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AI Software Engineer- Medicare Billing & Care Management Platforms

Symphony Solutions
  • Alpharetta, GA
    1 day ago

    Job Description

    Job Description

    Job Description
    About the Role
    You will design and maintain SaaS solutions tailored for Medicare care management programs (CCM, RPM, RTM, PCM, BHI, TCM, AWV). Beyond core development, you’ll champion AI-driven engineering practices to transform our SDLC, mentoring engineers and driving technical excellence.
    Key Responsibilities:

    • Medicare & Billing Workflows: Implement CMS billing rules, reimbursement logic, time-tracking, and automated CPT coding workflows (e.g., CCM 99490, RPM 99453/99454, RTM 98975).

    • Platform & Interoperability: Build scalable microservices, FHIR/HL7 interfaces, and EHR integrations (Epic, athenahealth, eClinicalWorks, NextGen, etc.).

    • Compliance & Security: Ensure platform alignment with HIPAA, CMS regulations, and SOC 2/HITRUST frameworks.

    • AI Leadership: Leverage and champion AI-driven tools (Cursor, Claude Code, Augment Code, Copilot) to accelerate delivery and modern development workflows.
       
    Key Requirements:

    • Experience: 8+ years in software engineering (4+ years in Healthcare SaaS).

    • Tech Stack: C#, .NET Core / ASP.NET Core, REST APIs, SQL Server/MySQL, Azure/AWS, Microservices, CI/CD.

    • AI-Driven SDLC: Hands-on proficiency with AI coding assistants (Cursor, Claude Code, Augment Code, GitHub Copilot).

    • Healthcare Interoperability: FHIR APIs, HL7 v2, C-CDA, and EHR integration architecture.

    • Domain Knowledge: Deep understanding of Medicare reimbursement policies, CPT codes, and revenue cycle management.

    Numbers & Facts

    LocationAlpharetta, GA

    Skills

    • Amazon Web Services (AWS)unmatched
    • Application Programming Interface (API)unmatched
    • Artificial Intelligence (AI)unmatched
    • Billingunmatched
    • Centers for Medicare and Medicaid Services (CMS)unmatched
    • Content Management Systems (CMS)unmatched
    • Continuous Deployment/Deliveryunmatched
    • Continuous Integrationunmatched
    • Current Procedural Terminology (CPT)unmatched
    • Epic Systemsunmatched
    • GitHubunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • HL7 (Health Level 7)unmatched
    • Healthcareunmatched
    • Interoperabilityunmatched
    • Leadershipunmatched
    • Medical Billingunmatched
    • Medical Record Systemunmatched
    • Medicareunmatched
    • Medicare Reimbursementunmatched
    • Mentoringunmatched
    • Microservicesunmatched
    • Microsoft .NETunmatched
    • Microsoft ASP.NET (Active Server Page)unmatched
    • Microsoft C# (C Sharp)unmatched
    • Microsoft SQL Serverunmatched
    • Microsoft Windows Azureunmatched
    • MySQLunmatched
    • REST (Representational State Transfer)unmatched
    • RPMunmatched
    • Regulationsunmatched
    • Reimbursementunmatched
    • Revenue Managementunmatched
    • Scalable System Developmentunmatched
    • Security Complianceunmatched
    • Security Infrastructureunmatched
    • Software Development Lifecycle (SDLC)unmatched
    • Software Engineeringunmatched
    • Software as a Service (SaaS)unmatched
    • Time Trackingunmatched

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