Compliance Analyst (Healthcare Professional Coding & Billing)

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; Bachelors 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 youre 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.