About RapidClaims

RapidClaims is a leader in AI-driven revenue cycle management, transforming medical coding and revenue operations with cutting-edge technology.

The company has raised $11 million in total funding from top investors, including Accel and Together Fund.

Join us as we scale a cloud-native platform that runs transformer-based Large Language Models rigorously fine-tuned on millions of clinical notes and claims every month. You’ll engineer autonomous coding pipelines that parse ICD-10-CM, CPT® and HCPCS at lightning speed, deliver reimbursement insights with sub-second latency and >99 % accuracy, and tackle the deep-domain challenges that make clinical AI one of the hardest—and most rewarding—problems in tech.

Auditor cum Subject Matter Expert (SME) | EM ED HM Coding

Position Snapshot

Role Type Medical Coding Auditor cum SME

SpecialtiesEvaluation & Management (EM), Emergency Department (ED), Hospital Medicine (HM)

Reports To Head of Coding Integrity & Quality

Experience 5+ years in EM, ED & HM coding (audit / SME exposure preferred)

Location Bangalore (Bengaluru), Karnataka

Work Mode Work From Office – mandatory

Shift Mid shift – 12:00 PM to 9:00 PM IST

Employment Full-time

Role Summary

We are seeking an experienced Medical Coding Auditor cum SME to ensure coding accuracy, compliance, and quality across AI-coded and human-coded charts in EM, ED, and HM specialties. The role combines hands-on chart auditing with subject-matter leadership — validating coding outputs, delivering structured feedback to coders, and partnering with SME and data science teams to drive continuous improvement of AI-assisted medical coding. The ideal candidate brings deep guideline knowledge (CMS / AMA / AHA), a sharp eye for error patterns,



and the ability to translate coding expertise into actionable inputs for both operations and AI model development.

Key Responsibilities

Domain

Key Activities

Coding Quality Audits

- Audit AI-coded and human-coded charts across EM, ED and HM queues Validate CPT, ICD-10-CM, HCPCS and modifier accuracy
- Verify correct EM level selection and documentation support

Error Identification & Analysis

- Identify missed codes, incorrect coding and compliance risks Document errors with clear CPT / ICD-10 / modifier rationale and guideline references
- Flag recurring error patterns for team-level education

Compliance Monitoring

- Ensure adherence to CMS, AMA and AHA guidelines and client-specific SOPs
- Apply updated guideline and coding changes to daily audit practice

Feedback & Education

- Deliver structured, case-level feedback to coders
- Conduct feedback discussions and support continuous learning Identify training needs and contribute to coder development
- AI Quality Support
- Audit AI-coded accounts and report discrepancies to the Head of CIQ Share audit findings with SME and ML teams
- Highlight repetitive AI errors and edge cases to improve model logic
- SME Contribution
- Serve as specialty reference point for EM, ED and HM coding queries

Provide guideline-based justifications for coding decisions

- Support SOP development and refinement for assigned specialties
- Reporting &




- Documentation
- Maintain accurate audit logs and quality metrics
- Submit timely audit findings for operational and ML review meetings
- Multi-Specialty Learning
- Pursue cross-specialty coding proficiency as directed
- Participate in training sessions and knowledge-sharing initiatives
- Required Qualifications & Skills
- ● Minimum 5+ years of medical coding experience with strong hands-on expertise in EM, ED and HM coding.
- ● Active coding certification – CPC, COC, CCS or equivalent (AAPC / AHIMA).
- ● In-depth knowledge of CPT, ICD-10-CM, HCPCS and modifier guidelines,
- and EM level documentation requirements.
- ● Sound understanding of CMS, AMA and AHA coding and compliance guidelines.
- ● Prior auditing and/or SME experience with proven error-analysis and feedback skills.
- ● Solid analytical, documentation and communication abilities.
- ● Comfortable working with AI / technology-driven coding workflows and collaborating with data science teams.
- Preferred /Good to Have
- ● Experience auditing AI-generated or automated coding outputs.
- ● Exposure to multiple specialties beyond EM / ED / HM.
- ● Experience contributing to SOPs, quality frameworks or coder training programs.
- Work Details
- LocationBangalore (Bengaluru) – on-site
- Work ModeWork From Office is mandatory (no remote / hybrid)
- Shift TimingMid shift, 12:00 PM – 9:00 PM IST

Benefits:

- Commuter assistance
- Health insurance
- Provident Fund

Ability to commute/relocate:

- Bangalore City, Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

- CPC/COC/CCS (Preferred)

Work Location: In person

📌 Subject Matter Expert – Medical Coding-EM Coding (India)
🏢 Rapid Claims
📍 India