About the role
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 Series B venture-backed company. 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 and building client relationships, 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, operations, and sales. If this opportunity speaks to you, we want to hear from you! Please note that this position requires physical residency in the U.S. Your role and
responsibilities: Reviewing medical records across an array of outpatient specialties to ensure that the correct diagnosis and procedure codes were assigned Developing positive, meaningful client relationships Partnering 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 Collaborating closely with engineering and product teams to translate coding insights into product improvements 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; for emergency department, primary care, and/or E/M leveling; for both professional fee and facility outpatient settings 5+ years activating new clients or new sites with coding A drive to innovate, identify novel approaches, and act decisively to achieve positive outcomes Deep understanding of current coding guidelines, reimbursement guidelines, medications, and documentation