• Apoyar la transformación de la función de Auditoría Interna hacia un modelo de auditoría continua y prospectiva • Construir pipelines de datos, automatizar conciliaciones y controles, y crear dashboards de monitoreo en tiempo real sobre nuestro ecosistema en Google Cloud Platform • Aplicar herramientas de análisis de datos, minería de procesos y monitoreo continuo para acceder y analizar datos de forma ágil bajo objetivos de auditoría predeterminados • Visualización de datos: Construir dashboards de auditoría continua en Looker/BigQuery para el monitoreo en tiempo real de accesos, nómina, pagos y aliados • Automatización de controles: Automatizar conciliaciones manuales (nómina vs. contabilidad, aliados, pagos manuales) para evaluar la eficacia del entorno de control e identificar errores o excepciones inusuales • Gestión de alertas: Diseñar alertas automáticas mediante hooks de auditoría que funcionen como "banderas rojas", permitiendo actuar proactivamente ante errores e irregularidades • Pipelines de datos: Desarrollar y mantener procesos de extracción e integración desde sistemas SaaS hacia el ecosistema de datos de auditoría • Capacitación: Instruir al equipo de auditoría en el uso de las herramientas desarrolladas, fomentando la competencia profesional y la educación continua en TI

Senior Auditor Finance Full Time Hybrid Hybrid Location: Los Angeles, CA / San Francisco, CA Job Description: 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 governments 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, weve been growing our government contracting portfolio and along the way, weve 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. Salary: $80,000 - $150,000 a year

Role Description Are you an experienced Inpatient Coding Auditor looking for a fully remote opportunity with a leading healthcare organization? We are seeking a highly skilled coding professional to audit complex inpatient and outpatient medical records, ensure coding accuracy and compliance, and serve as a subject matter expert for coding teams. This is a great opportunity for candidates with strong inpatient auditing experience who enjoy quality assurance, education, and collaboration with coding and clinical documentation teams. Responsibilities - Audit & Compliance - Audit inpatient, ambulatory surgery, observation, and outpatient encounters to ensure accurate reimbursement and compliance with federal and state regulations. - Review and validate ICD-10-CM, ICD-10-PCS, and CPT-4 coding assignments. - Audit complex inpatient cases including trauma, neurology, rehabilitation, critical care, and other high-acuity services. - Ensure accurate APR-DRG, SOI/ROM, and POA assignments. - Analyze clinical documentation and identify coding opportunities or discrepancies. - Coding Quality & Education - Serve as a coding subject matter expert and resource for Coding Specialists. - Conduct focused audits and quality reviews as needed. - Monitor coding accuracy and productivity metrics. - Provide coaching, education, and training to coding staff and new hires. - Research new procedures, surgical techniques, and emerging healthcare technologies. - Collaboration & Communication - Partner with Clinical Documentation Integrity (CDI) teams and providers to improve documentation quality. - Assist coding specialists with creating appropriate coding queries. - Collaborate with hospital departments regarding coding accuracy and compliance concerns. - Understand and apply concepts related to Potentially Preventable Complications (PPCs), Maryland Hospital Acquired Conditions (MHACs), Prevention Quality Indicators (PQIs), and related quality measures. - Compliance Standards - Maintain adherence to AHIMA ethical coding standards and coding compliance guidelines. - Stay current on coding regulations, payer requirements, and industry updates. Qualifications - High School Diploma or GED required. - Formal training in ICD-10-CM, ICD-10-PCS, and CPT-4 coding. - Associate's or Bachelor's degree preferred (education may be considered in lieu of some experience). Requirements - Minimum of 2 years of ICD-10-CM/ICD-10-PCS coding and abstracting experience within a Level I Trauma Hospital, OR 4 years of inpatient hospital coding experience. - 2–3 years of ambulatory/outpatient coding experience. - Experience auditing complex inpatient cases preferred. - Certifications (One Required): - Certified Coding Specialist (CCS) - Registered Health Information Technician (RHIT) - Registered Health Information Administrator (RHIA) - Certified Inpatient Coder (CIC) Benefits - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Company Description We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

Role Description Sentara Norfolk General Hospital is hiring a Remote, Full-time, Day Shift, Hospital Charge Auditor II. - Provides System-wide support for assigned clinical Department(s) charge audit and billing functions. - Audits billing records with a high degree of accuracy and comprehensive knowledge of charges, patient types, and billing technology systems. - Provides expert level of knowledge for all aspects of the billing and charges and is a resource for complex billing issues, reconciliations, and corrections. - Works with other System experts to resolve concerns or provide expert billing consultation and initiatives to ensure revenue capture. Qualifications - Education: High School Grad or Equivalent (Required) - Experience: 4 years Billing Experience (Required) - Experience: 4 years Medical Terminology (Required) Requirements - Post high school healthcare training preferred in coding, medical terminology, or healthcare data systems. - Billing experience must be in a healthcare environment. - Must be able to work independently and provide training for other staff. Benefits - Medical, Dental, Vision plans - Adoption, Fertility and Surrogacy Reimbursement up to $10,000 - Paid Time Off and Sick Leave - Paid Parental & Family Caregiver Leave - Emergency Backup Care - Long-Term, Short-Term Disability, and Critical Illness plans - Life Insurance - 401k/403B with Employer Match - Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education - Student Debt Pay Down – $10,000 - Reimbursement for certifications and free access to complete CEUs and professional development - Pet Insurance - Legal Resources Plan - Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met