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# Enterprise Rules & Edits Analyst

- **Company:** Waystar, Inc
- **Location:** Louisville, KY, United States
- **Experience:** Experienced
- **Contract:** Permanent contract
- **Skills:** Microsoft Excel, Business Analytics Applications, System Configuration, Power BI, SQL Databases, Transaction Data
- **Published:** June 5, 2026
- **Apply:** https://dejobs.org/x/x/7163D0A2883E460B95D547B0C2DC499F/job/

## About the Role

* Bachelor's degree or 2-4 years of equivalent experience in healthcare setting

You know how to execute and like to roll up your sleeves to get things done

 * An understanding and knowledge of hospital revenue cycle workflows and the provider reimbursement process from patients and payers obtained either through direct experience in a healthcare setting or an RCM focused HIT company

 * Problem solving skills; able to analyze a problem and design creative solutions

 * Possess planning and organization skills to independently develop and lead projects when applicable

 * Excellent written communication skills; able to succinctly convey complex ideas through writing

 * Flexible and agile; able to rapidly adapt to changing situations and inputs

 * Medical claims coding certification preferred

## Description

Waystar is seeking a smart, technical and creative Enterprise Rules & Edits Analyst seeking a chance to grow their career and work with claim billing & coding/authorization rules. This analytical, solution-oriented individual will report to a Director of Enterprise Rules & Edits and work closely with client support and technology teams. This role will serve as an expert in government and payer requirements, focusing on how to help our clients improve clean claim rates and reduce denials against those constraints.

WHAT YOU'LL DO

*This cross-functional position will work with product, client support and technical teams to deliver accurate, timely claim edit/authorization rule configurations.

 * Studying healthcare industry standards and staying up-to-date on industry changes and compliance issues, focusing on government/payer requirements for claims billing & coding/authorization

 * Leverage analytical tools (Excel, PowerBI, SQL Databases) to identify trends and outliers in EDI 837/835/278 transaction data

 * Transform data into actionable claim edits, policy recommendations or authorization rule configurations

 * Configuring system settings and options; plans and executes unit, integration and acceptance testing

 * Subject matter expert in medical billing and coding, authorization rules and requirements, EDI 835/837

 * Consult with high-value clients to optimize claim edit/authorization rule configurations

 * Develop sustainable processes and systems to ensure claim edits are accurately and efficiently maintained.


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