KevinFoster
Senior Software Engineer
May 2025 - CurrentOwn the architecture, modernization, and operational stability of applications supporting clinical documentation integrity, mid-revenue cycle workflows, and coding compliance. Harden and optimize legacy systems, enhance platform security, and build new data-processing tools that improve workflow efficiency for auditors and coding analysts. Partner across engineering, clinical, and compliance teams to deliver secure, scalable software in a highly regulated healthcare ecosystem.
Office of the CTO
June 2024 - March 2025Collaborated closely with cross-departmental leaders to drive strategic operational projects, ensuring technology initiatives align seamlessly with overarching business objectives and executive vision. Provided high-level strategic support to the C-suite, translating executive priorities into actionable technology solutions and fostering cross-functional collaboration to enhance organizational effectiveness.
Director, Application Development
June 2024 - March 2025Provided technical leadership and strategic oversight for multiple engineering teams, ensuring the successful and timely delivery of software solutions through effective stakeholder collaboration, priority management, and resource allocation. Drove innovation by aligning application development with business objectives and industry best practices.
Application Development Manager
June 2019 - June 2024Led and mentored application development teams, ensuring alignment of development projects with business objectives and delivering high-quality software solutions. Provided technical leadership and strategic guidance to enhance team capabilities, foster collaboration, and drive continuous improvement across development processes. Developed and launched a digital front-door app, achieving 300K user adoption.
Developer
July 2010 - June 2019Played a pivotal role in the design, development, and enhancement of NextGen Enterprise applications, leveraging both clinical and IT expertise to deliver high-quality software solutions. Responsible for end-to-end development processes, quality assurance, and continuous improvement of patient user interface templates, ensuring alignment with clinical workflows and business objectives.
Product Developer
December 2009 - May 2010Sole developer responsible for designing, developing, and deploying web applications that integrated seamlessly with existing customer software services, enhancing healthcare communication and administrative processes. Delivered enterprise-level solutions that improved patient-provider interactions and streamlined administrative oversight.
Software Developer
February 2007 - December 2009Developed and maintained NextGen templates and Crystal Reports, enhanced system functionality through SQL stored procedures, performed software upgrades and migrations, and managed client communications regarding software changes. Played a key role in improving system performance, client satisfaction, and operational efficiency.
Technical Support
June 2006 - February 2007Provided Level 1 technical support for enterprise computer systems and networks, ensuring system reliability and customer satisfaction. Installed, configured, and troubleshooted hardware and software issues, serving as a critical support resource for clients.
Computer Engineering
September 2001 - June 2006Completed extensive coursework in computer science and embedded systems, gaining hands-on experience in systems programming, software development, and hardware integration. Participated in advanced projects that combined software and hardware solutions for real-world applications.
Skills
HTML / SCSS / CSS / Styled Components / Javascript / ReactJS / NextJS
React Native / Android / iOS / Mobile / Ruby on Rails
RoR / C# / WPF / .NET
Node / Ruby / Python / NextJS / REST APIs
SOAP APIs / Postgres / MySQL / SQL / SSRS
SSIS
Microsoft Azure / Azure Devops / Microsoft Cloud Services / Google Cloud / Continuous Deployment
Continuous Integration / (CI/CD) / Git / SVN / Agile Methodologies
Scrum / Lean
NextGen EHR / NextGen EPM / NextGen ICS / Template Editor / Rosetta
Mirth Connect / NextGen Share / Surescripts / Interoperability / Rebuttals
Clinical Documentation Improvement (CDI) / Risk Adjustment Factor Score (RAF) / Hierarchical Condition Category (HCC)
Manager / Director / Leader / Innovation / Platform
Engineer / Engineering / Hiring / Retention / Mentor
Prioritization / Cross-collaboration
SQL Server Management Studio / Visual Studio Code / Visual Studio / TortoiseGit / TortoiseSVN
Microsoft Office Suite / Word / Excel / Outlook / PowerPoint
MSTeams / Slack / Jira / Bitbucket / Confluence
Crystal Reports
Sample Projects
RAFVue
RAFVue is a risk-adjustment and coding compliance platform designed to help healthcare organizations improve coding accuracy, optimize risk adjustment factor (RAF) scoring, and streamline mid-revenue cycle audit workflows. The application empowers coding teams, auditors, and healthcare organizations to identify documentation gaps, validate coding accuracy, and support compliant clinical documentation integrity initiatives. It integrates advanced data ingestion, quality review workflows, and actionable analytics to deliver a complete, end-to-end coding audit experience.
IMPACT: My contributions improved RAFVue’s reliability, security posture, and workflow efficiency—directly supporting coding accuracy, risk adjustment performance, and scalable audit operations for healthcare clients.
Built EDI ingestion pipelines: Designed and developed an 837 and 835 file parsing engine to power initial data ingestion for coding audits. This automated the extraction of encounter, claim, and payment data, enabling auditors to quickly initiate reviews with clean, structured inputs.
Optimized and modernized backend SQL logic: Refactored complex SQL functions, views, and queries to be DRY, reusable, and highly performant—improving load times and reducing redundant logic across the platform.
Modernized authentication and authorization: Migrated the application’s authentication model from legacy user/password tables to Microsoft Entra External ID, strengthening security, enabling SSO, and aligning with enterprise identity standards.
Implemented a saved search feature allowing auditors to quickly reload frequently used patient search filters.
Built a templating system for generating coding audit communication forms, improving consistency and reducing manual work.
Added a pseudo-Elasticsearch mechanism for large structured datasets (e.g., diagnosis code dropdowns), significantly improving lookup speed and user experience.
SureClaim
Sureclaim is an audit rebuttal management platform that facilitates structured, compliant communication between clinical auditors and healthcare organization leadership. After an audit is completed, healthcare providers can review findings, submit rebuttals, and collaborate with auditors and supervisory teams through an organized, trackable workflow. The system improves transparency, turnaround time, and documentation accuracy in the audit resolution process.
IMPACT: My contributions significantly improved Sureclaim’s security, usability, and integration maturity—resulting in safer data handling, smoother communication between auditors and healthcare organizations, and a scalable foundation for future enhancements.
Modernized authentication architecture: Migrated the system from a legacy username/password model to the enterprise-wide Microsoft Entra External ID setup shared with RAFVue—strengthening security, simplifying onboarding, and unifying identity management across applications.
Performed a full security review and refactor: Conducted an in-depth audit of the codebase (originally implementation-heavy with minimal structure), refactored core components, and resolved major security issues. This included overhauling backend authorization rules to ensure strict tenant scoping and preventing cross-client data exposure.
Delivered collaboration-enhancing features: Built a robust commenting system with @mentions, enabling users to tag colleagues and trigger relevant notifications during the rebuttal workflow.
Added personalized notification capabilities: Implemented user-configurable email alerts for key system events—helping supervisors and reviewers stay informed without manual monitoring.
Integrated external data systems: Connected Sureclaim with Quickbase to seamlessly pull client profiles, project metadata, and rebuttal details, ensuring consistent, up-to-date information across systems.
EDW User Upload
The EDW Upload Site is a self-service portal that streamlines how internal teams provide source data to the enterprise data warehouse (EDW). Previously, users emailed files directly to engineering leadership, requiring manual placement into specific Azure storage locations for Data Factory pipelines. This manual workflow created bottlenecks, delays, and inconsistent handoffs. The new platform automates the entire intake process, enabling authorized users to securely upload files while the system validates, routes, and monitors the ingestion pipeline.
IMPACT: My solution eliminated a recurring manual workload for engineering leadership, reduced data ingestion turnaround time, and established a secure, auditable, and scalable path for EDW file intake—significantly improving operational efficiency across multiple departments.
Automated a formerly manual file-loading process - Designed and built the full upload portal, allowing users from HR, Finance, and other departments to submit files directly. The system automatically identifies data types and routes them to the correct Azure storage container for downstream ADF processing.
Implemented authentication with the existing domain tenant - Leveraged Microsoft Entra ID for authentication, ensuring all users log in through existing organizational credentials with no additional account management overhead.
Added granular authorization controls - Built role- and group-based authorization rules to ensure only permitted users could upload specific file types—strengthening security and reducing accidental misuse.
Introduced staged upload workflow - Implemented guardrails so that certain files (e.g., HR uploads) must be submitted before subsequent departments (e.g., Finance) can upload theirs, ensuring data pipelines run in the correct order.
Provided real-time ingestion status - Built dynamic upload and processing indicators that reflect the current ADF pipeline status, giving users visibility into the ingestion process without needing engineering support.
User enablement & training - Delivered hands-on training sessions for HR, Finance, and operational teams, ensuring smooth adoption and empowering users to independently manage their own uploads.
This Resume
A purposeful project with the goal of creating an easily maintainable, yet highly adaptable categorization of my overall corporate experience...
Format all resume data in a structured manner consistent with JSON Resume schema
Provide direct links to it from my personal portfolio website
Seamlessly integrate the JSON data into a fully autonomous system, allowing changes to tracked in source control, processed by a CI/CD pipeline, deployed to all necessary backend systems.
Craft the content with the assistance of AI technology (ChatGPT) to enhance clarity and impact.
iNag
A tongue in cheek named program that was designed as an announcement gateway into the electronic health record system.
The primary goal of the application was to act as an additional communication tool between end users and administrative staff to ensure acknowledgement of announcements.
The tool allowed administrators or operational leaders to present users with relevant information in PDF format, and then track each users' receipt.
Crystal Report Delivery
This application allows delivery of Crystal Reports by either Email or File export either directly, or scheduled through NextGen's Background Business Processor.
Enable the means to securely send Crystal Reports without exposing credentials by either processing by delegation or through encrypted credentials.
Configure report delivery details by report through a human readable XML Schema.
Enable built in error log review, or emitting to notification systems.
Wordle Clone
This is a clone of the viral puzzle game, created by Josh Wardle, and now published daily by the New York Times.
Use a predefined wordlist, randomly select a valid and guessable puzzle for the user to solve.
Provide hints to the user after each guess based on character location and correctness.
Celebrate a successful puzzle solution.
Client Information Form
An enterprise resource planning utility for tracking all B2B contracts and service agreement details.
Facilitated the conversion from a paper tracked process to a fully electronic system.
Systematically ingested legacy paper forms using OCR and image scanning to migrate into the electronic system.
Enabled revision tracking for individual business form changes with a managed approval system.
Embedded form functionality in the enterprise medical health record system allowing for automating payment adjustments and restricting services to allowables in the B2B agreement.