Quality Control Analyst (Bengaluru)

Quality Control Analyst (Bengaluru)

20 Aug
|
Mergenomics
|
Bengaluru

20 Aug

Mergenomics

Bengaluru

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.

Quality Control Analyst – Medical Coding-EM / Surgery Coding

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





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.

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, incorrec

📌 Quality Control Analyst (Bengaluru)
🏢 Mergenomics
📍 Bengaluru

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