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Medical Coding Auditor

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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 Medical Coding Auditor to contribute to Fathom’s next stage of growth. This role is a unique opportunity for an experienced medical coder with robust multi-specialty auditing experience, excellent communication and self-presentation skills, the drive to help a high-growth startup scale, and the desire to transform the future of medical coding. If this 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 will include:

Reviewing medical records across an array of outpatient specialties to ensure that the correct diagnosis and procedure codes were assigned
Reviewing physician documentation and performing audits to determine accuracy
Preparing audit results reports as requested by the engineering and client success teams
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)
3+ years recently auditing procedure and diagnosis codes
3+ years of recent auditing experience in emergency department, primary care, and/or E/M leveling
3+ years of recent auditing experience in a professional fee outpatient setting
Experience in a professional fee and/or a facility setting
Deep understanding of current coding guidelines, reimbursement guidelines, medications, and documentation requirements
Strong knowledge of anatomy/physiology, diseases, and medical terminology
Strong verbal and written communication skills
Enthusiasm for technological innovation in medical coding

Bonus points if you have:

Multi-specialty auditing experience beyond ED and primary care
Experience with inpatient coding and risk adjustment auditing
Experience building and implementing audit plans
Experience working with external clients
Experience in an entrepreneurial/startup environment
Prior encoder experience

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
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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What You Should Know About Medical Coding Auditor, Fathom

At Fathom, we're revolutionizing the way medical data is understood and structured, and we're looking for a skilled Medical Coding Auditor to join our dynamic team! In this fully remote role, you will play a crucial part in ensuring that medical records are coded accurately, helping us drive innovation and improve healthcare reimbursement processes. Imagine working with a company that's leveraging AI to manage terabytes of clinician notes to minimize costly billing errors that can reach over $15 billion annually! As a Medical Coding Auditor at Fathom, you’ll review medical records from various outpatient specialties, ensuring correct diagnosis and procedure codes are assigned. You'll prepare audit results for our engineering and client success teams, providing invaluable insights that can propel our product development. With a focus on enhancing coding education within the team, your communication skills and deep understanding of coding guidelines and medical terminology will be instrumental. If you have at least three years of auditing experience in a professional fee outpatient setting and a passion for technological advancement in medical coding, we would love to hear from you. Join us at Fathom and help transform the future of medical coding while enjoying an exciting, growth-oriented environment. With a competitive salary, equity, generous benefits, and a commitment to continual education, this role offers not just a job, but a pathway to making a real impact in healthcare.

Frequently Asked Questions (FAQs) for Medical Coding Auditor Role at Fathom

What are the primary responsibilities of a Medical Coding Auditor at Fathom?

As a Medical Coding Auditor at Fathom, your primary responsibilities will include reviewing medical records to ensure accurate assignment of diagnosis and procedure codes, performing audits on physician documentation, and providing essential coding insights to our engineering and client success teams. You will also prepare audit reports, summarize changing coding rules, and help educate the team on best practices.