Remote Risk Adjustment Auditor

Summary

Join Fathom's team as a Risk Adjustment Auditor to support the risk adjustment QA and audit functions, provide education and training to engineering and product teams, and review medical records for correct diagnosis codes.

Requirements

• Current AAPC CRC certification or AHIMA RAC microcredential
• 3+ years of experience auditing risk adjustment coding
• Knowledge of anatomy/physiology and disease process and medical terminology
• A deep understanding of coding guidelines, documentation requirements as well as familiarity with medications and reimbursement guidelines

Responsibilities

• Reviewing medical records to ensure the correct diagnosis codes were assigned for risk adjustment coding
• Performing audits to determine coding accuracy
• Preparing reports as requested by the operations team
• Providing coding insights, education, and examples to Fathom engineers and product team and staff to accelerate product development
• Tracking, aggregating and summarizing the changing coding and billing rules for the product team

Preferred Qualifications

• Prior encoder experience
• Additional AHIMA or AAPC certifications
• Conducted medical coding training
• Experience with clinical documentation improvement
• Experience in an entrepreneurial environment

Benefits

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