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    Job · 13836935

    PUNE · FULLTIME

    Senior Software Developer (RCM)

    AC

    Agilewaters Consulting Private Limited

    Pune · onsite · Posted 57d ago

    Sourced fromFoundit
    Not disclosed6–12 yrsfulltimePune

    About a minute. You'll make an account on the way through.

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    Section · 01

    About this role

    We're looking for a Senior Developer with strong US healthcare RCM experience to design and build the core billing and revenue workflows of our platform. This role is for someone who understands not just code, but how real-world US healthcare revenue actually flows — from charge entry to cash in bank.

    You'll work on systems that directly impact customer revenue, compliance, and trust. Along with feature development, this role involves taking ownership of mission-critical RCM workflows that power real healthcare operations.

    What you'll do

    Design and build core RCM modules: eligibility, charge capture, claims, scrubbing, submissions, ERAs, payment posting, adjustments, and AR

    Translate complex billing and payer rules into scalable, maintainable system logic

    Own end-to-end feature development including technical design, implementation, performance, and reliability

    Work closely with Product and QA to ensure workflows match real-world RCM operations

    Handle edge cases in claims, denials, reversals, secondary billing, and payer-specific behavior

    Write clean, testable, well-structured code with strong attention to data integrity and auditability

    Participate in architecture discussions and help evolve the RCM platform for scale and multi-tenant SaaS environments

    Mentor junior developers and raise engineering standards across the team

    What we're looking for

    6+ years of software development experience, with 3–4+ years in US healthcare RCM systems

    Strong understanding of the full claims lifecycle, payer edits, denials, and AR workflows

    Hands-on knowledge of CPT, ICD, modifiers, ERAs/EOBs, adjustments, and write-offs

    Experience working with clearinghouses and EDI formats (837, 835, 999, 277)

    Experience building or maintaining billing and claims workflows in a healthcare SaaS product

    Extensive hands-on development experience in .NET (C#) with ASP.NET MVC applications

    Strong database expertise in SQL Server, including complex queries, data modelling, performance optimization, and maintaining high data integrity in transactional systems

    Ability to think in end-to-end workflows, not just individual screens

    Comfort working with complex business rules and translating them into clean technical designs

    Strong collaboration and communication skills with Product, QA, and Support teams

    Nice to have

    Exposure to PMS/EHR platforms

    Experience with multi-tenant SaaS architectures

    Background in performance optimization for high-volume transaction systems

    Exposure to healthcare compliance or audit-related requirements

    Sourced from foundit

    Section · 02

    Skills

    Asp.Net CoreAdjustments/Write-offsClearinghouse IntegrationCPT/ICD-10/ModifiersDatabase Design & Performance Optimization.End-to-End Claims LifecycleERA/EOBHealthcare Billing & ClaimsC SharpPayment PostingDenialsDot Net CoreARUS Healthcare RCMREST APIEDISQL ServerHealthcare SaaS

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