Healthcare Integration Engineer: Claims & Remittance

Position Type: Senior IC - Engineer | Contract
Location: Remote
Start Date: On or about September 1
Engagement Duration: ~4-5 months 
Compensation: $90 - $120 / hr

ABOUT THE ROLE

We are building a custom revenue cycle management (RCM) platform for a small primary care network that connects two EMRs, manages claims and payments from ~30 payers, and reconciles against collections and contracted rates. We are seeking engineering talent to fully productionize a working prototype and integrate it into our client’s operational workflow. The engagement runs roughly September 2026 through January 2027, from build through go-live.

WHAT YOU'LL DO

·       Work directly with the client and fellow project team members to stand up and operate production-grade custom software, with the access controls, logging and deployment gates a PHI system requires.

·       Own the codebase, including: outbound claim path (837P generation, submission, and acknowledgement loop, 999 and 277CA), inbound payment path (835 remittance parsing, automated posting, and reconciliation of paid against contracted rates)

·       Build two-way A/R write-back capability from custom platform to integrated EHR systems

·       Write integration tests that simulate real EMR and payer behavior across versions and configurations, so a vendor-side change breaks a test instead of a month of cash.

·       Build for failure: set the reliability bar for a system that has idempotency, replay, reconciliation checks, and an audit ledger

WHAT WE'RE LOOKING FOR

·       Production code experience across the full claim-to-cash lifecycle: 837P out, 999 and 277CA acknowledgements, 835 remittances, payment posting.

·       Healthcare integrations (EMRs, clearinghouses, payers) you built and maintained. HL7 v2, vendor APIs or FHIR, SFTP.

·       Reliability engineering where a silent failure costs money: idempotency, replay, and reconciling systems that disagree with each other.

·       HIPAA in practice, and cloud operations under a BAA (AWS or comparable).

·       Backend depth in TypeScript/Node, Python, Java, or .NET.

·       Recent production code you personally wrote and shipped, not only systems you designed or reviewed.

HOW YOU WORK

·       Hands on and comfortable owning all aspects of engineering

·       Your last two years include code you shipped, not only documents you reviewed.

BONUS POINTS

·       Experience integrating with eClinicalWorks, MDLand, or Waystar.

·       Time inside a claims clearinghouse, RCM platform, or EMR billing group.

·       Payer enrollment and ERA/EFT setup you have personally driven, including the payers that never send a clean ERA.

·       Denial management and appeals automation.

·       Certified Professional Coder (CPC) or equivalent coding literacy.

COMPENSATION & DETAILS

·       ~$90 - $120 per hour equivalent, commensurate with experience. We will scope in a written statement of work and estimated hours.

·       Runs roughly September 2026 through January 2027, from start through go-live. Hours and total duration are scoped with you.

·       1099 independent contractor. This engagement will entail signing a contractor agreement and a subcontractor BAA.

·       Remote, US-based. Project may require occasional travel to Atlanta, GA

We are an end-to-end AI advisory and implementation firm that embeds engineering talent directly into client organizations to rebuild how work gets done.