PH Nurse | Clinical Auditor (WFH)

2 hours, 27 minutes ago
Full-time
Entry Level
Quality Assurance and Testing
ISTA Solutions

ISTA Solutions

ISTA Solutions is a one-stop outsourcing company that provides quality and cost-efficient services and solutions. They offer tailor-made workflow solutions, skilled agents dedicated to clients, global resources for comprehensive support, and a focus on...

Professional Services
251-1K
Founded 2015

Description

  • 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.
  • Use 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.
  • At least 6 months of work experience in a clinical setting.
  • Knowledge of EMR/EHR (Electronic Medical Records/Electronic Healthcare Records).
  • Knowledge of 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.
  • Willingness to work on a shifting schedule.

Benefits

  • 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.

Interested in this position?

Apply directly on the company website

Apply Now

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