Medical Coding Auditor job at Fathom AI in US National

Title: Medical Coding Auditor

Location: Remote - USA

Department: Coding Quality

Employment Type

Full time

Location Type

Remote

Job Description:

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

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