Description

The Government Audit Coordinator oversees Recovery Audit Contractor and other regulatory activity, along with Health Information Management (HIM) personnel required to process release of information (ROI) requests to comply with required deadlines. This position serves as the site site administrator for the policy and procedure system for Torrance Memorial Medical Center.

Core Competencies

Oversees the procedural, operational and substantive elements related to the RAC program. Oversees staff and work assignments related to release of information & processing requests from the RAC and other regulatory or review agencies. Ensures the maintenance of the RAC activity database and notifications of the RAC Review Team. Ensures the processing of requests from other government agencies such as CERT (Comprehensive Error Rate Testing); ZPIC (Zone Program Integrity Contractors); CDAC (Clinical Data Abstraction Center); etc. Oversees and coordinates the activities of the HIM Medicolegal Correspondents who process all subpoenas and requests for information received by the HIM Department. Runs appropriate reports as required by Manager. Serves as the system administrator and coordinates activities in support of the policy & procedure management system used by Torrance Memorial Health System. Responds to RAC and other government requests within federally mandated timeframes and follows through to completion. Ensures staff respond to patient requests for assistance in accessing the patient portal or online request for electronic patient records. Tracks status of all RAC record request activity using the automated tracking system. Analyzes audit and RAC findings/reports and communicates to appropriate individuals and committees. Maintains current knowledge of federal record request programs and communicates to appropriate individuals.