JSON twin: https://www.healthaidb.com/software/fathom.json
Fathom
https://fathomhealth.com/services
Fathom is an autonomous medical coding platform that uses deep learning and large language models to automatically assign ICD, CPT/HCPCS, E/M, modifiers and provider assignment for patient encounters, enabling direct-to-bill coding and real-time auditing.
Fathom provides AI-driven medical coding and coding automation services—covering production coding, backlog processing, and real-time audit—using deep learning/NLP and LLMs to achieve high automation rates (90%+), integrate with billing workflows (including availability in Epic Toolbox), and route unprocessable charts to manual coders. The platform holds SOC 2 Type II, HIPAA, and HITRUST i1 certifications and is marketed to hospitals, health systems, ambulatory practices, and payers.
unknown
2017
P0595
2025-09-07
commercial/proprietary
Contact vendor for pricing, custom quotes, demos and trials; enterprise sales model.
enterprise_quote
2016
product
1.0
{
"company_name": "Fathom",
"company_url": "https://fathomhealth.com",
"company_offices": [
"United States"
],
"company_founding": "2017",
"product_url": "https://fathomhealth.com/services",
"categories": [
"autonomous coding",
"medical coding",
"revenue cycle management",
"clinical administrative",
"AI / machine learning"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://fathomhealth.com",
"https://fathomhealth.com/services",
"https://fathomhealth.com/security",
"https://fathomhealth.com/contact",
"https://fathomhealth.com/team",
"https://elion.health/products/fathom",
"https://klasresearch.com/report/fathom-2024-optimizing-revenue-cycle-operations-through-medical-coding-ai/3291",
"https://www.businesswire.com/news/home/20240912928979/en/Fathom-Autonomous-Medical-Coding-Available-in-Epic-Toolbox",
"https://marketplace.aviahealth.com/product/77276"
],
"summary": "Fathom is an autonomous medical coding platform that uses deep learning and large language models to automatically assign ICD, CPT/HCPCS, E/M, modifiers and provider assignment for patient encounters, enabling direct-to-bill coding and real-time auditing.",
"description": "Fathom provides AI-driven medical coding and coding automation services—covering production coding, backlog processing, and real-time audit—using deep learning/NLP and LLMs to achieve high automation rates (90%+), integrate with billing workflows (including availability in Epic Toolbox), and route unprocessable charts to manual coders. The platform holds SOC 2 Type II, HIPAA, and HITRUST i1 certifications and is marketed to hospitals, health systems, ambulatory practices, and payers.",
"target_users": [
"coding teams",
"clinical coders",
"revenue cycle leaders",
"health system administrators",
"billing teams",
"physicians",
"RCOs (revenue cycle organizations)",
"payers"
],
"specialties": [
"emergency medicine",
"radiology",
"primary care",
"surgery",
"hospitalist",
"high-volume ambulatory specialties"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing, custom quotes, demos and trials; enterprise sales model.",
"license": "commercial/proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"AI-driven automated medical coding (NLP/deep learning)",
"Direct-to-bill automated coding pipeline",
"Real-time coding audit and quality checks",
"Risk-adjustment coding support",
"Batch and high-throughput chart processing (scale to millions/day)",
"Coding exception routing/workflow handoff",
"Denial and downcoding risk detection",
"Turnaround-time optimization and reporting",
"Analytics and operational reporting",
"Security and compliance monitoring"
],
"optional_modules": [
"Autonomous/direct-to-bill module",
"Real-time audit module",
"Risk-adjustment coding module"
],
"integrations": [
"Epic",
"Cerner",
"Other major EHRs / practice management systems (via custom integrations or partners)"
],
"data_standards": [
"HL7 v2",
"FHIR"
],
"api_available": "unknown",
"system_requirements": "",
"compliance": [
"HIPAA",
"SOC 2 Type II",
"HITRUST (i1)"
],
"certifications": [
"SOC 2 Type II",
"HITRUST i1"
],
"security_features": [
"Encryption at rest and in transit",
"Access management / role-based access controls",
"Audit logging",
"Incident response and vulnerability management",
"Business continuity / disaster recovery"
],
"privacy_features": [
"HIPAA-aligned data protection",
"BAA available",
"Data privacy and management controls"
],
"data_residency": "",
"customers": [
"ApolloMD",
"Inflect Health (Vituity investment)"
],
"user_reviews": [
"My team found out that a third of the medical coding department was getting fired. The director explicitly said it was because 'advancements in medical ...' (discussion about AI/coding impacts).",
"Some recent startups such as Fathom and Nym look to be finding success in accuracy.",
"ApolloMD leveraged Fathom to automate coding and reported large scale deployment across hospital partners (third-party discussion of improved accuracy and cost savings)."
],
"ratings": [
"KLAS Spotlight (reported): validated 90%+ coding automation rate and 100% customer satisfaction (as reported in KLAS Spotlight coverage).",
"Named to Digital Health 100 (Digital Health New York, 2025) - recognition reported via Business Wire."
],
"support_channels": [
"email",
"ticketing",
"chat"
],
"training_options": [
"documentation",
"webinars",
"live_online"
],
"release_year": "2016",
"integration_partners": [],
"id": "P0595",
"slug": "fathom",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/fathom.json"
}
}