Lead Healthcare Coding Implementation Engineer

Commence; Virginia Beach, Northern (VA, KY); Hybrid; USD 140,000 - 170,000; Full time

Job summary

Commence is seeking a Sr. Coding Implementation Engineer to deploy our medical coding platform and serve as the technical anchor for implementations. This hybrid role sits at the intersection of healthcare data engineering and coding, owning complex deployments from discovery to go-live and stabilization.

You will design multi-specialty coding logic, lead data mapping with IT and revenue cycle teams, write SQL, and operate in AWS and Git while mentoring junior consultants.

Qualifications

• 6+ years implementing healthcare software at provider organizations.
• Direct surgical and procedural coding experience: CPT, ICD-10-CM/PCS, modifiers, NCCI.
• Advanced SQL with performance-conscious queries and validation queries.
• AWS: S3, RDS, EC2, CloudWatch, IAM; environment segregation and PHI handling.
• Git-based workflow ownership: branching, PR discipline, config reviews.
• Read Java and make bounded changes under Engineering review.
• Track record of identifying systemic causes behind large discrepancies.
• Detail-oriented with financial/clinical/compliance impact awareness.
• Ability to communicate with engineers and executives; manage customer relations.

Responsibilities

• Serve as primary technical owner for customer implementations from data discovery to go-live and stabilization.
• Lead source-to-target data mapping and interface definition with customer IT and revenue cycle teams.
• Design and configure coding logic for complex multi-specialty programs and payer rules.
• Define side-by-side validation methodology, thresholds, and evidence for production readiness.
• Diagnose accuracy failures across source data, mapping, rules, and model behavior.
• Build and maintain runbooks, validation tooling, and onboarding materials.
• Mentor and technically direct junior Implementation Consultants.
• Write SQL, operate in AWS, manage Git configuration, and make bounded Java changes.
• Represent Commence in customer executive conversations on status, results, and risk.
• Provide feasibility and LOE input into new customer pursuits.

Skills

Healthcare software implementation

SQL proficiency

AWS experience

Git workflow

Java familiarity

Customer engagement

Pattern recognition

Detail orientation

Education

Bachelor's degree or equivalent experience

Tools

AWS

Git

Java

Epic/Cerner (healthcare systems)

HL7/FHIR

Job description

Commence is seeking a Sr. Coding Implementation Engineer to deploy our medical coding platform and serve as the technical anchor for implementations. This hybrid role sits at the intersection of healthcare data engineering and coding, owning complex deployments from discovery to go-live and stabilization.

You will design multi-specialty coding logic, lead data mapping with IT and revenue cycle teams, write SQL, and operate in AWS and Git while mentoring junior consultants.