About this role
ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Clinical Reviewer 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!
Account specific roles and responsibilities:
Review and audit patient charts and clinical documentation.Verify that ICD-10 diagnosis codes appropriately correspond with documented treatments and services. Evaluate patient care plans to ensure alignment with diagnoses, prescribed treatments, and documented services. Complete structured audit reports consisting of 140+ audit questions for each patient chart. Ensure chart reviews are conducted with a high level of accuracy, consistency, and adherence to documentation standards. Maintain productivity targets by completing patient chart audits within an average timeframe of approximately 30 minutes per chart. Identify discrepancies, inconsistencies, or documentation gaps and flag them appropriately through the reporting process. Follow established workflows, auditing procedures, and quality standards for chart review activities.
Requirements
Must have an active Philippine Registered Nurse (PHRN) license.Familiarity with ICD-10 diagnosis codes.Experience reviewing or matching clinical documentation, treatments, and care plansExperience with EMR Tools (Kantime)High level of attention to detail and analytical skills.Proficient in Microsoft tools and web-based forms.Good verbal and written English skillsMust be residing within GMA (Greater Manila Area)Amenable working night shiftsBenefits
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