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.
Operations Specialist (Medical Coding)
Role Summary
We are looking for an Operations Specialist– Medical Coding with 5–7 years of strong, hands-on experience in US medical coding operations. This role is designed for a professional who combines deep subject matter expertise in medical coding with the ability to lead day-to day operational workflows, ensure quality, and serve as the primary bridge between coding teams and client requirements.
You will be responsible for managing work queues, conducting quality audits, driving team productivity, and supporting client-facing initiatives — all while maintaining hands-on coding expertise..
Key Responsibilities
● Conduct 5% quality checks on coded claims to ensure accuracy, compliance, and adherence to payer-specific guidelines
● Monitor and manage work queues to ensure timely and efficient assignment and completion of coding tasks
● Assign work to team members based on skill sets, availability, and priority levels to maintain optimal throughput
● Serve as the Subject Matter Expert (SME) on client-specific requirements, coding guidelines, and operational protocols
● Support and participate in client calls as needed, providing operational updates, addressing queries, and representing the coding team
● Contribute to and support pilot project requirements, including new client onboarding, process testing, and workflow documentation
● Handle day-to-day operational tasks, including escalation management, productivity tracking, and team coordination
● Identify quality trends and root causes of coding errors; implement corrective actions and feedback loops
● Maintain compliance with HIPAA regulations and US healthcare coding standards (CPT, ICD-10, HCPCS)
● Support documentation, audit readiness, and process improvement initiatives
Required Qualifications
● 5–7 years of hands-on US medical coding and/or coding operations experience
● Strong understanding of CPT, ICD-10-CM/PCS, and HCPCS coding systems and payer specific rules
● Demonstrated experience in quality auditing and feedback delivery
● Familiarity with work queue management and productivity monitoring tools
● Experience working across multiple specialties (e.g., E/M, surgery, radiology, or similar)
● Ability to independently handle complex coding scenarios and escalations
● Strong communication skills for client and stakeholder interactions
● Detail-oriented with excellent problem-solving and organizational abilities
Preferred / Good to Have
● CPC, CCS, or equivalent coding certification (AAPC / AHIMA)
● Exposure to AI-assisted coding tools or RCM automation platforms
● Experience supporting client onboarding and pilot projects
● Familiarity with EMR/PMS systems such as Epic, Athenahealth, or similar
Benefits:
Work Location: In person
