fathom - Coding Quality Advisor
Requirements
• 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 requirements • Consulting experience, including in compliance and/or coding litigation • Recent experience communicating verbally and in writing with external clients • Fluency in productivity tools like recent LLM/AI tools, Microsoft (Excel, PowerPoint), and Google Suite (Sheets, Docs, etc.) • Enthusiasm for technological innovation in medical coding • Revenue cycle and/or health information management experience • Experience managing in-house coding teams and/or coding vendors • Multi-specialty auditing experience beyond ED and primary care • Experience with inpatient coding and risk adjustment auditing • Clinical documentation improvement and education experience • Experience in an entrepreneurial/startup environment
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 requirements • Consulting experience, including in compliance and/or coding litigation • Recent experience communicating verbally and in writing with external clients • Fluency in productivity tools like recent LLM/AI tools, Microsoft (Excel, PowerPoint), and Google Suite (Sheets, Docs, etc.) • Enthusiasm for technological innovation in medical coding
Benefits
• Company Equity • 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
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