• Independently audit clinical documentation to ensure consistent with billed services in a production environment • Apply clinical and industry guidelines, payer P&P, and use of in-depth knowledge that supports medically necessity of services rendered • Develop relationships with medical providers and health plans to confirm adherence to P&P, guidelines, and continuum of care. • Continually keep abreast of technology changes, regulatory issues, and medical practice through ongoing training and self-directed research and share with others, accordingly • Share ideas that offer process improvements and share with team for education.

Role Description Under the direction of the Sr. Manager of PCN Coding Integrity, the Coding Quality Educator will assist with the day-to-day operations of the PCN Coding Integrity Team and regional coding teams. This position will assist with: - New employee training and ongoing department education - Identification, development, and delivery of new and ongoing provider education and training related to coding and clinical documentation - Conducting independent and collaborative provider coding reviews according to the coding integrity work plan - Developing appropriate documentation to support coding review work performed Qualifications - Bachelor’s Degree in Management, Health Information Technology, or related field or an equivalent combination of education and experience - Upon hire: National Certification from American Academy of Professional Coders, or - Upon hire: National Certification from American Health Information Management Association - 4 years professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work; 5 years preferred - 4 years experience conducting medical coding provider audits and quality performance measures; preparing audit reports with recommendations; and providing provider education and feedback to facilitate improvement in documentation and coding; 5 years preferred - Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment Requirements - Associate's Degree in a Healthcare related field (preferred) - 5 years experience in coding for multispecialty practice (preferred) - 2 years experience in professional fee billing methodologies (preferred) - Experience with IDX, Allscripts, Advanced Web, Meditech (preferred) - Experience with project management (preferred) Benefits - Comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching - Health care benefits (medical, dental, vision) - Life insurance and disability insurance - Time off benefits (paid parental leave, vacations, holidays, health issues) - Voluntary benefits and well-being resources

Title : Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly skilled 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. 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 and audit a variety of accounting systems. - Analyze, organize, and present a large volume of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other documentary evidence, etc., through the use of common software programs. - Assist with the planning of investigations, including performing quantitative and qualitative analyses to identify potential witnesses and relevant financial documents. - Prepare concise and accurate reports of results of analysis, including detailed charts, summaries and schedules as necessary. - Assist with conferences and interviews of representatives of financial institutions, Certified Public Accountants, and other potential witnesses to financial activities. - Utilize electronic databases to identify assets, documents, and other physical evidence. - Analyze an individual or corporation’s ability to pay monetary penalties based on financial disclosures and independent investigation of assets and liabilities. - Perform ancillary investigation-related services in support of assigned cases as follows: - Develop, coordinate and issue draft technical audit guidelines and instructions applicable to financial audits and investigations. - Prepare interim and final reports throughout the investigation process for use by staff members. - Arrange for secure storage, preservation, organization and indexing of voluminous documentary evidence. - Assist in the compilation and analysis of documents and physical evidence, and the creation of charts, graphs, and other audio-visual materials for use in motions and at trial. - Meet with the designated federal agency personnel, state and local officials as needed throughout investigations. - Other related duties as assigned and within scope.x Qualifications: - Four-year undergraduate degree or higher in statistical/data analysis, finance, accounting, fraud examination, or other related field. - Minimum 3 years of professional work experience in finance, accounting, fraud examination or statistical/data analysis. - Proficient in Microsoft Office applications including Word, Excel, PowerPoint, Access, etc. - U.S. Citizenship and ability to obtain adjudication for the requisite background investigation. - Experience and expertise in performing the requisite services in Section 3 Preferred qualifications: - Experience reviewing and understanding medical records and knowledge of medical billing procedures, including experience using STARS and/or Business Objects. - Relevant experience working with a federal or state legal or law enforcement entity. 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 client’s 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. #CJ $50,000 - $100,000 a year

• Plan and execute risk-based IT audits covering areas such as cybersecurity, infrastructure, system implementations, access management, and data governance. • Evaluate the design and operating effectiveness of IT general controls (ITGCs) and application controls across key business systems. • Identify control gaps and process inefficiencies, and provide practical, actionable recommendations to strengthen the IT control environment. • Support SOX compliance efforts by assessing IT controls over financial reporting, including change management, logical access, and computer operations. • Coordinate with Finance, IT, and external auditors to ensure timely and accurate completion of internal audit and SOX testing activities. • Prepare clear and concise audit reports summarizing findings, risk implications, and recommended corrective actions for both technical and non-technical audiences. • Present audit results to senior management and assist in facilitating agreement on remediation plans with business and IT stakeholders. • Track and monitor the status of open audit findings, engaging with process owners to validate timely and effective remediation. • Document evidence of corrective actions and confirm that control improvements are sustainably embedded in business processes. • Partner with IT, Finance, Operations, and Compliance teams to build strong working relationships and promote a culture of accountability and continuous improvement. • Leverage data analytics tools such as Power BI and Tableau to enhance audit testing, identify anomalies, and deliver deeper insights. • Stay current on emerging IT risks, cybersecurity threats, evolving regulations, and industry best practices relevant to the internal audit function.