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 plans
Experience 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 skills
Must be residing within GMA (Greater Manila Area)
Amenable working night shifts
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
