About the job
ISTA Solutions is actively seeking a skilled PHRN or RN Chart Auditor to join our fast-growing team in a fully remote capacity. We are dedicated to fostering a work environment that emphasizes employee satisfaction and promotes a healthy work-life balance. At ISTA Solutions, we celebrate a culture that values long-term success and ongoing professional development. We are in search of a collaborative team member eager to help us achieve our mission.
The PHRN Chart Auditor will be tasked with performing detailed evaluations of patient care documentation, ensuring adherence to established standards and regulatory guidelines. This role is crucial for upholding the quality and precision of prehospital patient records, and it involves close collaboration with clinical teams, management, and other stakeholders to pinpoint areas for enhancement and facilitate continuous education.
- Conduct comprehensive audits of prehospital patient care records to confirm compliance with relevant protocols and regulations.
- Assess the accuracy and completeness of documentation, encompassing assessments, treatments, interventions, and essential information.
- Detect discrepancies, errors, or omissions in patient care documentation and provide constructive insights to clinical personnel and management.
- Work closely with clinical teams to address and resolve identified issues, offering guidance on effective documentation practices.
- Maintain a current understanding of applicable regulations, standards, and guidelines governing prehospital patient care documentation.
- Contribute to the creation and implementation of educational programs and training materials pertaining to proper documentation practices.
- Prepare reports outlining audit findings and trends, presenting them to relevant stakeholders as necessary.
- Engage in quality improvement initiatives aimed at enhancing overall patient care quality and documentation accuracy.
- Keep abreast of industry trends, best practices, and regulatory updates related to prehospital patient care documentation.