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Coding Quality Advisor

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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!

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 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

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Average salary estimate

$130000 / YEARLY (est.)

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$100000K

$160000K

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What You Should Know About Coding Quality Advisor, Fathom

Fathom is on the lookout for a talented Coding Quality Advisor to join our dynamic team! As we embark on our mission to revolutionize medical data management through AI, we're looking for someone who brings a wealth of experience in medical coding and a passion for accuracy to the table. In this essential role, you’ll be reviewing medical records across various outpatient specialties to ensure that diagnosis and procedure codes are on point. Your expertise will help us maintain high standards in coding accuracy while interacting directly with clients—a crucial aspect of this position. You'll also showcase your insights through preparing presentations and reports that keep everyone on the same page. Collaborating with engineering, strategy, and client success teams, your role will drive our ambitions to enhance product development and adapt to ever-changing coding regulations. If you thrive in fast-paced environments and have a knack for code audits and consulting, Fathom wants to hear from you! This fully remote position offers flexibility while maintaining a stable base within the US. Join us, and together, we can transform the future of medical coding!

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

What are the responsibilities of a Coding Quality Advisor at Fathom?

As a Coding Quality Advisor at Fathom, your primary responsibilities include reviewing medical records to ensure accurate coding, working directly with clients to set and uphold coding standards, preparing insightful executive presentations, and collaborating cross-functionally with teams to improve medical coding processes and analytics. You'll also monitor changes in coding rules to keep our practices aligned with current standards.