Medical Coding Auditor

About Fathom

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.

About the role

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. 

What you’ll do

• Review medical records across an array of outpatient specialties to ensure that the correct diagnosis and procedure codes were assigned

• Review physician documentation and performing audits to determine accuracy

• Prepare audit results reports as requested by the engineering and client success teams

• Provide coding insights, education, and examples to Fathom engineering and client success teams to accelerate product development

• Track, aggregate and summarize the changing coding and billing rules for the engineering and client success teams

You may be a good fit if you have:

• 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

What we offer

• Salary: $70,000 USD - $100,000 USD

• Company Equity

• Medical/Dental/Vision Coverage

• 401k Matching

• $1,500 USD Home Office Budget

• PTO and Sick Days

• Support for ongoing medical coding education and certification