Pat Koziol, CISA, FLMI, HIAA

Pat Koziol has worked in both IT and Internal Auditing at three major insurance companies (Massachusetts Mutual, Travelers, and UNUM) as well as UMass Memorial Health Care, a large Academic Medical Center in Central Massachusetts with a three-hospital main campus, four community hospitals and an inpatient/outpatient behavioral health facility.

Ms. Koziol has a wide range of experience in conducting both IT-related and operational audits in all areas of a health care organization such as patient scheduling, registration, charge entry, billing, and medical records including development of queries in support of the audit work. Ms. Koziol has also worked on various special projects such as patient valuables, patient copayments, and IT security. She has led a team to develop organizational-level processes and policies to ensure adherence to Federal I-9 regulations. She has worked with IT to establish project and change management processes including appropriate documentation on all aspects of IT projects. She has also participated on teams for outsourced billing arrangements to establish and ensure proper handling and reconciliation processes are in place and functioning including required documentation in the patients’ medical records. She has recently worked on projects related to Meaningful Use and Data Mapping.

Ms. Koziol was a founding member of the HIPAA-related workgroup at her organization. She actively participated in the organization’s HIPAA Advisory Group and the Privacy and Information Security Workgroup whose responsibility it was to provide direction to the organization on HIPAA-related matters and to help establish compliance with HIPAA and HITECH regulations. Both her earlier career in Information Technology as well as her audit experience helped shape her holistic approach to projects.

Ms. Koziol has a Bachelor’s degree in Accounting. She is CISA certified, Lean – Six Sigma white / yellow belt certified, and both a Fellow – Life Management Institute (FLMI) as well as Health Insurance Association of America (HIAA) certified.