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PH Nurse, Clinical Auditor
iSTA SolutionsPHRN Clinical Auditor role ensuring clinical documentation alignment and compliance for ISTA Solutions. Involves reviewing codes and identifying missed reimbursement opportunities in healthcare.
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10 codingMDS codingclinical documentationregulatory complianceprehospital patient care protocolsanalytical skillsattention to detail
Soft Skills
verbal communicationwritten communicationindependent workteam collaborationcommitment to continuous learning
Certifications
PHRN license