iScribeHealth is an AI-powered virtual scribe solution that helps healthcare providers efficiently document patient care and sync data with Electronic Health Records (EHR) systems. Founded in 2015, we are dedicated to reducing provider burnout and improving healthcare efficiency through cutting-edge AI and automation. Our platform streamlines workflows, enabling doctors to focus on patient care while ensuring seamless EHR integration. At iScribeHealth, we empower our employees to make a meaningful impact—both for themselves and the patients we serve.

As a Lead Backend .NET Developer at iScribeHealth, you will play a key role in developing and maintaining the core infrastructure that powers our real-time AI documentation and medical billing platform. You’ll work in a fast-paced, collaborative environment where your contributions will directly impact clinicians and patients. A high-impact, fast-paced individual who is a versatile, self-driven engineer who thrives in uncertainty and moves quickly from idea to execution to help us scale and innovate faster.

Essential Duties and Responsibilities:

• Design, implement, and maintain scalable and performant .NET APIs and backend services that power real-time AI scribe functionality and billing workflows.

• Lead backend API development and architecture efforts using .NET Core and C#, ensuring extensibility, fault tolerance, and high availability.

• Drive the design and implementation of integration architecture strategies for external EHR systems, including Epic, athenahealth, and other healthcare platforms.

• Serve as an integration specialist, developing and maintaining secure, high-throughput interfaces between EHR systems and internal infrastructure.

• Implement robust data security and compliance protocols for all integrations, ensuring full adherence to HIPAA, PHI, and healthcare industry standards.

• Design and maintain failover strategies for all integration endpoints, ensuring continuous availability and minimal disruption during outages.

• Own the deployment, maintenance, and support of developed integration endpoints, ensuring version control, testing, and CI/CD pipelines are followed.• Develop and manage dashboards, monitoring tools, and alerts for real-time visibility into integration health, EHR system status, and internal data flows.

• Create and maintain detailed integration documentation, including technical specifications, internal wikis, and onboarding guides for engineering and support teams.

• Collaborate cross-functionally with ML engineers, frontend developers, DevOps, and product stakeholders to deliver end-to-end, production-ready solutions.

• Champion clean code practices, automated testing, observability, and DevOps best practices in a healthcare-grade production environment.

• Mentor junior engineers, conduct peer code reviews, and contribute to architectural decisions that support our mission and scale.

Qualifications:

• 2+ years experience in backend development, with deep expertise in .NET Core and C#. Even if you don’t meet the exact years of experience listed, we encourage you to apply—skills, potential, and passion matter just as much.

• Strong understanding of REST APIs, asynchronous processing, SQL/NoSQL databases, and distributed systems.

• Experience with Azure cloud services (App Services, Functions, Cosmos DB, Traffic Manager, Front Door, etc.).

• Passion for building resilient, secure, and observable systems in a regulated environment (HIPAA, PHI).

• Experience integrating with or building around EHR systems, FHIR APIs, or medical billing tools is a strong plus.

• Ability to mentor junior engineers, do thorough code reviews, and drive architectural decisions.

Preferred Skills:

• Prior entrepreneurship experience

• Prior experience in health tech, EHR integrations, AI, or machine learning.

• Exposure to serverless computing, edge AI, or emerging cloud-native architectures.

• Familiarity with low-code/no-code solutions, automation, and developer tools.

Must align with iScribeHealth’s Core Values: Cares Deeply, Resourceful, Accountable, Customer-obsessed and Knowledgeable

Next Steps:

At iScribeHealth, we assign specific attributes and characteristics to each role. This helps us identify candidates whose natural strengths align with the demands of the position—contributing to both job satisfaction and long-term success. Our goal is to ensure that employees feel confident and fulfilled in their roles, rather than feeling like they have to stretch themselves unnaturally every day to meet expectations.The survey includes only two questions and typically takes less than 10 minutes to complete.

For the second question, “Describe How You Should Behave at Work,” please answer based on your behavior in your current or most recent role—not the role you’re applying for. You can access the survey using the following link: iScribeHealth

Once the survey is completed email resume to recruiting@iscribehealth.com

Why Join Us?

• Opportunity to impact the future of healthcare technology and AI-driven solutions.

• Competitive salary and benefits including Medical, Dental, Vision, HSA/FSA, HSA Dependent Care, Pet Insurance, and 401k.

• Collaborative, dynamic team environment focused on innovation and growth.

iScribeHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.