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Responsibilities:
- Review healthcare policy for coding and billing guidelines.
- Provide in-depth research on regulations and support edits with official documents.
- Validate edits and support decisions with validation data.
Requirements:
- 4+ years of professional experience in Healthcare, familiar with medical coding terminology and claims.
- Experience working for a payer or editing vendor.
- Proficient Computer skills: Ability to self-learn Google Workspace, Amazon Workspace, Jira, and other software with minimal guidance.
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, they are tackling a $1 trillion problem to reduce costs, increase efficiency and improve quality of care.