Healthcare Compliance Analyst
El Camino Health
San Jose, California26d ago
About the role
El Camino Health Medical Network is currently seeking a talented Temporary Compliance Analyst to join our growing healthcare team! This position is temporary with the potential to go permanent.
Summary:
The Compliance Analyst monitors and evaluates coding, billing, and documentation practices to ensure alignment with federal and state regulations, payer policies, and internal standards. The role supports risk mitigation, conducts investigations, and partners with clinical and operational teams to improve compliance across the medical network.
Essential Functions:
Regulatory Monitoring and Interpretation
• Track and interpret regulatory changes affecting professional services, including CMS, OIG, AMA CPT, and commercial payer policies.
• Assess the impact of new rules on coding, billing, and documentation workflows.
• Develop guidance and compliance alerts to communicate regulatory updates to stakeholders.
Professional Coding and Billing Compliance Review:
• Conduct internal audits