Medical Coding Auditor

Fathom

1d•Remote

About The Position

Fathom is seeking a Medical Coding Auditor to contribute to its next stage of growth. This role is for an experienced medical coder with robust multi-specialty auditing experience, excellent communication and self-presentation skills, the drive to help a high-growth startup scale, and the desire to transform the future of medical coding. This is a fully remote position open to candidates across the United States, with the expectation that employees work consistently from a single, fixed location within the US.

Requirements

A current AAPC or AHIMA coding certification(s)
3+ years recently auditing procedure and diagnosis codes
3+ years of recent auditing experience in emergency department, primary care, and/or E/M leveling
3+ years of recent auditing experience in a professional fee outpatient setting
Experience in a professional fee and/or a facility setting
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

Nice To Haves

Multi-specialty auditing experience beyond ED and primary care
Experience with inpatient coding and risk adjustment auditing
Experience building and implementing audit plans
Experience working with external clients
Experience in an entrepreneurial/startup environment
Prior encoder experience

Responsibilities

Reviewing medical records across an array of outpatient specialties to ensure that the correct diagnosis and procedure codes were assigned
Reviewing physician documentation and performing audits to determine 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