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Coding Quality Advisor

2 months ago

Remote, Oregon, United States Fathom Full time

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 Coding Quality Advisor to contribute to Fathom's next stage of growth. This role is an excellent opportunity for a talented, entrepreneurial strategist and operator to bring a consulting toolkit, a working knowledge of medical coding or revenue cycle management, and a drive to transform healthcare to a high-growth technology firm. This is a cross-functional role working across disciplines including product, sales, finance, operations, and engineering. This role requires prior professional hands-on experience with medical coding and auditing. 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:

  • Working with clients to establish and maintain medical coding accuracy thresholds
  • Developing and enhancing internal and client-facing analytics and reporting
  • Reviewing and auditing medical records and physician documentation for diagnosis and procedure code accuracy
  • Conducting strategic analysis and scenario modelling across functional disciplines
  • Preparing executive presentations and reports for internal and external audiences
  • Tracking, aggregating and summarizing coding and billing rules for the product team
  • Collaborating with engineering and product teams on features and roadmap
  • Providing coding education and training to internal engineering and product teams

We are looking for a teammate with:

  • Current AAPC or AHIMA certification(s) and medical coding/auditing outpatient experience in a professional setting
  • Prior experience working in healthcare, especially healthcare consulting
  • Experience working with medical coding guidelines and documentation requirements
  • Working knowledge of anatomy/physiology, disease process and medical terminology
  • Familiarity with medications and reimbursement guidelines
  • A proven ability to communicate effectively across domains and experience levels
  • Drive to innovate, identify novel approaches, and act decisively
  • Fluency in productivity tools like Microsoft (Excel, Powerpoint) and Google Suite (Sheets, Docs, etc.)

Bonus points if you have the following experiences:

  • Coding compliance consulting and/or coding litigation consulting
  • Revenue cycle management
  • External vendor management
  • Coding for a broad array of outpatient specialties
  • Inpatient coding, risk adjusted coding, and/or medical coding training
  • Clinical documentation improvement
  • Prior work in an entrepreneurial environment
  • Prior work in client-facing and/or project management roles
  • An MBA degree or equivalent experience

Compensation:

  • Salary: $100,000 USD - $160,000 USD
  • Company Equity

Benefits:

  • PTO and Uncapped Sick Days
    Medical/Dental/Vision Coverage
  • 401k Matching
  • $1,500 USD Home Office Budget
  • Virtual and Local Office (San Francisco, New York City and Toronto) Team Building Events
  • Annual Company Off-site