Senior Fullstack Developer – Electronic Medical Records integration (PHP, MySQL, React, Node.js)

Location: Coimbatore, Tamil Nadu, India

Employment Type: Full-Time

Experience Level: Senior (7+ years)

Industry: Healthcare Technology

Reports To: EMR Team Lead

About Our Client

Our Client is a leader in digital front-door automation solutions, transforming how healthcare practices interact with patients. Our platform streamlines administrative workflows, enhances patient experiences, and drives revenue growth for providers. 

About the Role:

We are looking for a highly experienced Senior Full Stack Developer to join our team, with a primary focus on integrating new Electronic Medical Records (EMR) systems and ensuring our platform remains aligned with ongoing changes and new features from EMR providers.

You will work across our Node.js, PHP, MySQL, MongoDB, React, and JavaScript-based stack, identifying integration opportunities, regularly monitoring EMR updates, and implementing scalable, secure enhancements. This is a hands-on individual contributor role, ideal for someone who can communicate effectively with external teams, understands complex integration requirements, and proactively identifies and implements robust solutions.

You’ll play a critical part in ensuring our healthcare platform remains compliant, adaptable, and valuable to our users.

Key Responsibilities:

EMR Integration & Monitoring:

• Identify and integrate new Electronic Medical Record (EMR) systems with our platform. Ensure compatibility and seamless data exchange with external EMR systems.
• Regularly monitor updates, API changes, and feature releases from supported EMRs (e.g., Athena, Epic, Elation).
• Act as the technical point of contact for EMR integration discussions with partner teams.
• Ensure all integration work aligns with HIPAA and healthcare data privacy standards.
• Implement secure coding and data handling practices across all backend and frontend code.
• Collaborate closely with the EMR support/implementation teams to align on integration requirements and timelines.
  
   

Full Stack Development:

• Develop and maintain application features and fixes using PHP, MySQL, JavaScript, CSS, HTML, React, and Node.js.
• Write clean, efficient, and maintainable code across front-end and back-end systems.
• Implement database queries, optimizations, and schema updates when needed.
• Build reusable components and services to accelerate issue resolution and future development.

Issue Investigation & Resolution:

• Analyze and resolve technical issues related to EMR connectivity, patient data flow, and third-party services.
• Debug and optimize integration workflows for performance, reliability, and compliance.

Documentation & Knowledge Sharing:

• Maintain technical documentation for integration processes and endpoints to ensure seamless operation.
• Share learnings, best practices, and a 'How To Use' Guide with internal engineering and support teams.
  
   

Requirements:

Technical Skills:

• Strong backend experience: PHP (Laravel/Zend), Node.js (Express/Nest.js)
• Solid Frontend knowledge of HTML/CSS/JavaScript and React.js (with Hooks), JavaScript (ES6+)
• Databases: MySQL, MongoDB
• Working knowledge of lambda functions to check for frequent updates from third party systems
• APIs: REST, GraphQL, FHIR/HL7 (for EMR integration)
• Security: OAuth2, JWT, secure API handling, HTTPS, HIPAA considerations
• DevOps: Git, CI/CD pipelines, Docker, basic AWS (EC2, RDS, S3)
• Monitoring & Logs: Log management (ELK), API performance analysis
• Testing: Unit, integration, and end-to-end testing frameworks (e.g., Jest, Mocha, PHPUnit)

Experience:

• 7+ years of full-stack development experience.
• Strong background in integrating and maintaining EMR/EHR systems
• Prior experience working in healthcare or HIPAA-regulated environments.
• Independently resolved complex bugs, technical issues, or data sync failures across distributed systems
• Collaborated with cross-functional teams (product, support, EMR vendors) to deliver seamless integrations
• Maintained and improved legacy codebases while migrating to modern stacks
   

Soft Skills:

• Strong problem-solving, Analytical mindset, and debugging skills.
• Excellent communication and documentation skills.
• Ability to clearly explain technical details to both engineering and non-technical stakeholders
• Self-driven and capable of working independently with minimal supervision
• Comfortable working in a fast-paced, agile, and iterative environment
• Collaborative attitude and willingness to support others through code reviews and knowledge sharing

Nice to Have:

• Familiarity with Athena, Epic, Elation, AdvancedMD, or Cerner EMR APIs.
• Exposure to Serverless (Lambda) architecture in AWS.
• Experience with performance profiling and optimization.
• Experience with message queue systems (e.g., RabbitMQ, SQS, Kafka)

Benefits:

• Competitive salary and performance incentives.
• Comprehensive health benefits package.
• Learning and development support.