Senior AI Software Engineer in Alpharetta, Georgia at Discharge IQ Inc dba ChronicCareIQ

Position Summary
We are seeking an experienced Senior AI Software Engineer to design, develop, and maintain healthcare SaaS application CCIQ Platform focused on Medicare care management programs, including Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Remote Therapeutic Monitoring (RTM), Principal Care Management (PCM), and related reimbursement workflows.

The ideal candidate will have hands-on experience building healthcare applications that support Medicare billing, CPT coding, time capture, patient eligibility, claims generation, EHR integrations, compliance, and provider workflow automation. This role will work closely with Product, Clinical Operations, Billing, and Engineering teams to deliver scalable, secure, and compliant solutions.

Are you an AI-powered software engineer who builds at the speed of thought?
If you excel in spec-driven, AI-assisted software development using tools such as Augment Code, Cursor, Claude Code, GitHub Copilot, or similar technologies, we'd love to hear from you.

Beyond strong technical skills, we're seeking a leader mindset who can champion AI-driven software development practices, mentor fellow engineers, and help transform the organization's SDLC through the effective adoption of AI-enabled engineering tools and workflows. The ability to influence teams, drive change, and foster a culture of continuous innovation is essential.

Primary Responsibilities
Medicare Billing and Care Management Solutions
Design and develop software solutions supporting:
CCM (99490, 99439, 99491)
RPM (99453, 99454, 99457, 99458)
RTM (98975, 98976, 98977, 98980, 98981)
PCM (99424–99427)
Behavioral Health Integration (BHI)
Transitional Care Management (TCM)
Annual Wellness Visits (AWV)
Implement CMS billing rules, reimbursement logic, eligibility validation, and audit controls.
Develop time-tracking and documentation workflows to support compliant billing.
Build claim generation and billing reconciliation capabilities.
Collaborate with operations teams to improve billing accuracy and reduce revenue leakage.

Healthcare Platform Development
Design scalable microservices and APIs supporting patient management, billing, and reporting workflows.
Build patient risk stratification and population health management capabilities.
Develop dashboards for care managers, providers, billing teams, and administrators.
Implement workflow automation for enrollment, consent management, care plan generation, and patient outreach.

EHR and Healthcare Integrations
Develop integrations with EHR systems such as:
Epic Systems
athenahealth
AdvancedMD
eClinicalWorks
NextGen Healthcare
Build interfaces utilizing:
HL7
FHIR APIs
CCD/C-CDA
Ensure data synchronization, patient matching, and interoperability compliance.

Security and Compliance
Develop solutions compliant with:
HIPAA
CMS requirements
SOC 2 controls
HITRUST frameworks
Implement secure coding practices, audit logging, encryption, and access controls.

Technical Leadership
Mentor engineers and participate in architecture reviews.
Drive engineering best practices, code quality, testing automation, and DevOps maturity.
Participate in technical roadmap planning and platform modernization initiatives.
Collaborate with Product and Operations teams to translate regulatory requirements into software capabilities.
Strong & proven experience in Spec Based AI Driven SDLC (Software Development Life Cycle) using tools like Claude Code, Augment Code, Cursor etc.

Required Qualifications
Healthcare Domain Experience
8 plus years of software engineering experience.
4 plus years building healthcare SaaS applications.
Strong understanding of Medicare care management programs:
CCM
RPM
RTM
PCM
TCM
BHI
Experience implementing CPT code-based billing workflows.
Knowledge of CMS reimbursement policies and healthcare revenue cycle management.
Technical Skills
Strong experience with:
C#
.NET Core / ASP.NET Core
REST APIs
SQL Server or MySQL
One of AI Coding Tools: Augment Code. Cursor, Claude Code, GitHub Copilot
Experience with:
Azure or AWS cloud platforms
Microservices architecture
Event-driven systems
CI/CD pipelines
Docker and Kubernetes
Experience with:
Entity Framework
Message queues
Distributed systems
Integration Experience
FHIR APIs
HL7 v2
Healthcare interoperability standards
EHR integration architecture
Quality and Delivery
Unit testing and integration testing
Automated testing frameworks
Agile/Scrum development
Git-based development workflows

Preferred Qualifications
Experience with healthcare billing platforms or RCM systems.
Experience developing CCM/RPM/RTM platforms specifically.
Knowledge of Medicare Advantage and value-based care models.
Experience working with provider organizations, MSOs, ACOs, or care management vendors.
Experience building AI-enabled clinical workflow solutions.
Experience with Azure AI, OpenAI, or healthcare analytics platforms.

Desired Competencies
Strong problem-solving and analytical skills.
Ability to interpret CMS regulations and translate them into software requirements.
Excellent communication and collaboration skills.
Strong ownership mindset and customer focus.
Ability to balance technical excellence with business outcomes.

Nice-to-Have Experience
Candidates with direct experience building products similar to:
Chronic Care Management platforms
Remote Patient Monitoring solutions
Population Health Management systems
Medicare billing and claims platforms
Care coordination software
Patient engagement platforms
will be strongly preferred.

Benefits:
401k matching up to 3.5%
Medical, dental and vision coverage
Generous paid time off / holidays
Casual work environment
Work at home options (1-2 days a week)
Company social events