Subject Matter Expert (Bengaluru)

Subject Matter Expert (Bengaluru)

06 Sep
|
Rapid Claims
|
Bengaluru

06 Sep

Rapid Claims

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.

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

Position Snapshot

Role Type-Medical Coding Auditor cum SME

Specialties-Evaluation & 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

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 explicit 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

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-

📌 Subject Matter Expert (Bengaluru)
🏢 Rapid Claims
📍 Bengaluru

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