Job Application for Risk Adjustment Auditor at FATHOM

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.

Fathom is looking for an experienced Risk Adjustment Auditor to join the team. As an auditor, you will support the risk adjustment QA and audit functions, as well as provide education and training to the Fathom engineering and product teams. Fathom will also provide a budget for ongoing medical coding education and certification.

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

Your role and responsibilities will include:

Reviewing medical records to ensure the correct diagnosis codes were assigned for risk adjustment coding
Performing audits to determine coding accuracy
Preparing reports as requested by the operations team
Providing coding insights, education, and examples to Fathom engineers and product team and staff to accelerate product development
Tracking, aggregating and summarizing the changing coding and billing rules for the product team

We are looking for a teammate with:

Current AAPC CRC certification or AHIMA RAC microcredential
3+ years of experience auditing risk adjustment coding
Knowledge of anatomy/physiology and disease process and medical terminology
A deep understanding of coding guidelines, documentation requirements as well as familiarity with medications and reimbursement guidelines

Bonus points if you have:

Prior encoder experience
Additional AHIMA or AAPC certifications
Conducted medical coding training
Experience with clinical documentation improvement
Experience in an entrepreneurial environment

Compensation:

Salary: $70,000 USD - $100,000 USD
Company Equity

Benefits:

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

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Resume/CV*

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Cover Letter*

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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?

Risk Adjustment Auditor

Your role and responsibilities will include:

We are looking for a teammate with:

Bonus points if you have:

Compensation:

Benefits:

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