Clinical Performance Auditor- Utilization Management

Iodine Software

147d

About The Position

Join us. Let’s make a direct impact in healthcare. Being an Iodine employee means becoming part of something bigger - using clinical AI technology to drive smarter healthcare processes and positively impact patient care. Recognized as one of Austin’s best places to work, we are a collaborative and dedicated team with innovation built into our DNA. Iodine is an enterprise AI company that is championing a radical rethink of how to create value for healthcare professionals, leaders, and their organizations - by automating complex clinical tasks, generating insights and empowering intelligent care. Powered by one of the largest sets of clinical data and use cases available, our groundbreaking clinical machine-learning engine, Cognitive ML, constantly ingests the patient record to generate real-time, highly focused, predictive insights that clinicians and hospital administrators can leverage to dramatically augment the management of care delivery.

Requirements

• Bachelor’s Degree or equivalent in Nursing (RN)
• 5+ years of experience in utilization management/clinical documentation and auditing clinical documentation
• Self-starter, who is extremely motivated to demonstrate success
• Attention to detail, highly organized, with an absolute focus on quality of work
• Team player DNA with a desire to solve for the interests of our clients and of our business
• Travel required for department and company meetings

Responsibilities

• Complete record reviews on client records to identify best practice process improvement opportunities
• Complete data analysis of reviews completed and create summary presentations for internal and external communication of record review results
• Engage with client utilization management teams and provide feedback regarding record review and education associated with identified opportunities for best practice improvement
• Develop and provide education regarding clinical concepts to clients and internal stakeholders and product designers
• Participate in product performance audits and communicate results with product team
• Perform medical record review to support product innovation and development
• Audit performance of key data science conditions and elements

Benefits

• Comprehensive Healthcare: Fully covered medical, vision, and dental benefits for employees, plus generous dependent coverage.
• Telehealth Services: Convenient access to telehealth services tailored for remote work.
• Savings Accounts: Tax-advantaged savings accounts for healthcare and dependent care expenses.
• Ancillary Benefits: Life, AD&D, and disability insurance paid by Iodine for peace of mind.
• Retirement Plan: Competitive 401(k) retirement plan with a considerable company match.
• Extra Life Insurance: Optional additional life insurance coverage for you and your dependents.
• Accident Insurance: Financial protection against unexpected accidents and critical health issues.
• Critical Illness Insurance: Provides financial support for medical costs and living expenses during serious illness.
• Hospital Indemnity Insurance: Additional support for hospital-related expenses through indemnity insurance.
• Pet Insurance: Affordable options for discounted pet insurance.
• Legal and Identity Protection: Legal and ID theft protection to safeguard personal information.
• Employee Assistance: Confidential employee assistance program for personal and professional challenges.
• Education Allowance: Annual funding for educational pursuits and continuing education to support professional development and skill enhancement.
• Reimbursements: Annual reimbursement for eligible wellness expenses, monthly reimbursement for cell phone and WiFi costs, and a one-time equipment allowance for creating a comfortable home office.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 251-500 employees