Risk Adjustment Auditor @ Fathom | Jobright.ai
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Fathom · 6 hours ago

Risk Adjustment Auditor

positionRemote - USA
timeFull-time
remoteRemote
seniorityMid Level
money$70K/yr - $100K/yr
date3+ years exp
ftfMaximize your interview chances
Artificial Intelligence (AI)Billing
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Growth Opportunities

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Responsibilities

Reviewing medical records to ensure the correct diagnosis codes were assigned for risk adjustment coding
Reviewing and auditing medical records and physician documentation for HCC accuracy
Preparing audit results reports as requested by the engineering and client success teams
Providing coding insights, education, and examples to Fathom engineering and client success teams to accelerate product development
Tracking, aggregating and summarizing the changing coding and billing rules for the engineering and client success teams

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

AAPC CRC certificationAHIMA RAC microcredentialRisk adjustment auditingMedical terminologyAnatomy/physiology knowledgeCoding guidelines knowledgeTechnological innovation enthusiasmClinical documentation improvementFee-for-service codingAudit plans implementationExternal client experienceStartup environment experienceEncoder experience

Required

A current AAPC CRC certification or AHIMA RAC microcredential
3+ years recently auditing risk adjustment coding
Knowledge of anatomy/physiology and disease process and medical terminology
Deep understanding of current coding guidelines, reimbursement guidelines, medications, and documentation requirements
Strong knowledge of anatomy/physiology, diseases, and medical terminology
Strong verbal and written communication skills
Enthusiasm for technological innovation in medical coding

Preferred

Experience with clinical documentation improvement and education
Experience with fee-for-service procedure and diagnosis coding
Experience building and implementing audit plans
Experience working with external clients
Experience in an entrepreneurial/startup environment
Prior encoder experience

Benefits

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

Company

Fathom

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4.1
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Fathom develops medical coding automation platform powered by artificial intelligence.
dateFounded in 2016
location
San Francisco, California, USA
people-size51-200 employees
web-link
https://fathomhealth.com

Funding

Current Stage
Growth Stage
Total Funding
$60.86M
Key Investors
Inflect HealthCedars-Sinai AcceleratorWinklevoss Capital
2022-11-09Series B· $46M
2022-04-25Series Unknown· undefined
2021-02-18Series Unknown· $0.05M

Leadership Team

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Andrew Lockhart
Co-Founder and CEO
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Christopher Bockman
Co-founder and CTO
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Recent News

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2024-01-26
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2023-10-11
SEC
FORM D
2023-01-19
Company data provided by crunchbase
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