PH Nurse | Clinical Auditor (WFH)

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN Clinical Auditors to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Roles and responsibilities:

• Review ICD-10 codes to ensure correct clinical category mapping
• Identify missed reimbursement opportunities across PT/OT, SLP, NTA, Nursing, and Functional Scoring
• Ensure therapy services and clinical documentation are properly aligned
• Utilize CMS tools, the RAI Manual, and internal protocols to maintain regulatory compliance
• Thoroughly scrub assessments prior to submission for completeness and accuracy

Requirements

• Current and valid PHRN license

• 6 months work experience in a clinical setting
• Knowledge with EMR/EHR (Electronic Medical Records/Electronic Healthcare Records)
• Knowledge with MDS coding is a PLUS
• Strong knowledge of prehospital patient care protocols, standards, and regulatory requirements.
• Excellent attention to detail and analytical skills.
• Good Verbal and Written English Communication Skills​
• Ability to work independently and collaboratively in a team-oriented environment.
• Commitment to continuous learning and professional development.
• Willing to work on shifting schedule.

Benefits

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

Originally posted on Himalayas