Fatima A. Farrales

Health Program Auditor III

Department of Health Care Services

San Diego, USA

11.2015 - Current

Executed complex and challenging financial audits independently and with a team.
Applied auditing principles such as GAAP, GAGAS, and GAAS across health program evaluations.
Conducted audits of acute care hospital operations with intricate management systems.
Analyzed DRG outliers and acute cases with DPNF.
Audited FQHC Home Offices, Rate Setting Cost Report, and Change in Scope of Service with FQHC Prospective Payment System (PPS).
Audited various long-term facilities and sub-acutes, both in a chain and stand-alone, including the home office.
Led audits, providing thorough guidance to new team members.
Created detailed work documentation following set standards.
Conveyed audit findings and recommendations through spoken and written mediums.
Computed, checked, and quality reviewed diverse audit tasks applying extensive knowledge of audit programs.
Contributed to updating and refining audit-related guides for enhanced clarity.
Conducted thorough audits of ICF-DDH and ICF-DDN using pertinent regulations to ensure compliance with Medi-Cal program requirements.
Conducted scoping analysis for audits by applying relevant principles.
Coordinated requests for necessary documentation from health program providers.
Collaborated with audit providers to evaluate determinations and findings.
Handled recomputation of informal appeals.
Utilized TeamEWP and other software tools for operational efficiency.
Cultivated and sustained professional relationships with peers, management, and providers.
Created a detailed position statement and appeal package for nursing facilities and hospitals.
Part of the team that conducts acute theory training.