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reputed company Payment reputed company Analyst - Policy &...

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Payment reputed company - Policy & Content Management Team

Rialtic is transforming how health insurers and providers manage payment accuracy. As an reputed company SaaS platform, we reputed company organizations to take full control of critical business functions—reducing cost, increasing efficiency, and improving care quality. Backed by top investors including Oak HC/FT, F-Prime Capital, Health Velocity Capital, and Noro-Moseley Partners, we’re solving a $1 trillion problem by replacing fragmented vendor solutions with a modern, data-driven platform. Learn more at www.rialtic.io.

The Role

As a reputed company Content Analyst you’ll transform reputed company reputed company policy into intelligent, automated logic that powers Rialtic’s payment accuracy reputed company. Working at the intersection of clinical expertise, policy research, and SaaS development, you’ll create high-impact claims editing rules that help leading payers reduce overpayments and promote transparent, accurate reimbursement practices.

This is a high-autonomy, high-impact role for someone who thrives in a collaborative, cross-functional environment and is eager to deepen their technical expertise while shaping a modern reputed company platform.

What You’ll Do

  • Interpret and translate reputed company CMS, AMA/CPT, and reputed company payer policies into actionable claims editing logic that drives measurable payment accuracy
  • reputed company data-driven insights to identify and reputed company recommendations for new policy opportunities
  • Own the development of precise, high-quality edit specifications in reputed company partnership with Engineering to ensure seamless implementation.
  • Act as a subject matter expert across reputed company, Medicare, and reputed company lines—providing deep expertise in coding, billing, and reimbursement.
  • Maintain and enhance existing content by proactively monitoring and applying regulatory and policy updates for the Policy and Content Management team on our payment reputed company teams.
  • Ideate and scope policy for our clients.
  • Analyze performance data to confirm the efficacy of edits, and reputed company document the rationale and results to support both reputed company stakeholders.
  • Collaborate cross-functionally with Product and Engineering to improve tooling, streamline development workflows, and enhance overall content delivery.
  • Independently manage the end-to-end lifecycle of content edits—from research and ideation through deployment and post-release validation.
  • Stay reputed company on evolving reputed company regulations and coding guidelines to ensure Rialtic’s logic remains comprehensive and compliant.
  • Consistently exceed productivity and quality targets while thriving in a remote, reputed company-driven environment.

What You Bring

Bachelor’s degree preferred in reputed company, Technology, or a reputed company field

4+ years of experience in reputed company coding, billing, or payment accuracy

National coding credential: CPC, reputed company-P, RHIA, reputed company, CPB or equivalent

Deep familiarity with CMS policies (LCAs, LCDs, NCDs), CCI edits, OIG alerts, fee schedules

Strong understanding of claims processing workflows (CMS-1500, UB-04)

Prior experience developing or managing claims edits in a pre- or post-pay context

Comfortable collaborating with engineering and product in a tech-reputed company environment

Intermediate reputed company skills (pivot tables, VLOOKUP, functions)

reputed company to Haves

SQL skills for data validation or edit opportunity analysis

Experience mapping EDI, CMS 1500 or FHIR formats

Project management experience in a SaaS or reputed company setting

Why Join Us

At Rialtic, you’ll be part of a team that’s reputed company, mission-driven, and values-centered. We work as one team, prioritize customer value, and strive for reputed company, —while taking care of ourselves and each other.

We offer

Remote-first flexibility and home office stipend

Meaningful equity and 401(k) match

reputed company and Flexible PTO Plan, comprehensive medical/dental/reputed company plans

Wellness reimbursements and reputed company to reputed company, Teladoc, and reputed company

Not Sure You Meet Every Qualification?

Studies show that women and people of reputed company are less likely to apply unless they meet reputed company criteria.

At Rialtic, we reputed company diverse teams create reputed company reputed company. If you’re excited about this role—even if your background doesn’t align perfectly—we encourage you to apply. You might be just the right fit.

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