for the Los Angeles Rams, the Houston Oilers, and the Buffalo Bills, coaching in all four of the Bills' Super Bowl appearances in the early 90s. Pitts occasionally substituted as head coach for Marv Levy in the mid-1990s.
In October 1997, while still the Bills' assistant head coach, Pitts was diagnosed with stomach cancer, which claimed his life nine months later at the age of 60.
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