Coding Quality Advisor

Fathom is on a mission to eliminate the billions of dollars of administrative waste in US healthcare. We're starting with one of its most expensive, labor-intensive workflows: medical coding. Using AI, we automate the translation of clinical notes into the billing codes used for provider reimbursement—a process that costs US hospitals $15B+ annually, plus tens of billions more in errors and denied claims.
The result is healthcare that spends less time and money on administration and more on what actually matters: patients. KLAS named us the #1 emerging technology for reducing the cost of care, and many of the nation's largest health systems, health plans, and physician groups rely on us to do it.
We're a Series B company backed by Lightspeed, Founders Fund, and CVS Health—taking on hard problems at the frontier of AI and healthcare, where getting it right has real consequences. We're scaling fast and looking for exceptional people who want their work to matter.

We are seeking a Coding Quality Advisor to contribute to Fathom’s next stage of growth. This role is a unique opportunity for an experienced medical coder with a proven track record of leading multi-specialty audits and building client relationships, the drive to help a high-growth startup scale, and the desire to transform the future of medical coding. This is a cross-functional role working with colleagues in engineering, client success, operations, and sales. If this opportunity speaks to you, we want to hear from you!

Please note that this position requires physical residency in the U.S.

• Review medical records across an array of outpatient specialties to ensure that the correct diagnosis and procedure codes were assigned

• Develop positive, meaningful client relationships

• Partner with clients to establish and maintain medical coding accuracy thresholds

• Prepare executive presentations and reports for colleagues and clients

• Develop and enhance internal and client-facing analytics and reporting

• Collaborate closely with engineering and product teams to translate coding insights into product improvements

• Track, aggregate and summarize the changing coding and billing rules for the engineering and client success teams

• 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

• Revenue cycle and/or health information management experience

• Experience managing in-house coding teams and/or coding vendors

• Multi-specialty auditing experience beyond ED and primary care

• Experience with inpatient coding and risk adjustment auditing

• Clinical documentation improvement and education experience

• Experience in an entrepreneurial/startup environment

• Salary: $120,000 USD - $160,000 USD

• Company Equity

• Medical/Dental/Vision Coverage

• 401k Matching

• $1,500 USD Home Office Budget

• PTO and Sick Days

• Support for ongoing medical coding education and certification