Job details

Risk Adjustment Coding Advisor

Get a free resume review

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 Risk Adjustment Coding 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 risk adjustment 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!

While this is a fully remote position open to candidates across the United States, we expect employees to work consistently from a single, fixed location within the US.

Your role and responsibilities:

Reviewing and auditing medical records and physician documentation for HCC accuracy
Working with clients to establish and maintain risk adjustment 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 CRC certification or AHIMA RAC microcredential
5+ years recently leading audit plans for risk adjustment coding
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
Experience working with and developing HCC medical coding guidelines, documentation requirements, and audit programs
Strong knowledge of anatomy/physiology, diseases, and medical terminology
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:

Experience with clinical documentation improvement and education
Experience with fee-for-service procedure and diagnosis coding
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

Fathom Glassdoor Company Review

4.1

Fathom DE&I Review

No rating

CEO of Fathom

Unknown name

Approve of CEO

Average salary estimate

$130000 / YEARLY (est.)

min

max

$100000K

$160000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Risk Adjustment Coding Advisor, Fathom

Fathom is on a mission to leverage AI for understanding and structuring the world’s medical data, and we're thrilled to announce an opening for a Risk Adjustment Coding Advisor. If you're an experienced medical coder with a knack for leading risk adjustment audits and a passion for transforming the future of medical coding, this role is for you! At Fathom, we harness a deep learning engine that automates the complex process of translating patient records into billing codes for healthcare providers, saving hospitals billions annually. As a Risk Adjustment Coding Advisor, you will play a pivotal role in auditing medical records for HCC accuracy and work closely with clients to maintain coding accuracy thresholds. Your day-to-day will involve preparing compelling executive presentations, working on analytics reports, and collaborating across teams, including engineering and client success. We believe in a culture of teamwork and innovation, which is why we're seeking someone who also brings strong consulting experience and a clear understanding of coding compliance. If you are excited about making a significant impact in a high-growth startup environment, we’d love to hear from you! This is a fully remote position open to qualified candidates across the United States, although we expect consistency in work location. Join us at Fathom, where your expertise will help shape the future of medical coding!

Frequently Asked Questions (FAQs) for Risk Adjustment Coding Advisor Role at Fathom

What are the primary responsibilities of the Risk Adjustment Coding Advisor at Fathom?

As a Risk Adjustment Coding Advisor at Fathom, your primary responsibilities include reviewing and auditing medical records for HCC accuracy, establishing coding accuracy thresholds with clients, preparing executive presentations, and developing analytics reports. This cross-functional role will have you working alongside teams in engineering, client success, and operations to enhance our coding procedures and ultimately contribute to the success of Fathom's mission.