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About Rialtic
Rialtic is an enterprise software platform empowering health insurers and healthcare providers to run their most critical business functions. Founded in 2020 and backed by leading investors including Oak HC/FT, F-Prime Capital, Health Velocity Capital and Noro-Moseley Partners, Rialtic's best-in-class payment accuracy product brings programs in-house and helps health insurance companies gain total control over processes that have been managed by disparate and misaligned vendors. Currently working with leading healthcare insurers and providers, we are tackling a $1 trillion problem to reduce costs, increase efficiency and improve quality of care. For more information, please visit www.rialtic.io.
The Role
If you describe yourself as a healthcare coding and billing policy geek who is passionate about payment accuracy and integrity, then this is the dream job you’ve been looking for. As a Healthcare Content Analyst, you’ll research and interpret CMS, CPT/AMA and other major payer policies based on healthcare correct coding and regulatory requirements. You’ll identify common error areas that can be made into automated software logics that prevent overpayments from occurring. You’ll take your edits from concept to specification and then through review, testing and finally data validation - along the way you’ll collaborate with some of the smartest minds in healthcare policy and technology.
Your goal everyday is to develop claims editing logics that promote payment accuracy and transparency across Medicaid, Medicare, and commercial lines of business. You’ll increase your revenue cycle acumen as you identify ways to turn resource excerpts into claims processing rules that educate payers and providers on why a claim should not be paid.
You will:
You have:
Rialtic Values
Rialtic Benefits:
Full Time
$53k-72k (estimate)
02/02/2024
06/30/2024
rialtic.io
<25
The job skills required for Payment Integrity Analyst include Billing, Written Communication, CPT, Integrity, etc. Having related job skills and expertise will give you an advantage when applying to be a Payment Integrity Analyst. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Payment Integrity Analyst. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Payment Integrity Analyst positions, which can be used as a reference in future career path planning. As a Payment Integrity Analyst, it can be promoted into senior positions as a Billing Analyst III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Payment Integrity Analyst. You can explore the career advancement for a Payment Integrity Analyst below and select your interested title to get hiring information.