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.
Remote Remote (Country) Full-time 10%-night differential