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Oak HC/FT

Content Analyst, Data Mining

Rialtic

Rialtic

Marketing & Communications, IT
Atlanta, GA, USA · Remote
Posted on Wednesday, June 12, 2024

About Rialtic

Rialtic is an innovative enterprise software platform that enhances the capabilities of health insurers and healthcare providers, allowing them to manage their most crucial business operations efficiently.

Established in 2020, Rialtic is supported by prominent investors such as Oak HC/FT, F-Prime Capital, Health Velocity Capital, and Noro-Moseley Partners. Our flagship payment accuracy solution centralizes previously outsourced functions, empowering health insurance companies to take full command of their operational processes. We collaborate with leading healthcare insurers and providers, addressing a critical $1 trillion challenge to reduce expenses, boost efficiency, and elevate the quality of care. To learn more about how we're driving innovation in healthcare, visit us at www.rialtic.io.

Our Commitment

Rialtic champions diversity, believing our collective strength is harnessed through inclusivity. We encourage applications from individuals of all backgrounds, as part of our commitment to creating an environment where diverse perspectives are valued and nurtured.

We prioritize innovation, problem-solving, and the tangible value each team member brings to our mission. Here, you won’t find rigid career ladders or title inflation — instead, we focus on creating growth opportunities. To solve meaningful problems and make decisions that influence real change.

The Role

In the role of Healthcare Content Analyst, you will interpret and apply various healthcare policies including CMS, CPT/AMA, and other significant payer protocols, focusing on correct coding and regulatory standards. Your insights will prevent overpayments by developing automated software rules or edits, taking them from ideation through their life cycle. This role will have you collaborate with leading minds in healthcare technology to enhance payment accuracy across multiple platforms.

Core Responsibilities

  • We are a quick-moving, close-knit team that supports work flexibility, independent drive, and organization (no micromanagement).
  • Your data mining background will flourish and be highly valued as you develop a new product line.

What We Are Looking For

Technical

  • Advanced SQL skills
  • Experience creating and running SQL query searches both independently and based on stakeholder requests
  • Proven ability to independently build trend analysis tooling (tableau/excel)
  • Proficiency in using statistics/statistical analysis to find patterns and trends in loosely structured data
  • Ability to manage and organize large and varied data sets using database management systems (AWS)
  • Proven ability to present a coherent story or advocate a narrative about findings to stakeholders using reports
  • Ability to quickly learn business-specific software (e.g., project management, document creation)

Business Domain

  • Familiarity with Medicare and Medicaid claims editing rules from government sources such as the National Correct Coding Initiative, Fee Schedules, Local Coverage Articles, and National Coverage Determinations
  • Background in healthcare coding/billing
  • Knowledge of medical coding claim forms such as the CMS 1500 and UB04
  • Understanding of clinical and coding guidelines from Medicare, Medicaid, and Commercial plans
  • Understand payment accuracy clinical and medical coding edits and medical code sets (e.g., CPT, ICD-10, NDCs)

Nice-to-Haves

  • Worked for a Payment Accuracy claims editing vendor or payer system
  • Medical coding/billing certification from AAPC, AHIMA, or other body, equivalent medical coding/billing college degree, and/or clinical degree

What We Offer:

  • Competitive salary and benefits package.
  • Opportunities for professional development and career growth.
  • A supportive and collaborative work environment.
  • Commitment to diversity, equity, and inclusion.

Rialtic is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Note: Adjust the specifics of the job description to match your company's unique needs and culture.

Rialtic Values

  • High Integrity - Do the right thing. Provide candid feedback. Be humble and respectful.
  • Customer Value Comes First - Delivering value to customers is our North Star.
  • Work as One Team - Collaborative, inclusive environment to advance our mission.
  • Be Bold & Accountable - Speak up. Take accountability. Continually improve.
  • Pursuit of Excellence - Innovate, iterate and chase the best possible outcomes.
  • Take Care of Self & Others - Prioritize health & well-being for yourself and your teammates.

Benefits Include

We value the health, happiness, and continuous growth of our employees. Our comprehensive benefits package is designed to provide dynamic support across various aspects of our employees' lives, ensuring they can thrive both professionally and personally.

  • Competitive Salary and Meaningful Equity.
  • Comprehensive Health Plans covering medical, dental, and vision needs.
  • Wellness Reimbursements for maintaining physical health.
  • Access to top-tier mental health services.
  • Flexible Vacation Policy with Unlimited PTO.

For more details about our benefits or to discuss how we can accommodate your needs, please contact us at talent@rialtic.io for accommodations. us.

Salary Transparency
We are committed to equitable compensation and regularly review our salary ranges to ensure they reflect market standards and internal fairness.

Non-Discrimination Policy
Rialtic is dedicated to fostering a workplace where everyone is treated with respect and dignity. We do not discriminate on any basis protected by law.

Join Our Team
If you’re passionate about using your skills to make a tangible impact in healthcare technology, we’d love to hear from you. Embrace the opportunity to grow professionally and personally in a company that values your well-being and professional development. For more information or inquiries about our DEI practices, please contact us directly.

Don’t meet every single requirement?

Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. If you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other role