Head/SME of Medical Coding

4 weeks ago

Bengaluru, Karnataka, India RapidClaims Full time

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 and revolutionize healthcare operations through AI-powered solutions and powerful Large Language Models (LLMs) to make medical coding faster, smarter and significantly more accurate. Head of Medical Coding- Job Overview We're looking for an experienced and client-facing Head of Medical Coding to join our team in Bangalore to lead our coding operations, ensure compliance and drive excellence across complex medical specialties. This leadership role requires deep technical expertise in coding, strong team management and the ability to confidently engage with clients, auditors and stakeholders.

Key Responsibilities:

● Leadership & Oversight : Lead, mentor and manage the coding team, ensuring accuracy, productivity and adherence to compliance standards.

● Client Engagement : Act as the primary point of contact for coding-related client calls, audits and reviews; present coding strategies and outcomes with clarity and professionalism.

● Strategic Collaboration : Work cross-functionally with operations, product, QA and compliance teams to align coding workflows with company goals and technology enhancements.

● Regulatory Compliance : Ensure that all coding practices are up-to-date with the latest CPT, ICD-10, HCPCS, and payer-specific requirements.

● Training & Development : Oversee ongoing training programs to keep the team current with regulatory and procedural updates.

● Reporting : Provide detailed reporting on coding accuracy, productivity metrics and audit outcomes to leadership and clients.

Required qualifications:

● Certification : CPC, CCS or equivalent (AAPC or AHIMA) – Required. CRC or CPMA is a plus.

● Experience : 18+ years in medical coding, including at least 5 years in a leadership role; strong exposure to surgery and multispecialty coding is preferred.

● Client-Facing Skills : Strong presentation, communication and interpersonal skills; experience handling US-based clients is highly desirable.

● Domain Expertise : Deep knowledge of CPT, ICD-10-CM, HCPCS and payer guidelines.

● Team Management : Proven ability to manage, mentor, and grow high-performing coding teams. ● Analytical Thinking : Ability to resolve complex coding issues, analyze trends, and optimize workflows.

● Professionalism : High ethical standards, confidentiality and a collaborative leadership style.

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