Government health care accounting and compliance auditing
Myers and Stauffer is a regional public accounting firm built entirely around Medicaid and state health care program auditing. The tech stack is heavily Microsoft-centric (.NET, C#, SQL Server, Power BI) with legacy tools (VBA, Access) still in active use—typical for a compliance-driven firm where stability outweighs modernization. Hiring is finance-dominated (12 of 16 filled roles), with only 3 engineering headcount, suggesting audits and analysis drive revenue more than software product.
Myers and Stauffer provides accounting, auditing, and consulting services to state Medicaid agencies and other government health care programs across the United States. The firm specializes in cost report audits, nursing facility rate setting, hospital DRG and APC consulting, fraud detection and recovery audits, pharmacy reimbursement, and eligibility integrity reviews. With over 40 years in the space, they advise on complex provider reimbursement issues for hospitals, long-term care facilities, home health agencies, and other practitioners. The firm is based in Kansas City, Missouri, and operates across state and federal health care program administration.
Microsoft stack: .NET, C#, SQL Server, ASP.NET Core, Power BI, Tableau. Also Excel, VBA, Access, Power Automate, Python for analytics and automation.
Active projects include Medicaid program audits, nursing facility MDS audits, clinical documentation review, health care provider financial analysis, and cost report audits for state agencies.
Other companies in the same industry, closest in size