• Conduct monthly and quarterly quality assessments of individual codes • Provide guidance and education to coding associates and leaders on coding guidelines • Perform quality assurance follow-up reviews • Serve as a subject matter expert for professional fee coding • Monitor and audit inpatient and outpatient accounts • Create presentations and educational materials for coding staff • Assist operational coding team with initial coding and denials • Train new and existing staff • Develop training materials and coding aids • Report audit findings to coding management and leadership

Role Description We currently have an exciting remote opportunity for an experienced DRG Validator. This position offers the best of both worlds: the challenge and reward of using and growing your coding expertise, combined with the flexibility and convenience of working from home. The DRG Validator is responsible for reviewing inpatient medical records to ensure the accuracy and integrity of DRG assignments, clinical documentation, and coding. This role supports compliance with regulatory guidelines and optimizes appropriate reimbursement. Key Responsibilities - Review inpatient medical records to validate the accuracy of assigned DRGs - Ensure compliance with ICD-10-CM/PCS coding guidelines and CMS regulations - Identify discrepancies in coding or documentation and recommend corrections - Collaborate with coding teams, CDI specialists, and physicians to clarify documentation - Conduct audits to detect undercoding, overcoding, or billing errors - Provide feedback and education to coding staff on DRG optimization and compliance - Maintain productivity and quality standards for case reviews Qualifications - Certified coding credential (RHIA, RHIT, CCS) - Strong knowledge of ICD-10-CM/PCS coding systems - Understanding of MS-DRG/APR-DRG methodologies - Minimum of 3 years’ experience in inpatient coding and auditing or DRG validation - Strong technical skills, including experience with VPNs, multi-factor authentication, and video conferencing tools - Proficiency in Microsoft Office, particularly Outlook (email and calendar) and Excel - A consistent, reliable work schedule and punctual attendance Benefits - Dynamic work environment - Career growth and development - Strong leadership - TOP PAY Contact Information Ready to take the next step in your career? - 📞 Call us at 800.526.0594 - 📧 Email: HR@uasisolutions.com - 🌐 Visit: www.uasisolutions.com

Senior Auditor New York NY Remote Hybrid Albany NY Finance Full Time Hybrid apply for this job Senior Auditor Employment Type Full Time Mid-level Department Financial Services CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses which serve a significant role in determinations regarding investigations, prosecutions, settlements and recovery in these matters which can be voluminous and complex. CGS brings motivated, highly skilled and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS we offer an environment in which our employees feel supported and we encourage professional growth through various learning opportunities. Skills and attributes for success - Analyze complex personal and business financial records for purposes to include identifying payments and kickbacks, tracing money flows, identifying assets, identifying sources and uses of cash, and quantifying damages. - Analyze and calculate ability to pay settlements and judgments including analyzing debt covenants, borrowing capacity, adjusted earnings and earnings per share, financial ratios, accounts receivable and accounts payable aging schedules, tax considerations, assessing collectability and developing payment terms and schedules. - Identify, quantify and understand related party transactions. - Analyze healthcare claims and other data. - Create financial damage models for use in litigation. - Conduct asset valuation. - Conduct records reconstruction. - Develop computerized models to assist in the presentation of financial evidence. - Report on financial data and evidence. - Communicate findings to attorneys and investigators. - Review defense presentations, expert reports and arguments. - Work with independent experts. - Prepare expert reports for litigation. - Participate in negotiations as requested. - Testify as required. - Perform training and give presentations on data analysis tools and experience. Qualifications - Minimum of 5 years of experience in forensic financial accounting, litigation consulting and/or health care fraud analysis required. - The resume must demonstrate experience that illustrates a clear understanding of the rules of evidence and civil procedures, the admissibility and inadmissibility of evidence, the elements of the violations under investigation and other applicable policies required to support criminal and civil investigations. Ideally you will also have - Experience preparing expert reports and other trial preparation preferred. CPA preferred. - Certified Fraud Examiner preferred. Our Commitment 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 clients' specific needs. We are committed to solving the most challenging and dynamic problems. 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. Therefore we offer a comprehensive benefits package. - Health, Dental and Vision - Life Insurance - 401k - Flexible Spending Account (Health, Dependent Care and Commuter) - Paid Time Off and Observance of State/Federal Holidays Contact Government Services LLC is an Equal Opportunity Employer. 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. Join our team and become part of meaningful government innovation Explore additional job opportunities with CGS on our Job Board httpscgsfederal.com/join-our-team For more information about CGS please visit httpswww.cgsfederal.com or contact Email emailprotected CJ 80,000 - 150,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process such as reviewing applications, analyzing resumes or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed please contact us. apply for this job

• Plan and carry out technical surveillance audits across certified sprinkler contractors • Review system designs and verify compliance through detailed assessments • Conduct site inspections to ensure installations meet required standards • Record audit findings accurately and produce high-quality reports • Review and assess responses to any non-conformances within agreed timeframes • Support certification decisions by recommending approvals, additional audits, or suspensions where needed • Represent the business professionally when engaging with clients and stakeholders • Contribute to team activities, including audit support, service improvements, and new customer development