Remote Risk Adjustment Coding Advisor

Summary

Join Fathom's mission to use AI to understand and structure the world’s medical data by contributing as a Risk Adjustment Coding Advisor. This role is an excellent opportunity for a talented, entrepreneurial strategist and operator to bring a consulting toolkit, a working knowledge of medical coding or revenue cycle management, and a drive to transform healthcare to a high-growth technology firm.

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

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