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Ahsan Ali

@ahsanali14

Message

I build reliable backend claims systems, APIs, and automation for healthcare and platform products.

Pakistan

Message

At SimpliFed, I build and maintain healthcare RCM workflows connecting Candid Health and Availity for end-to-end payer claim submission. I investigate data-integrity issues and claim denials, including a systemic CO-18 duplicate-claim pattern across UHC and Aetna.

I proposed platform-level idempotency guards and replacement-claim routing to prevent recurring duplicate submissions. I also support HIPAA-compliant PHI handling, production incident response, messaging infrastructure, and AI-powered patient and provider call-agent functionality.

Previously, I built serverless and full-stack platforms at Code District and App Rocket, from GraphQL assessment systems and eSign APIs to social platforms and stock-data automation. I also create local-first developer and media-production tools, including a Claude Code usage tracker and an automated motovlog production pipeline.

Experience

Work history, roles, and key accomplishments

Current

Senior Software Engineer

Current

SimpliFed

Jan 2023 - Present (3 years 8 months)

Investigated systemic CO-18 duplicate-claim denials across UHC and Aetna, tracing root cause to missing idempotency guards in claim submission. Built and maintained RCM workflows integrating Candid Health and Availity for end-to-end claim submission to major payers.

Candid Health Availity HIPAA PHI UHC Aetna RCM Claims Processing NodeJS NestJS TypeScript React Redux React Native MongoDB SQL PostgreSQL TypeORM Sequelize Hasura GraphQL AWS Serverless CI CD REST APIs Git Jira

Software Engineer

Code District

Jan 2021 - Jan 2023 (2 years)

Led migration from a legacy database to a newly designed schema, preserving data integrity and improving system performance. Built a serverless architecture using Hasura GraphQL for a multi-role organizational assessment system.

NodeJS TypeScript React Redux MongoDB PostgreSQL Hasura GraphQL REST APIs Serverless AWS CI CD Git Jira Bitbucket GitHub PSPDFKit Next.js

Software Engineer

App Rocket

Jan 2020 - Jan 2021 (1 year)

Built a Python/Selenium scraper to pull stock market data from a Bloomberg dashboard. Developed a model converting scraped data into intrinsic value ratios to surface investable tickers.

Python Selenium React Native Redux NodeJS

Education

Degrees, certifications, and relevant coursework

COMSATS University Islamabad

Bachelor's, Software Engineering

2017 - 2021

Grade: 3.23

Bachelor's degree in Software Engineering with a CGPA of 3.23. Coursework included data structures, algorithms, web programming, databases, and software testing.