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Medical Coding Expert

1 month ago

Old Toronto, Canada Fathom Full time

Fathom is a pioneering healthcare technology firm utilizing AI to decipher and structure the world's medical data, starting with clinician notes within electronic health records of top health systems. Our cutting-edge deep learning engine automates translation of patient records into billing codes for healthcare provider reimbursement, a process that currently costs US hospitals $15B+ annually, resulting in tens of billions more in errors and denied claims.

We are seeking a skilled Risk Adjustment Coding Advisor to contribute to Fathom's next stage of growth. This role presents an excellent opportunity for a seasoned strategist and operator to bring a consulting toolkit, working knowledge of medical coding or revenue cycle management, and drive to transform healthcare to a high-growth technology firm.

Responsibilities:
  • Collaborating with clients to establish and maintain risk adjustment coding accuracy thresholds
  • Reviewing and auditing medical records and physician documentation for HCC accuracy
  • Conducting strategic analysis and scenario modeling across functional disciplines
  • Tracking, aggregating, and summarizing coding and billing rules for the product team
  • Working with engineering, product, and customer success teams on client roadmap
  • Providing coding education and training to internal engineering and product teams
  • Preparing executive presentations and reports for internal and external audiences
  • Developing and enhancing internal and client-facing analytics and reporting
Requirements:
  • AAPC CRC certification or AHIMA RAC microcredential
  • Prior experience working in healthcare, especially healthcare consulting
  • Experience working with and developing HCC medical coding guidelines, documentation requirements, and audit programs
  • 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.)

Compensation: $120,000 per year, plus benefits including PTO and uncapped sick days, 401k matching, home office budget, virtual and local office team building events, and company equity.