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.
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