Billing Auditor, full-time

Auditor
Employment Type: Full-Time, Experienced
Financial
CGS is seeking a highly skilled Senior Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex financial transactions and complex organizations attempting to evade detection. The ideal candidate will develop, coordinate, and draft technical audit guidelines, is proficient in a variety of accounting systems, and practices excellent cross-functional communication throughout investigations.
CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities.
The Auditor will work under the direction of the client attorneys within the specific client unit. The Auditor will perform audit activities related to the detection and investigation of fraud, waste or abuse in Government programs, including health care fraud, defense procurement fraud, contractor fraud, Paycheck Protection Program (PPP) loan fraud, and other government program fraud.
Conduct audits in support of investigations and litigation involving the government's affirmative civil enforcement of federal laws, particularly the False Claims Act, the Anti-Kickback Statute, and the Stark Law.

• Review, analyze, and interpret complex data, including Centers for Medicare & Medicaid claims data, PPP loan data, and activities of entities and individuals involved in health care fraud, defense procurement contract fraud, and other government program fraud.
• Identify possible outlier billings within specific codes, which are the payment driver for health care claims.
• Normalize claims data across several health benefit plans in order to perform a time study or other assessment of the claims, such as identifying the day of the week a provider visits a skilled nursing facility.
• Identify trends or other data within records obtained through investigation or discovery and use that information to test the data for various conditions.
• Conduct financial investigations and analyses to assess the ability of individuals and organizations to pay settlements and judgments.
• Actively communicate with witnesses, persons of interest, and local/state/federal agency representatives to gather facts, identify sequence of events, and obtain statements and relevant information.
• Examine documents including financial records, reports, correspondence, and computer data to identify fact patterns and analyze relationships between new and existing facts/parties/evidence.
• Provide recommendations and assist attorneys with development of investigative plans and including identifying areas of investigative focus based on data reviewed.

Education / Certification Requirement: Must be Certified Public Accountant. MBA or equivalent in accounting or directly related field. Thorough knowledge of generally accepted accounting principles and generally accepted auditing standards.

• Minimum of three years' experience as an auditor
• Minimum two years specialized experience in the specific subject matter area involved - for example, Medicare billing and claims systems, or DoD inventory systems
• Working knowledge of appropriate accounting and financial analysis ADP systems and applications
• Experience in litigation environment, experience working with automated litigation support helpful.
• Must be a US citizen & able to obtain a Public Trust security clearance

Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.
Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.
We care about our employees. Health, Dental, and Vision

• Life Insurance
• Flexible Spending Account (Health, Dependent Care, and Commuter)
• Paid Time Off and Observance of State/Federal Holidays

Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.