Content Analyst

Summary

Join Rialtic, a healthcare technology company transforming payment accuracy, as a Healthcare Content Portfolio Analyst III. You will translate complex healthcare policies into automated logic for Rialtic's payment accuracy engine. This high-impact role requires collaboration with engineering and product teams. Responsibilities include developing claims editing rules, conducting unit tests, and acting as a subject matter expert in coding, billing, and reimbursement. You will maintain and enhance existing content, analyze performance data, and stay current on healthcare regulations. This role offers high autonomy and the opportunity to shape a modern healthcare platform.

Requirements

• Bachelor’s degree preferred in Healthcare, Technology, or a related field
• 8+ 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)

Responsibilities

• Interpret and translate complex CMS, AMA/CPT, and commercial payer policies into actionable claims editing logic that drives measurable payment accuracy
• Own the development of precise, high-quality edit specifications in close partnership with Engineering to ensure seamless implementation
• Design and execute robust unit tests to validate logic performance, accuracy, and alignment with source policy
• Act as a subject matter expert across Medicaid, Medicare, and commercial lines—providing deep expertise in coding, billing, and reimbursement
• Maintain and enhance existing content by proactively monitoring and applying regulatory and policy updates
• Analyze performance data to confirm edit efficacy, and clearly document rationale and results to support internal and external 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 current on evolving healthcare regulations and coding guidelines to ensure Rialtic’s logic remains comprehensive and compliant
• Consistently exceed productivity and quality targets while thriving in a remote, outcomes-driven environment

Preferred Qualifications

• 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
• Unlimited PTO, comprehensive medical/dental/vision plans
• Wellness reimbursements and access to TalkSpace, Teladoc, and One Medical