Job details

Risk Adjustment Auditor

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 Auditor to contribute to Fathom’s next stage of growth. This role is a unique opportunity for an experienced medical coder with robust risk adjustment 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 to ensure the correct diagnosis codes were assigned for risk adjustment coding
Reviewing and auditing medical records and physician documentation for HCC 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 CRC certification or AHIMA RAC microcredential
3+ years recently auditing risk adjustment coding
Knowledge of anatomy/physiology and disease process and medical terminology
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:

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

Fathom Glassdoor Company Review

4.1

Fathom DE&I Review

No rating

CEO of Fathom

Unknown name

Approve of CEO

Average salary estimate

$85000 / YEARLY (est.)

min

max

$70000K

$100000K

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 Auditor, Fathom

Join Fathom as a Risk Adjustment Auditor and be part of a groundbreaking mission to enhance and structure medical data using AI technology. At Fathom, we are revolutionizing how healthcare data is managed by automating the translation of patient records into essential billing codes, addressing the staggering costs related to errors and denied claims. As a Risk Adjustment Auditor, you will leverage your expertise in medical coding and risk adjustment to ensure accuracy in coding practices. This is an exciting opportunity for experienced professionals who thrive in a dynamic startup environment and are eager to make a tangible impact in the healthcare sector. You will review medical records, audit documentation for HCC accuracy, and prepare insightful audit reports that support our engineering and client success teams. Your knowledge of anatomy, coding guidelines, and medical terminology will be invaluable as you contribute to our mission. Moreover, your enthusiasm for technological innovation in medical coding will enable us to drive forward our ambitious goals. Working fully remote, you will be part of a vibrant team dedicated to transforming the future of medical coding and healthcare reimbursement. If you are ready to play a pivotal role in our growth journey, we would love to hear from you!

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

What are the primary responsibilities of a Risk Adjustment Auditor at Fathom?

As a Risk Adjustment Auditor at Fathom, your key responsibilities include reviewing medical records to ensure accurate diagnosis coding for risk adjustment, auditing physician documentation for HCC compliance, and preparing detailed audit reports. Furthermore, you will provide insights and education to support our engineering and client success teams, helping to accelerate product development and enhance coding practices.