Full-Time

Risk Adjustment Auditor

Confirmed live in the last 24 hours

Fathom Health

Fathom Health

51-200 employees

AI-driven healthcare revenue cycle optimization

Enterprise Software
AI & Machine Learning
Healthcare

Compensation Overview

$70k - $100kAnnually

Mid, Senior

Remote in USA

Requires physical residency in the U.S.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Requirements
  • A current AAPC CRC certification or AHIMA RAC microcredential
  • 3+ years recently auditing risk adjustment coding
  • Knowledge of anatomy/physiology and disease process and medical terminology
  • 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
Responsibilities
  • Reviewing medical records to ensure the correct diagnosis codes were assigned for risk adjustment coding
  • Reviewing and auditing medical records and physician documentation for HCC accuracy
  • Preparing audit results reports as requested by the engineering and client success teams
  • Providing coding insights, education, and examples to Fathom engineering and client success teams to accelerate product development
  • Tracking, aggregating and summarizing the changing coding and billing rules for the engineering and client success teams

Fathom Health focuses on improving the healthcare revenue cycle by using artificial intelligence to automate administrative tasks like transcription and documentation. This automation helps healthcare providers, such as hospitals and clinics, reduce the time spent on paperwork, allowing them to concentrate more on patient care. The company operates on a business-to-business model, earning revenue through subscription fees and service contracts with its clients. Fathom Health stands out from its competitors by integrating AI-enabled bots that enhance both efficiency and accuracy in managing the revenue cycle, which leads to better financial outcomes for healthcare providers. The main goal of Fathom Health is to streamline healthcare operations, ultimately improving the quality of care patients receive.

Company Stage

Series B

Total Funding

$59.2M

Headquarters

San Francisco, California

Founded

2017

Growth & Insights
Headcount

6 month growth

0%

1 year growth

11%

2 year growth

213%
Simplify Jobs

Simplify's Take

What believers are saying

  • AI adoption in healthcare is projected to reach $6.6 billion by 2025.
  • A 40% increase in AI medical coding adoption suggests a growing market.
  • Healthcare's shift to value-based care aligns with Fathom's accurate coding solutions.

What critics are saying

  • Emerging AI startups in healthcare automation could threaten Fathom's market share.
  • Rapid AI advancements may strain Fathom's resources to keep the platform updated.
  • Data privacy concerns could lead to increased compliance costs for Fathom.

What makes Fathom Health unique

  • Fathom uses AI to automate medical coding, reducing administrative burdens.
  • The platform offers real-time audits, enhancing accuracy in healthcare revenue management.
  • Fathom's B2B model focuses on subscription fees and service contracts for revenue.

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