Coding Quality Advisor

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 a unique opportunity for an experienced medical coder with a proven track record of leading multi-specialty audits, client-facing experience and presentation skills, the drive to help a high-growth startup scale, and the desire to transform the future of medical coding. This is a cross-functional role working with colleagues in engineering, client success and strategy, operations, and sales. If this opportunity speaks to you, we want to hear from you!

Please note that this position is full-time and requires physical residency in the U.S.

 

Your role and responsibilities:

• Reviewing medical records across an array of outpatient specialties to ensure that the correct diagnosis and procedure codes were assigned
• Working with clients to establish and maintain medical coding accuracy thresholds
• Preparing executive presentations and reports for colleagues and clients
• Developing and enhancing internal and client-facing analytics and reporting
• Conducting strategic analysis and scenario modeling across functional disciplines
• Providing coding insights, education, and examples to Fathom engineering and client success teams to accelerate product development
• Tracking, aggregating and summarizing the changing coding and billing rules for the engineering and client success teams

 

We are looking for a teammate with:

• A current AAPC or AHIMA coding certification(s)
• 5+ years recently leading audit plans for procedure and diagnosis codes
• 5+ years leading audit plans for emergency department, primary care, and/or E/M leveling
• Recent experience leading audit plans in both professional fee and facility outpatient settings
• Consulting experience, including in middle revenue cycle, coding compliance and/or coding litigation
• Middle revenue cycle and/or health information management experience
• Experience managing in-house coding teams and/or coding vendors
• Deep understanding of current coding guidelines, reimbursement guidelines, medications, and documentation requirements
• Recent experience communicating verbally and in writing with external clients
• Fluency in productivity tools like Microsoft (Excel, PowerPoint) and Google Suite (Sheets, Docs, etc.)
• Enthusiasm for technological innovation in medical coding

 

Bonus points if you have the following experiences:

• Multi-specialty auditing experience beyond ED and primary care
• Experience with inpatient coding and risk adjustment auditing
• Clinical documentation improvement and education experience
• Experience in an entrepreneurial/startup environment
• An MBA degree or equivalent experience

 

Compensation:

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

 

Benefits:

• PTO and Uncapped Sick Days
• Medical/Dental/Vision Coverage
• 401k Matching
• $1,500 USD Home Office Budget
• Support for ongoing medical coding education and certification
• Virtual and Local Office (San Francisco, New York City  and Toronto) Team Building Events
• Annual Company Off-site