[Hiring] PH Nurse | Clinical Auditor @ISTA Personnel Solutions

Role Description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN Clinical Auditor 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!

• 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

Qualifications

• 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

• 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

Company Description

• 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