Rialtic is transforming how health insurers and providers manage payment accuracy. As an enterprise SaaS platform, we empower 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.
Associate Claims Validation Analyst
Location
United States
Posted
15 days ago
Salary
Not specified
No structured requirement data.
Job Description
Job Requirements
- Bachelor’s degree preferred in Healthcare, Technology, or a related field
- 4+ years of experience in healthcare coding, billing, or payment accuracy
- National coding credential: CPC, CCS-P, RHIA, CCS, 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-forward environment
- Intermediate Excel skills (pivot tables, VLOOKUP, functions)
- SQL skills for data validation or edit opportunity analysis
- Experience mapping EDI, CMS 1500 or FHIR formats
- Project management experience in a SaaS or healthcare setting
Benefits
- Remote-first flexibility and home office stipend
- Meaningful equity and 401(k) match
- Open and Flexible PTO Plan, comprehensive medical/dental/vision plans
- Wellness reimbursements and access to TalkSpace, Teladoc, and One Medical
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