Full-Time

Revenue Cycle Solutions Engineer

Posted on 9/16/2025

SmarterDx

SmarterDx

201-500 employees

Analyzes medical data to support diagnoses

Compensation Overview

$190k - $210k/yr

No H1B Sponsorship

Remote in USA

Remote

US Citizenship, US Top Secret Clearance, Canada Citizenship, Canada Top Secret Clearance, UK Citizenship, UK Top Secret Clearance Required

Category
Sales & Solution Engineering (1)
Required Skills
Python
SQL
REST APIs
Requirements
  • 5+ years experience in both hospital revenue cycle management (IT or operational), or equivalent, which will include in-depth knowledge of hospital revenue cycle workflows, with particular emphasis on clinical charge capture through claims processing
  • At least one Epic Hospital Billing certification: Resolute Hospital Billing Claims & Electronic Remittance Administration or Resolute Hospital Billing Administration, or Epic Hospital Billing Charging Administration
  • Ownership mindset: Ability to build and own features from start to finish
  • Strong problem-solving skills: You can creatively identify solutions to problems
  • Extensive experience with data manipulation, for example using SQL or Python, to troubleshoot data integration issues
  • Experience with Epic Clarity or Reporting Workbench, including knowledge of underlying master files and community resources
  • Knowledge of data integrations via EHRs and 3rd party systems using solutions such as FHIR, X12 EDI, API-based interoperability, or flat file reports, including ability to design and implement.
Responsibilities
  • Lead account hold integration of SmarterDx solutions for clients
  • Directly communicate with CDI Directors and Coding Directors to understand and document their EMR, coding, and billing systems and workflows
  • Define how to best integrate our solution to support the client’s requirements and lead the integration workstream, partnering directly with hospital IT teams and vendors as needed
  • Write clear guides on integration methods and best practices, including both written and visual documentation (Figma diagrams, Visios, etc.)
  • Answer broader operational questions related to workqueue routing, workflow assignment, and beyond
  • Work closely with our Integration, Engineering, and Customer Success teams to ensure we are developing scalable solutions that can be supported by our operations team
  • Offer technical help and advice during the integration process
  • Educate both our team and clients
  • Improve integration methods by considering client feedback and new technology trends
Desired Qualifications
  • Hands-on-keys experience implementing data integrations via EHRs and 3rd party systems using solutions such as FHIR, X12 EDI, API-based interoperability, HL7 v2, or flat file reports
  • More than one Epic Hospital Billing certification: Resolute Hospital Billing Claims & Electronic Remittance Administration or Resolute Hospital Billing Administration, and Epic Hospital Billing Charging Administration
  • A background in healthcare consulting, and/or experience deploying software in a healthcare context

SmarterDx analyzes medical data from patient charts to support faster, data-driven clinical decisions. It uses counterfactual modeling to identify missed Clinical Documentation Improvement (CDI) and coding opportunities, helping providers improve patient care and increase revenue. The platform processes diverse data points such as notes, lab results, medications, orders, vitals, and ICD-10 codes, turning slow, manual searches into rapid, informed decisions. Unlike traditional approaches, SmarterDx emphasizes surfacing missed opportunities in documentation and coding, and offers a risk-free business model with a guaranteed 5:1 return on investment, aiming to streamline workflows, enhance patient care, and boost revenue for healthcare providers.

Company Size

201-500

Company Stage

Series B

Total Funding

$56M

Headquarters

New York City, New York

Founded

2020

Simplify Jobs

Simplify's Take

What believers are saying

  • New Mountain Capital acquired SmarterDx in 2025, forming Smarter Technologies for RCM expansion.
  • Partners with 60 health systems across 250+ hospitals, up from 40 systems with 180 sites.
  • Delivers $2.5M net new revenue per 10,000 discharges, totaling hundreds of millions since 2020 launch.

What critics are saying

  • CMS and OIG audits target AI upcoding, classifying SmarterDx recommendations as overbilling within 12-24 months.
  • UnitedHealth, Anthem, and Aetna deploy counter-AI to reject claims, eroding ROI in 6-18 months.
  • Epic and Cerner embed native CDI AI, causing hospitals to abandon SmarterDx in 18-36 months.

What makes SmarterDx unique

  • SmarterDx uses counterfactual modeling to identify missed CDI opportunities across 30,000 data points per chart.
  • Proprietary AI in SmarterPrebill reviews 100% of charts, outperforming human CDI teams by finding inaccuracies in 80%.
  • SmarterDenials AI automates appeals against payer denials, launched November 2024.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

Free One Medical membership

Parental Leave

Remote Work Options

Growth & Insights and Company News

Headcount

6 month growth

-1%

1 year growth

1%

2 year growth

6%
PYMNTS
May 25th, 2025
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Every day, someone dies from getting the wrong medication or improper dosages of the right one. Now, researchers at the University of Washington (UW) are working on ways to solve this problem in part by using artificial intelligence (AI), NBC News reported Sunday (May 25). Dr. Kelly Michaelsen, an assistant professor of anesthesiology and pain medicine, told the network she had read studies at the prevalence of medication errors among anesthesiologists and began to wonder if AI could help spot errors

PR Newswire
May 13th, 2025
Smarterdx Named "Best Overall Healthcare Operations Solution" In 9Th Annual Medtech Breakthrough Awards Program

Prestigious international annual awards program recognizes standout digital health and medical technology products and companies.NEW YORK, May 8, 2025 /PRNewswire/ -- SmarterDx, the leader in clinical AI for revenue integrity and care quality, announced today that it has been selected as winner of the "Best Overall Healthcare Operations Solution" award in the 9th annual MedTech Breakthrough Awards program conducted by MedTech Breakthrough, an independent market intelligence organization that recognizes the top companies, technologies, and products in the global digital health and medical technology market

JD Supra
Apr 30th, 2025
New Mountain Invests in SmarterDx AI

New Mountain Capital has made a strategic investment in SmarterDx, a New York-based company specializing in clinical AI for revenue integrity and care quality. New Mountain, also based in New York, is a growth-focused investment firm managing approximately $55 billion in assets. The terms of the investment were not disclosed.

FinSMEs
Apr 15th, 2025
SmarterDx Gains Investment from New Mountain

SmarterDx, a NYC-based clinical AI company, received an undisclosed investment from New Mountain Capital. The funds will support growth and product innovation. Founded in 2020, SmarterDx provides a platform to help hospitals analyze discharges and improve revenue integrity. Its solutions, SmarterPrebill™ and SmarterDenials™, assist in recovering revenue and improving care quality. Over 40 health systems with 180 hospital sites use its platform.

Health Technology Insights
Apr 14th, 2025
SmarterDx Begins Growth Phase with New Mountain Capital

SmarterDx, Inc., a leader in clinical AI for revenue integrity and care quality, announced a strategic investment from New Mountain Capital, LLC, a leading growth-oriented investment firm with more than $55 billion in assets under management.

INACTIVE