fathom is hiring a
Risk Adjustment Coding Advisor

Summary

The job is for a Risk Adjustment Coding Advisor at Fathom, a venture-backed healthcare technology firm that automates billing codes from patient records. The role involves working with clients to establish coding accuracy thresholds, reviewing and auditing medical records, conducting strategic analysis, collaborating with various teams, providing coding education, developing analytics, and preparing executive presentations. Requirements include AAPC CRC certification or AHIMA RAC microcredential, prior experience in healthcare consulting, knowledge of HCC medical coding guidelines, anatomy/physiology, disease process, medical terminology, medications, reimbursement guidelines, effective communication skills, fluency in productivity tools, and a drive to innovate. Bonus points are given for additional certifications, coding compliance consulting, revenue cycle management, external vendor management, clinical documentation improvement, prior work in an entrepreneurial environment, and client-facing roles.

Requirements

• Current AAPC CRC certification or AHIMA RAC microcredential
• Prior experience working in healthcare, especially healthcare consulting
• Experience working with and developing HCC medical coding guidelines, documentation requirements, and audit programs
• Working knowledge of anatomy/physiology, disease process and medical terminology
• Familiarity with medications and reimbursement guidelines
• A proven ability to communicate effectively across domains and experience levels
• Drive to innovate, identify novel approaches, and act decisively
• Fluency in productivity tools like Microsoft (Excel, Powerpoint) and Google Suite (Sheets, Docs, etc.)

Responsibilities

• Working with clients to establish and maintain risk adjustment coding accuracy thresholds
• Reviewing and auditing medical records and physician documentation for HCC accuracy
• Conducting strategic analysis and scenario modeling across functional disciplines
• Tracking, aggregating and summarizing coding and billing rules for the product team
• Collaborating with engineering, product, and customer success teams on client roadmap
• Providing coding education and training to internal engineering and product teams
• Preparing executive presentations and reports for internal and external audiences
• Developing and enhancing internal and client-facing analytics and reporting

Preferred Qualifications

• Coding compliance consulting and/or coding litigation consulting
• Revenue cycle management
• External vendor management
• Clinical documentation improvement
• Prior work in an entrepreneurial environment
• Prior work in client-facing and/or project management roles

Benefits

• Unlimited Vacation + Sick Days
• Medical/Dental/Vision Coverage
• 401k