Coding Quality Advisor

New
F
FathomHealthcare AI
USAFull-TimeMiddle
Salary120000 - 160000 USD per year
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Job Details

Experience
5+ years
Required Skills
Artificial IntelligenceMicrosoft ExcelPowerPointGoogle SheetsLLM

Requirements

  • A current AAPC or AHIMA coding certification(s)
  • 5+ years recently leading audit plans for procedure and diagnosis codes; for emergency department, primary care, and/or E/M leveling; for both professional fee and facility outpatient settings
  • 5+ years activating new clients or new sites with coding
  • A drive to innovate, identify novel approaches, and act decisively to achieve positive outcomes
  • Deep understanding of current coding guidelines, reimbursement guidelines, medications, and documentation requirements
  • Consulting experience, including in compliance and/or coding litigation
  • Recent experience communicating verbally and in writing with external clients
  • Fluency in productivity tools like recent LLM/AI tools, Microsoft (Excel, PowerPoint), and Google Suite (Sheets, Docs, etc.)
  • 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
  • Developing positive, meaningful client relationships
  • Partnering with clients to establish and maintain medical coding accuracy thresholds
  • Preparing executive presentations and reports for colleagues and clients
  • Developing and enhancing internal and client-facing analytics and reporting
  • Collaborating closely with engineering and product teams to translate coding insights into product improvements
  • Tracking, aggregating and summarizing the changing coding and billing rules for the engineering and client success teams
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120000 - 160000 USD per year
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