Clinical Performance Auditor - UM
Who We Are:
Iodine is an enterprise AI company that is championing a radical rethink of how to create value for healthcare professionals, leaders, and their organizations: 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.
What You'll Do:
Client Education and Success:
- 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
Product Innovation:
- 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
What we'd love to see:
Minimum Requirements (Education, certifications, and experience):
- Bachelor's Degree or equivalent in Nursing (RN)
- 5+ years of experience in utilization management 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
What we offer:
• Health Benefits Package: Medical, Vision, Dental
• Telehealth
• Pharmacy Resources
• Savings and Spending Accounts
• Life & AD&D Insurance
• Disability Insurance
• Travel Assistance and ID Theft Protection
• Accident Insurance
• Critical Illness Insurance
• Hospital Indemnity Insurance
• Pet Insurance
• Employee Assistance Program
• Lifestyle Spending Benefit
• Legal Plan
• 401(k) Retirement Savings Plan and Match