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 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

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.**:

- Robust 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

Work Location: In person

📌 Subject Matter Expert -medical Coding -em /ed/ Hm Coding (Bengaluru)
🏢 Rapid Claims
📍 Bengaluru