Medical Coding Auditor

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Requirements:

• A current AAPC or AHIMA coding certification(s)
• 3+ years recently auditing procedure and diagnosis codes
• 3+ years of recent auditing experience in emergency department, primary care, and/or E/M leveling
• 3+ years of recent auditing experience in a professional fee outpatient setting
• Experience in a professional fee and/or a facility setting
• 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 across an array of outpatient specialties to ensure that the correct diagnosis and procedure codes were assigned
• Reviewing physician documentation and performing audits to determine 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