Medical Coding Auditor

Fathom is on a mission to eliminate the billions of dollars of administrative waste in US healthcare. We're starting with one of its most expensive, labor-intensive workflows: medical coding. Using AI, we automate the translation of clinical notes into the billing codes used for provider reimbursement—a process that costs US hospitals $15B+ annually, plus tens of billions more in errors and denied claims.

The result is healthcare that spends less time and money on administration and more on what actually matters: patients. KLAS named us the #1 emerging technology for reducing the cost of care, and many of the nation's largest health systems, health plans, and physician groups rely on us to do it.

We're a Series B company backed by Lightspeed, Founders Fund, and CVS Health—taking on hard problems at the frontier of AI and healthcare, where getting it right has real consequences. We're scaling fast and looking for exceptional people who want their work to matter.

We are seeking a Medical Coding Auditor to contribute to Fathom’s next stage of growth. This role is a unique opportunity 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.  If this speaks to you, we want to hear from you.

While this is a fully remote position open to candidates across the United States, we expect employees to work consistently from a single, fixed location within the US. 

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  Review medical records across an array of outpatient specialties to ensure that the correct diagnosis and procedure codes were assigned

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  Review physician documentation and performing audits to determine accuracy

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  Prepare audit results reports as requested by the engineering and client success teams

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  Provide coding insights, education, and examples to Fathom engineering and client success teams to accelerate product development

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  Track, aggregate and summarize the changing coding and billing rules for the engineering and client success teams

• 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

• 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