Medical Coding Auditor

Fathom aims to leverage AI to understand and organize extensive medical data from electronic health records, automating the translation of patient records into billing codes to reduce costly errors and denials in the healthcare reimbursement process.

The Medical Coding Auditor role is for experienced medical coders with multi-specialty auditing skills and strong communication abilities, keen to drive growth at a high-growth startup while transforming the future of medical coding.

This fully remote position requires consistent work from a fixed U.S. location.

Responsibilities include:

• Reviewing medical records across multiple outpatient specialties to ensure correct diagnosis and procedure codes.
• Auditing physician documentation for accuracy.
• Preparing audit reports for engineering and client success teams.
• Providing coding insights and education to accelerate product development.
• Tracking and summarizing evolving coding and billing rules.

Requirements:

• Current AAPC or AHIMA coding certification(s).
• At least 3 years of recent auditing experience with procedure and diagnosis codes in emergency department, primary care, and/or E/M leveling.
• Experience in professional fee outpatient settings and/or facility settings.
• Deep knowledge of coding, reimbursement guidelines, medications, documentation requirements, anatomy, physiology, diseases, and medical terminology.
• Strong verbal and written communication skills.
• Enthusiasm for technological innovation in medical coding.

Preferred qualifications:

• Multi-specialty auditing beyond ED and primary care.
• Inpatient coding and risk adjustment auditing experience.
• Experience building audit plans and working with external clients.
• Startup environment experience and prior encoder experience.

Compensation and Benefits:

• Salary range: $70,000 - $100,000 USD.
• Company equity.
• PTO and uncapped sick days.
• Medical, dental, and vision coverage.
• 401k matching.
• $1,500 USD home office budget.
• Support for ongoing medical coding education and certification.