About this role
Rialtic is seeking a Research Consultant to translate healthcare policies into automated claims editing logic that enhances payment accuracy and promotes compliance. The role involves working across clinical, policy, and SaaS development domains to support healthcare payers.
Required Skills
- CMS
- CPT
- Coding
- Reimbursement
- Healthcare Policy
- Claims Processing
- Medical Coding
- SQL
- FHI R
- EDI
Qualifications
About Rialtic, Inc.
rialtic.ioRialtic is a healthcare technology company that provides a cloud-based Payment Accuracy platform to help payers and providers reduce administrative costs and improve payment precision. Their SaaS solution replaces legacy on‑premise systems with user-friendly dashboards, self‑service configuration, automated edits and transparent reporting to streamline workflows and provider collaboration. By combining comprehensive claim edits, analytics, and platform-provided workflow tools, Rialtic aims to increase clarity, contain medical costs, and make the healthcare payment system more efficient.
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