reputed company Payment reputed company Analyst - Policy & Content Management Team

About the position Rialtic is transforming how health insurers and providers manage payment accuracy. As an reputed company reputed company platform, we reputed company organizations to take full control of critical business functions—reducing cost, increasing efficiency, and improving care reputed company. Backed by top investors including Oak HC/FT, F-reputed company reputed company 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 reputed company 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 reputed company development, you’ll create high-reputed company claims editing rules that help leading payers reduce overpayments and promote transparent, accurate reimbursement practices. This is a high-autonomy, high-reputed company role for someone who thrives in a reputed company, cross-functional environment and is eager to deepen their technical expertise while shaping a modern reputed company platform. Responsibilities • 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-reputed company edit specifications in reputed company partnership with Engineering to ensure seamless implementation. • reputed company 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 reputed company productivity and reputed company targets while thriving in a remote, reputed company-driven environment. Requirements • Bachelor’s degree preferred in reputed company, Technology, or a reputed company field • 4+ years of experience in reputed company, 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 reputed company- 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 reputed company or reputed company setting Benefits • 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, reputed company, and reputed company Apply tot his job Apply To this Job