Headway

Backend Engineer

• The Revenue Engine Team is making the foundational platform decisions that will shape how Headway moves money — between patients, providers, and payers — at the scale our growing network demands. As one of two staff engineers in the group, you'll partner with engineering leadership to set technical direction across our Payment Platform and Clearinghouse Platform teams.
• This is platform work in the truest sense. Every payment that's charged or paid out, every claim that's filed and reconciled, every dollar that flows through Headway depends on the systems your teams own. As Headway's network grows — more patients, more providers, more payers, more transaction volume — the reliability, throughput, and correctness of these systems become the difference between a business that scales and one that doesn't.
• You'll lead the design of fault-tolerant, observable, and deeply reconciled integrations with the third-party services we depend on. You'll build the abstractions and standards that let dozens of adjacent engineering teams — Billing Infrastructure, Patient Billing, Provider Payouts, and others — ship faster and more safely on top of our platform.
• And you'll do it as a hands-on technical leader: writing code where leverage is highest, mentoring senior engineers across both pods, and shaping the operational excellence that this domain demands.
• This role is for engineers who get energized by distributed systems problems with real consequences — concurrency, idempotency, partial failures, all with a substantial potential blast radius — and who want to apply that craft to a mission that actually matters: building a mental healthcare system that everyone can access.

Staff Backend Software Engineer – Revenue Engine

Medical Billing and Coding

• Audit behavioral health documentation and coding (ICD-10-CM and CPT) for accuracy, compliance, and completeness
• Deliver actionable feedback to providers through 1:1 remediation meetings, educating on coding and documentation guidelines (i.e., coding based on medical decision making (MDM) for outpatient Evaluation and Management services)
• Serve as a subject matter expert by answering coding-related questions to support internal teams and create processes
• Contribute to provider education efforts, including drafting content, identifying documentation gaps, and advising on clinical documentation standards
• Provide insights on coding trends, identify risk areas, and recommend improvements to tooling, product, and training
• Collaborate with cross-functional partners on initiatives and enhancements regarding billing code guardrails
• Stay current with evolving coding guidelines, payer rules, and industry standards through continuing education and independent learning

Staff Backend Software Engineer – Revenue Engine

Senior Medical Coding Specialist