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.