Full Stack Software Developer

We are seeking a talented and motivated Full Stack Software Developer to join our engineering team building mission‑critical healthcare technology. In this role, you will design, develop, and maintain our suite of healthcare applications, including our Electronic Health Record (EHR) system and our end‑to‑end Revenue Cycle Management (RCM) platform — spanning the complete clinical‑to‑financial workflow from provider documentation and charge capture, through claim submission to commercial payers and Medicare, to payment posting, denial management, bank reconciliation, and integration with accounting systems for revenue tracking.

In this hands‑on engineering role for someone who is comfortable owning features from requirements through deployment, takes pride in writing clean, maintainable code, and is excited about both leveraging AI‑assisted development tools and building AI‑powered features directly into our products.

• Design, develop, test, and maintain features across our EHR and RCM platforms using PHP, JavaScript, HTML, CSS, SQL, and Python.
• Build software supporting the full healthcare lifecycle — from clinical documentation and note generation, through coding and charge capture, claim submission to commercial payers and Medicare/Medicaid, ERA/EOB processing, payment posting, denial management, bank reconciliation, and revenue reporting integrations with accounting platforms.
• Build responsive, accessible front‑end interfaces and robust back‑end services that handle protected health information (PHI) securely and reliably.
• Develop and maintain integrations with healthcare standards and third‑party services (e.g., clearinghouses, payer systems, lab interfaces, banking/ERA feeds, and accounting software).
• Design and implement AI‑powered features within our products — such as clinical documentation assistance, ambient note generation, coding suggestions, denial prediction, automated claim scrubbing, or intelligent workflow automation — with appropriate guardrails for accuracy, privacy, and compliance.
• Write efficient, well‑structured SQL queries, stored procedures, and schema designs to support clinical and financial workflows.
• Participate in the full software development lifecycle: requirements analysis, technical design, implementation, code review, QA, deployment, and post‑release support.
• Collaborate closely with product managers, designers, QA engineers, and clinical/billing subject‑matter experts to translate complex healthcare workflows into intuitive software.
• Track work, document decisions, and manage tickets in JIRA; contribute to sprint planning, estimation, and retrospectives in an Agile environment.
• Effectively use AI coding assistants (e.g., Claude Code, Cursor) to accelerate development, refactor legacy code, generate tests, and improve overall engineering productivity — while applying sound judgment to ensure correctness, security, and compliance.
• Identify and remediate performance bottlenecks, technical debt, and security vulnerabilities in existing applications.
• Help uphold and improve our HIPAA‑aligned security and privacy practices across the codebase and SDLC.
• Mentor junior developers through code reviews, pair programming, and knowledge sharing as you grow on the team.

• Must be willing to work a hybrid schedule from our office in Houston, TX.
• Must be authorized to work in the US.
• 3–5 years of professional experience designing and developing production web applications.
• Demonstrated experience shipping features end‑to‑end in a team‑based, Agile environment.
• Strong proficiency in PHP for server‑side application development.
• Solid JavaScript skills, including modern ES6+ features and experience with at least one front‑end framework or library.
• Proficiency with HTML5 and CSS3, including responsive design and cross‑browser compatibility.
• Strong SQL skills with at least one major relational database (MySQL preferred; experience with Maria
  
  DB, Postgre
  
  SQL, or MS SQL Server also acceptable), including query optimization and schema design.
• Working proficiency with Python for scripting, automation, data processing, or back‑end services.
• Experience with…