Peenya Bengaluru Karnataka Clinical data analyst Jobs – 83 Open Jobs Today

Quality Control Analyst-SME – Medical Coding
Rapid Claims —Bangalore City, Bengaluru, Karnataka
- Full-time
- Hybrid work
- Analysis skills
- Quality control
- In-person
- Paid sick time
Quick apply
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Quantiphi —Bengaluru, Karnataka
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Quality Control Analyst-SME – Medical Coding

Rapid Claims
Bangalore City, Bengaluru, Karnataka

Quick apply

Job details

Full-time

Benefits

Provident Fund
Paid sick time

Qualifications

Medical coding
Content management systems
Analysis skills
Quality control
CPT coding
Data science
AI
Communication skills

Full job description

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

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

Position Snapshot

DesignationQuality Control Analyst – Medical Coding

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.
● Strong 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:

Paid sick time
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 (Required)

Work Location: In person

Quick apply

Refine Your Search

clinical data analyst jobs in peenya bengaluru karnataka

Quality Control Analyst-SME – Medical Coding

HR System Analyst

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Order Management Analyst

Data Migration Lead

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