Coding Quality Advisor
Job Description
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 Series B venture-backed company.
About the role
We are seeking a Coding Quality Advisor to contribute to Fathom’s next stage of growth. This role is a unique opportunity for an experienced medical coder with a proven track record of leading multi-specialty audits and building client relationships, the drive to help a high-growth startup scale, and the desire to transform the future of medical coding. This is a cross-functional role working with colleagues in engineering, client success, operations, and sales. If this opportunity speaks to you, we want to hear from you!
Please note that this position requires physical residency in the U.S.
What you’ll do
Review medical records across an array of outpatient specialties to ensure that the correct diagnosis and procedure codes were assigned
Develop positive, meaningful client relationships
Partner with clients to establish and maintain medical coding accuracy thresholds
Prepare executive presentations and reports for colleagues and clients
Develop and enhance internal and client-facing analytics and reporting
Collaborate closely with engineering and product teams to translate coding insights into product improvements
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)
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
Bonus points if you have:
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
What we offer
Salary: $120,000 USD - $160,000 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