Auditor

Cgsfederal; Knoxville (TN); On-site; USD 85,000 - 110,000; Full time

Job summary

Contact Government Services, LLC is seeking a Senior Auditor to provide general auditing and accounting support for fraud investigations involving potentially complex financial transactions and organizations attempting to evade detection. The Auditor will work under the direction of client attorneys within the unit, performing audit activities related to fraud, waste or abuse in government programs.

The role requires CPA certification, MBA or related field, GAAP/GAAS knowledge, and 3+ years of

Qualifications

• CPA certification required.
• MBA or related field.
• GAAP and GAAS knowledge.
• Minimum 3 years experience as an auditor.
• Minimum 2 years specialized experience in Medicare billing or DoD inventory.
• Proficiency with ADP systems.
• Excellent oral and written communication skills.
• US citizenship and ability to obtain Public Trust clearance.

Responsibilities

• Conduct audits to support investigations and litigation involving the government's enforcement actions.
• Review, analyze, and interpret complex data including Medicare/PPP datasets.
• Identify possible outlier billings within health care codes.
• Normalize claims data across health plans for time studies and assessments.
• Identify trends or data relationships from investigative records.
• Develop and defend loss calculation methodologies.
• Communicate with witnesses and agency representatives to gather facts.
• Assist attorneys with investigative plans and focus areas based on data reviewed.

Skills

Auditing

Data analysis

Communication

Litigation support

Public Trust clearance

Education

Certified Public Accountant (CPA)

MBA or related field

Tools

ADP payroll systems

Job description

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, be proficient in a variety of accounting systems, and practice excellent cross‑functional communication throughout investigations.

Job Description

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.

Typical Work Assignments

• Conduct audits in support of investigations and litigation involving the government's affirmative civil enforcement of federal laws, particularly the False Claims Act, 31U.S.C. §§3729‑3733, the Anti‑Kickback Statute, 42U.S.C. §1320a‑7b(b)(1)(A), and the Stark Law, 42U.S.C. §1395nn(a).
• 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.
• Re‑interpret (extrapolate) results of a Statistically Valid Random Sample if changes are made to the sample review results.
• Develop and defend loss calculation methodologies.
• 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.

Requirements

• Must be a 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.
• Excellent oral and written communication skills.
• Experience in litigation environment; experience working with automated litigation support helpful.
• Must be a US citizen and able to obtain a Public Trust security clearance.

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.