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Fathom · 2 weeks ago

Coding Quality Advisor

United States

Full-time

Remote

Mid, Senior Level

$120K/yr - $160K/yr

5+ years exp

Fathom is a company focused on leveraging AI to organize and interpret medical data, particularly clinician notes within electronic health records. They are seeking a Coding Quality Advisor to lead audits, build client relationships, and enhance coding accuracy, while collaborating with various teams to improve products and services.

Artificial Intelligence (AI)BillingMachine LearningMedicalSoftware

Growth Opportunities

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

Qualification

AAPCAHIMA certificationMedical coding expertiseClient relationship managementCoding guidelines knowledgeConsulting experienceProductivity tools proficiencyInnovative mindsetCommunication skillsTeam collaboration

Required

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