Compliance Analyst (Healthcare - Professional Coding & Billing)

Job Description

If you value accuracy and attention to detail, providing administrative support to an established medical practice, we would like to connect with you!

Cornerstone Staffing Solutions | On behalf of our client

Location: Los Gatos, CA (Hybrid – Local candidates only)

Schedule: Monday – Friday | Standard Business Hours

Assignment Type: Contract (Potential for Conversion)

Pay: $50.00 – $60.00/hour

Position Overview

Cornerstone Staffing Solutions is seeking experienced Compliance Analysts to support a leading healthcare organization in strengthening regulatory adherence across professional services. This role is ideal for candidates with a strong background in coding audits, billing compliance, and healthcare regulations who are looking to make a meaningful impact within a collaborative medical network.

You will play a key role in evaluating coding accuracy, identifying compliance risks, supporting audits, and driving process improvements across multiple specialties.

Key Responsibilities

Regulatory Compliance & Oversight

• Monitor and interpret updates to healthcare regulations and payer guidelines

• Translate regulatory changes into actionable guidance for clinical and operational teams

• Support implementation of compliance standards across billing and documentation practices

Coding & Billing Audits

• Conduct audits of CPT, HCPCS, and ICD-10 coding for accuracy and compliance

• Review E/M coding , modifier usage, and medical necessity alignment

• Identify trends in denials, errors, and documentation gaps

• Provide recommendations to improve coding accuracy and reduce risk

Investigations & Risk Mitigation

• Assist with investigations related to billing discrepancies or compliance concerns

• Collaborate with internal teams to develop corrective action plans

• Support responses to payer audits, including documentation and appeals

Data Analysis & Reporting

• Analyze coding and billing data to uncover trends and potential risks

• Develop reports, dashboards, and audit summaries for leadership

• Track performance indicators such as denial rates and audit outcomes

Compliance Program Support

• Deliver training and education on compliance topics and regulatory standards

• Maintain documentation for audits, investigations, and corrective actions

• Assist with internal reviews, risk assessments, and policy development

• Partner with providers, coders, and leadership to resolve compliance issues

Qualifications

• High School Diploma or equivalent required; Bachelor’s degree preferred

• AAPC Certification required (CPC, CPMA, CPCO, or similar)

• Experience in healthcare compliance, coding audits, or revenue cycle operations

• Strong knowledge of Medicare regulations, payer guidelines, and compliance standards

• Ability to interpret clinical documentation and apply coding guidelines accurately

• Excellent analytical, problem-solving, and communication skills

Preferred Experience

• Multi-specialty professional coding audit experience

• Background in denial management and payer appeals

• Knowledge of reimbursement methodologies (e.g., RBRVS)

• Experience creating compliance training or educational materials

• Familiarity with risk adjustment and quality reporting

Why Join Through Cornerstone Staffing Solutions?

• Opportunity to work with a respected and growing healthcare organization

• High-impact role influencing compliance and operational excellence

• Potential for long-term placement or permanent conversion

• Dedicated recruiter partnership and ongoing support

Apply Today

If you’re a compliance-driven professional with expertise in coding and billing audits, we encourage you to apply and connect with our team at Cornerstone Staffing Solutions.