Fathom is on a mission to use AI to understand and structure the world’s medical data, starting by making sense of the terabytes of clinician notes contained within the electronic health records of the world’s largest health systems. Our deep learning engine automates the translation of patient records into the billing codes used for healthcare provider reimbursement, a process today that costs hospitals in the US $15B+ annually and tens of billions more in errors and denied claims. We are a venture-backed company that completed a Series B round of financing for $46M in late 2022.

We are seeking a Coding Quality Advisor to contribute to Fathom’s next stage of growth. This role is an excellent opportunity for a talented, entrepreneurial strategist and operator to bring a consulting toolkit, a working knowledge of medical coding or revenue cycle management, and a drive to transform healthcare to a high-growth technology firm. This is a cross-functional role working across disciplines including product, sales, finance, operations, and engineering. This role requires prior professional hands-on experience with medical coding and auditing. If this opportunity speaks to you, we want to hear from you!

Please note that this position requires physical residency in the U.S.

Your role and responsibilities:

Working with clients to establish and maintain medical coding accuracy thresholds
Developing and enhancing internal and client-facing analytics and reporting
Reviewing and auditing medical records and physician documentation for diagnosis and procedure code accuracy
Conducting strategic analysis and scenario modelling across functional disciplines
Preparing executive presentations and reports for internal and external audiences
Tracking, aggregating and summarizing coding and billing rules for the product team
Collaborating with engineering and product teams on features and roadmap
Providing coding education and training to internal engineering and product teams

We are looking for a teammate with:

Current AAPC or AHIMA certification(s) and medical coding/auditing outpatient experience in a professional setting
Prior experience working in healthcare, especially healthcare consulting
Experience working with medical coding guidelines and documentation requirements
Working knowledge of anatomy/physiology, disease process and medical terminology
Familiarity with medications and reimbursement guidelines
A proven ability to communicate effectively across domains and experience levels
Drive to innovate, identify novel approaches, and act decisively
Fluency in productivity tools like Microsoft (Excel, Powerpoint) and Google Suite (Sheets, Docs, etc.)

Bonus points if you have the following experiences:

Coding compliance consulting and/or coding litigation consulting
Revenue cycle management
External vendor management
Coding for a broad array of outpatient specialties
Inpatient coding, risk adjusted coding, and/or medical coding training
Clinical documentation improvement
Prior work in an entrepreneurial environment
Prior work in client-facing and/or project management roles
An MBA degree or equivalent experience

Compensation:

Salary: $100,000 USD - $160,000 USD
Company Equity

Benefits:

Unlimited Vacation + Sick Days
Medical/Dental/Vision Coverage
401k

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What medical coding or auditing certification(s) do you have? What year(s) were they accredited and are they still valid? *

Please select the code sets with which you have coding/auditing experience. Select all that apply. *

  CDT-4
  CPT-4 / HCPCS Level I
  HCPCS Level II
  ICD-10-CM
  ICD-10-PCS
  NDC

How frequently are you auditing providers and/or other coders? *

Which years (if any) have you been professionally auditing providers and/or other coders? *

Which years (if any) have you coded/audited in outpatient settings? *

Which years (if any) have you coded/audited in inpatient settings? *

Which years (if any) have you coded/audited in professional fee settings? *

Which years (if any) have you coded/audited in facility settings? *

Which years (if any) have you performed HCC-based risk-adjustment coding/auditing? *

What specialties do you cover? *

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