RISK ADJUSTMENT CODING ADVISOR

FATHOM
PA, United States
$100K-$160K a year
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 Risk Adjustment Coding 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.

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 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
  • Collaborating 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

We are looking for a teammate with :

  • Current 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.)

Bonus points if you have the following experiences :

  • Coding compliance consulting and / or coding litigation consulting
  • Revenue cycle management
  • External vendor management
  • Clinical documentation improvement
  • Prior work in an entrepreneurial environment
  • Prior work in client-facing and / or project management roles
  • Additional AHIMA or AAPC certifications

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
  • 6 days ago
Related jobs
Promoted
FATHOM
PA, United States

Risk Adjustment Coding Advisor. Working with clients to establish and maintain risk adjustment coding accuracy thresholds. Coding compliance consulting and/or coding litigation consulting. This role is an excellent opportunity for a talented, entrepreneurial strategist and operator to bring a consul...

The Cigna Group
Philadelphia, Pennsylvania

The Medicare Risk Adjustment Advanced Analytics team is searching for a highly motivated and collaborative Data Management Strategy & Governance Advisor to build new data processes, expand technology capabilities, and enable analytics. You will work closely with colleagues across the Risk Adjust...

CSI
Philadelphia, Pennsylvania

Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred). Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CC...

The Cigna Group
Philadelphia, Pennsylvania

The Medicare Risk Adjustment Analytical Consulting team is searching for a highly motivated and collaborative business analytics advisor to identify key analytics needs and provide insights which address business questions and influence. You will work closely with colleagues across the Risk Adjustme...

Promoted
Spartan Health Surgicenter
Monongahela, Pennsylvania

The ideal candidate would have at least 2 years or more of prior billing experience. ...

Promoted
PeopleShare
Lancaster, Pennsylvania

We have openings for receptionist, data entry, customer service, customer service associate, customer service representative, customer service specialist, call center customer service, collections, office managers, call center, call center associate, call center representative, call center agent, ca...

Promoted
Delta Dental of California
Camp Hill, Pennsylvania

Ensures accurate billing for all cycles (weekly, biweekly, monthly billing, etc. Provides guidance to internal and external customers on various items related to billing and reconciliation, including configuration, retroactive policy, aging balances, and impacts. Performs discovery audits for each g...

Promoted
Penn State Milton S. Hershey Medical Center
Hershey, Pennsylvania

Certified Professional Coder or similar certification preferred. Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:. All qualified applic...

Promoted
Medalogix
PA, United States

The Senior Coding & OASIS Specialist is responsible for overseeing and managing the accurate and compliant coding of diagnoses and procedures using ICD-10 standards and ensuring the proper use and documentation of Outcome and Assessment Information Set (OASIS) data at Medalogix. Demonstrate advanced...

Promoted
Oral Surgery Associates Of The Main
Paoli, Pennsylvania

We are seeking a Medical & Dental Biller to join our team! As a Medical & Dental Biller, you will be working closely with patients, front desk staff and physicians to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentati...