[Hiring] AI Full Stack Software Developer @Skilled Wound Care

Role Description

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.

• 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.
• 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.

Qualifications

• 3–5 years of professional experience designing and developing production web applications.
• 1–3 years of hands-on experience building or maintaining healthcare-related software, such as EHR/EMR systems, end-to-end RCM/medical billing platforms, practice management systems, or clinical workflow tools.
• 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 MariaDB, PostgreSQL, 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 Git-based version control workflows (branching, pull requests, code review).
• Comfort working in Linux-based environments and with REST APIs (designing, consuming, and debugging).
• Hands-on experience using AI coding assistants such as Claude Code, Cursor, or comparable tools as part of a daily development workflow.
• Practical experience implementing AI/LLM-powered features in production software.
• Experience using JIRA (or equivalent tools such as Azure DevOps or Linear) for issue tracking, sprint management, and project visibility.
• Familiarity with Agile/Scrum methodologies, code review practices, and CI/CD concepts.
• Working knowledge of HIPAA Privacy and Security Rule requirements as they apply to software development.
• Understanding of common healthcare data and workflow concepts.

Preferred Qualifications

• Production experience with Vue.js (Vue 2 or 3).
• Experience with CakePHP (3.x or 4.x+); familiarity with other modern PHP frameworks (Laravel, Symfony) is a plus.
• Hands-on experience with healthcare interoperability standards.
• Familiarity with medical coding systems and payer/clearinghouse integrations.
• Experience integrating with banking systems and accounting software.
• Experience working in environments subject to SOC 2, HITRUST, or similar compliance frameworks.
• Experience writing automated tests and contributing to a strong testing culture.
• Exposure to containerization, cloud platforms, and CI/CD pipelines.
• Experience building production-grade AI features in healthcare or other regulated domains.
• Bachelor's degree in Computer Science, Software Engineering, or a related field, or equivalent practical experience.

Benefits

• This position will be a full time remote position.
• Health, Dental, Vision Insurance.
• Generous 401k plan.
• Paid time off and holidays.
• Life Insurance.
• Education stipend.