Senior Coding Implementation Engineer

🔥 1 minute ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $110k - $145k / year

⏰ Full Time

🟠 Senior

🛠️ Implementation Specialist

👻 Ghost score 1%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Commence

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

🏛️ Government

🤖 Artificial Intelligence

Healthcare • Government • Artificial Intelligence

Commence is a healthcare data and technology company that delivers data-centered solutions to make health data more accessible, discoverable, and interoperable. The company pairs clinical expertise with AI-driven data transformation and a technology platform to address fraud, waste & abuse, independent dispute resolution, peer and independent reviews, quality improvement, and patient advocacy. Commence serves federal health agencies (CMS, VA, Defense Health Agency), state & local government programs, and commercial health customers, focusing on improving outcomes, accuracy, and program integrity.

📋 Description

• Assist in deploying Commence's medical coding platform alongside customers • Serve as primary technical owner for customer implementations from data discovery through side-by-side validation, go-live, and stabilization • Lead source-to-target data mapping and interface definition with customer IT and revenue cycle teams • Make decisions on scope, sequencing, and customer obligations • Design and configure coding logic for complex customers and payer-specific rule sets • Define side-by-side validation methodology, including sampling, discrepancy taxonomy, acceptance thresholds, and production-readiness evidence • Diagnose accuracy failures to root cause across source data, ingestion, mapping, rules, and model behavior • Hold partner engineering accountable for resolution using reproducible cases • Build and maintain the internal knowledge base, runbooks, configuration patterns, validation tooling, and onboarding material • Mentor and technically direct junior Implementation Consultants • Write SQL, operate in AWS, manage configuration in Git, and make bounded changes to Java rule and integration components • Represent Commence in customer executive conversations regarding implementation status, accuracy results, and risk • Provide implementation feasibility and level-of-effort input into new customer pursuits

🎯 Requirements

• 6+ years implementing healthcare software at provider organizations • At least two full-cycle implementations owned end to end as primary technical resource • Substantive medical coding knowledge with direct surgical and procedural coding experience • Knowledge of CPT, ICD-10-CM and PCS, modifier application, NCCI edits, global periods, and operative note documentation • Advanced SQL, including performance-conscious querying against large tables • Ability to design reconciliation and validation queries • Hands-on AWS experience across S3, RDS, EC2, CloudWatch, and IAM • Working understanding of environment segregation and PHI handling controls • Git-based workflow ownership, including branching strategy, pull request discipline, and review of configuration changes • Ability to read Java, trace behavior through existing rule and integration components, and make bounded changes under Engineering review • Demonstrated pattern recognition at scale and ability to quantify impact • Detail orientation where accuracy carried financial, clinical, or compliance consequences • Ability to hold engineering and customer executive conversations credibly • Ability to own a customer relationship without escalation as the default • Bachelor's degree, or four additional years of relevant experience in place of a degree • AAPC or AHIMA credential such as CPC, COC, CCS, or CIRCC with surgical specialty experience is desired • Epic or Cerner experience is desired • Experience with HL7 v2, FHIR, and X12 837 and 835 is desired • Experience with computer-assisted coding, autonomous coding, or NLP-based clinical documentation platforms is desired • Experience running parallel-run or side-by-side validation is desired • Python for data analysis and validation scripting is desired • Ambulatory surgery center or multi-specialty surgical group experience is desired • Experience implementing on behalf of, or in partnership with, a third-party software vendor is desired

🏖️ Benefits

• Remote work position • Reasonable accommodations for individuals with disabilities • Equal employment opportunity practices

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume