Backend SWE

Backend Web Application Engineer

Role description

What you will do

• Extend our Laravel application to support EHR integrations (eClinicalWorks, Epic, athenahealth), extending via HL7v2, FHIR, and Cloud Fax.
• Iterate on our deterministic coding rule engine, including NCCI edits and payer-specific requirements.
• Build a self-service onboarding flow so new practices can provision their own integrations without us doing it manually.
• Build the data labeling interfaces and pipelines that turn coder and user input into training data for our models.
• Implement services that meet HIPAA, SOC 2, and HITRUST standards.

Qualified applicants have done this

• 4+ years with Laravel or an equivalent MVC framework.
• Deployed systems that required 24/7 stability and availability.
• Strong written and verbal communication — able to translate technical detail for non-technical audiences.
• Implemented logging and auditing controls for access to and disclosure of Protected Health Information (PHI) under HIPAA.

Exceptionally qualified candidates have done this

• Direct experience with one or more EHR APIs.
• Worked with HL7v2 or FHIR resources.
• Worked on revenue cycle management, medical billing, or other healthcare projects.

Compensation

• Competitive base salary commensurate with experience.
• Meaningful founding-stage equity.
• Health, dental, and vision insurance.
• Remote-first with optional hybrid at 1819 Innovation Hub, Cincinnati.