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Risk Adjustment Coding Advisor

Posted 6 days agoViewed

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💎 Seniority level: Senior, 5+ years

📍 Location: United States

💸 Salary: 100000.0 - 160000.0 USD per year

🏢 Company: Fathom👥 51-100AccountingBusiness IntelligenceFinanceAnalyticsSoftware

🗣️ Languages: English

⏳ Experience: 5+ years

🪄 Skills: Project ManagementSQLData AnalysisCommunication SkillsAnalytical SkillsMicrosoft ExcelWritten communicationDocumentationComplianceVerbal communicationReportingClient relationship managementRisk ManagementData visualizationTeam managementStrategic thinking

Requirements:
  • A current AAPC CRC certification or AHIMA RAC microcredential
  • 5+ years recently leading audit plans for risk adjustment coding
  • Consulting experience, including in middle revenue cycle, coding compliance and/or coding litigation
  • Middle revenue cycle and/or health information management experience
  • Experience managing in-house coding teams and/or coding vendors
  • Experience working with and developing HCC medical coding guidelines, documentation requirements, and audit programs
  • Strong knowledge of anatomy/physiology, diseases, and medical terminology
  • Recent experience communicating verbally and in writing with external clients
  • Fluency in productivity tools like Microsoft (Excel, PowerPoint) and Google Suite (Sheets, Docs, etc.)
  • Enthusiasm for technological innovation in medical coding
Responsibilities:
  • Reviewing and auditing medical records and physician documentation for HCC accuracy
  • Working with clients to establish and maintain risk adjustment coding accuracy thresholds
  • Preparing executive presentations and reports for colleagues and clients
  • Developing and enhancing internal and client-facing analytics and reporting
  • Conducting strategic analysis and scenario modeling across functional disciplines
  • 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
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  • 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.).
  • 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.

Project ManagementData AnalysisCommunication SkillsAnalytical SkillsCollaborationMicrosoft Excel

Posted 5 months ago
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