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Clinical Performance Auditor- Utilization Management

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.

Who we are:

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.

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: 

  • 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

Please note this position is not restricted solely to the responsibilities listed above and that the job scope and responsibilities are subject to change.
 

What we offer:

  • 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.

Why should you join Iodine?
This is a unique opportunity to join a close-knit, rapidly growing team and help us improve a key piece of the organization. You will have the opportunity to drive smarter healthcare processes through technology, so hospitals can stay focused on patient care. You will join a passionate and ambitious team, with a proven record of success building multiple companies. Learn more about our company culture on Built In Austin  and on our website at www.iodinesoftware.com.

What You Should Know About Clinical Performance Auditor- Utilization Management, Iodine Software

Are you ready to take your career to the next level while making a real impact in healthcare? Join Iodine as a Clinical Performance Auditor in Utilization Management! At Iodine, we're passionate about using clinical AI technology to enhance patient care and streamline healthcare processes. Recognized as one of Austin’s best places to work, we pride ourselves on our collaborative atmosphere and innovative spirit. As a Clinical Performance Auditor, your role will involve conducting thorough record reviews to highlight areas for process improvement, and you'll use your analytical skills to create insightful data presentations. You'll engage with client utilization management teams to provide valuable feedback and education, fostering best practices in clinical management. Your contributions directly support our product innovation efforts by participating in performance audits and reviewing medical records to inform our cutting-edge clinical machine-learning engine, Cognitive ML. We’re looking for someone with a Nursing degree and over five years of experience in utilization management, who’s a self-starter and a detail-oriented team player. Join us at Iodine – together, we can revolutionize healthcare for the better!

Frequently Asked Questions (FAQs) for Clinical Performance Auditor- Utilization Management Role at Iodine Software
What are the primary responsibilities of a Clinical Performance Auditor at Iodine?

As a Clinical Performance Auditor at Iodine, your primary responsibilities will include conducting record reviews for client records to identify improvement opportunities, performing data analysis, and creating presentations to communicate your findings effectively. You'll also be engaged with client teams to enhance their understanding of clinical concepts and aid in the development of our product innovation strategies.

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What qualifications do I need to apply for the Clinical Performance Auditor position at Iodine?

To apply for the Clinical Performance Auditor position at Iodine, you should hold a Bachelor's Degree in Nursing (RN) and have a minimum of five years of experience in utilization management and clinical documentation auditing. We also value self-motivation, attention to detail, and the capability to work collaboratively within a team.

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How does Iodine support professional development for Clinical Performance Auditors?

Iodine is committed to the professional growth of its employees. As a Clinical Performance Auditor, you'll have access to an annual education allowance for continuing education and skill enhancement, along with reimbursable expenses that support your wellness and working from home needs.

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What benefits does Iodine offer to its Clinical Performance Auditors?

As a Clinical Performance Auditor at Iodine, you’ll enjoy a comprehensive benefits package that includes fully covered medical, vision, and dental coverage, telehealth services, various insurance options, a competitive 401(k) retirement plan, and more. We also emphasize well-being through reimbursement for cell phone costs and equipment to establish a comfortable home office.

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What is the work culture like at Iodine for Clinical Performance Auditors?

The work culture at Iodine is built on collaboration and innovation. We strive to create a supportive environment where our Clinical Performance Auditors can thrive and contribute meaningfully to healthcare advancements. Our team is passionate about making a difference and is dedicated to providing an engaging and fulfilling work experience.

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Common Interview Questions for Clinical Performance Auditor- Utilization Management
Can you describe your experience with utilization management and how it applies to the Clinical Performance Auditor role?

In answering this question, focus on specific examples from your previous roles where you successfully implemented utilization management strategies. Share insights about how your experience aligns with Iodine's goals in improving healthcare processes through data analysis and record reviews.

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What techniques do you use for conducting medical record reviews effectively?

Discuss your systematic approach to medical record reviews. Detail how you ensure accuracy, focus on important metrics, and how you communicate findings to stakeholders. Highlight any tools or technologies you’ve used, and relate this back to Iodine’s mission of utilizing AI for better outcomes.

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How do you handle feedback from clients relating to clinical documentation?

Showcase your interpersonal skills by explaining how you approach client feedback. Emphasize your ability to listen actively, present constructive solutions, and educate clients about best practices, ensuring that they feel empowered and informed throughout the process.

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What steps do you take to ensure the quality of your work in clinical auditing?

Emphasize your commitment to detail and quality assurance processes. Describe checks you implement during record reviews, your organizational methods, and any peer-review practices you have in place that demonstrate your high standards of quality in clinical auditing.

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How do you stay updated with the latest changes in healthcare regulations related to utilization management?

Highlight your commitment to continuous learning. Share resources you utilize, such as professional organizations, online courses, and relevant continuing education opportunities that keep you informed about current regulations and best practices in utilization management.

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Can you give an example of a successful project you led or contributed to in a healthcare setting?

When answering, articulate a specific project where your contributions made a significant impact. Describe your role, the challenges faced, and the positive outcome that resulted, tying your successful efforts back to Iodine’s focus on transforming healthcare through technology.

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How would you approach teaching clinical concepts to clients who are not familiar with them?

Discuss your approach to simplifying complex clinical concepts, using relatable examples and effective communication strategies that cater to your audience's level of understanding, ensuring that the education process is collaborative and informative.

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What metrics do you believe are crucial for evaluating the performance of utilization management?

Identify key metrics such as readmission rates, length of stay, or cost efficiency, and explain why they are important for evaluating performance. Discuss how these metrics align with Iodine's commitment to enhance care delivery and operational efficiency.

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What are some challenges you anticipate in the Clinical Performance Auditor role and how would you overcome them?

Address potential challenges like adjusting to varied client needs or staying current with healthcare trends. Discuss your problem-solving skills and adaptability, providing examples of past experiences where you effectively overcame similar challenges.

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Why do you want to work at Iodine as a Clinical Performance Auditor?

Share your motivation for wanting to join Iodine, focusing on the company’s innovative approach to healthcare and how it aligns with your professional values and ambitions. Express excitement about being part of a team that aims to make a substantial impact on patient care through technological advancement.

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Iodine Software is a healthcare AI company that offers a machine learning approach to help healthcare finance leaders build organizations. Founded in 2010, Iodine's technology unifies clinical concepts, evidence-based medicine, and deep machine le...

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Full-time, remote
DATE POSTED
December 19, 2024

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