Medical Coding Auditor

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $70k - $100k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Fathom

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2017

🤖 Artificial Intelligence

☁️ SaaS

🤝 B2B

Artificial Intelligence • SaaS • B2B

Fathom is an enterprise B2B SaaS company that provides autonomous medical coding powered by artificial intelligence. It automates facility and professional coding, E/M capture, and retrospective risk-adjustment at scale for health systems, physician groups, ambulatory clinics, health plans, and RCM vendors, reducing cost, speeding turnaround, and improving accuracy while keeping PHI secure.

📋 Description

• Review medical records across an array of outpatient specialties to ensure that the correct diagnosis and procedure codes were assigned • Review physician documentation and performing audits to determine accuracy • Prepare audit results reports as requested by the engineering and client success teams • Provide coding insights, education, and examples to Fathom engineering and client success teams to accelerate product development • Track, aggregate and summarize the changing coding and billing rules for the engineering and client success teams

🎯 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 • Enthusiasm for technological innovation in medical coding

🏖️ Benefits

• 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