Tabitha Khadse

AI Software Engineer / Data Engineer / Full Stack / Data Validation & Compliance
Redmond, WA | Remote
Python SQL REST APIs HIPAA AI Quality Jira / Agile

Software and data-focused healthcare technology professional with 8+ years of experience working with regulated healthcare data, revenue cycle systems, and payer rule logic. Strong foundation in Python, SQL, backend data workflows, and data validation engineering. Experienced in building data quality logic, evaluating AI-generated outputs, and working across structured and unstructured healthcare data pipelines.

TK

Bridging Healthcare Operations & AI

Combines healthcare domain expertise with software engineering fundamentals to support AI, analytics, and data platform development in healthcare environments. Expert in validating regulated healthcare data and payer rule logic.

About Me

I am a Software and Data focused healthcare technology professional with 8+ years of experience working with regulated healthcare data, revenue cycle systems, and payer rule logic. I possess a strong foundation in Python, SQL, backend data workflows, and data validation engineering.

Experienced in building data quality logic, evaluating AI-generated outputs, and working across structured and unstructured healthcare data pipelines. I specialize in HIPAA compliance, PHI/PII handling, and interpreting complex payer and provider administrative rules.

Languages

Python SQL JavaScript

Frontend

HTML/CSS Tailwind CSS Responsive UI Development

Data / Quality

Data Validation ETL Validation Data Profiling Data Cleaning Quality Monitoring PostgreSQL

AI/LLM Evaluation

AI Output Evaluation Rubric Design Annotation Review Edge-Case Detection

Tools

GitHub Jira Confluence Linux CLI Excel (Advanced) VS Code

Cloud & Platform

Azure Power Apps Power Pages Power Automate Copilot Studio Dataverse

Professional Experience

Founding Software Engineer & Frontend/AI Architect

2026 – Present

Caprizo Consulting

  • Built responsive UI using HTML, Tailwind CSS, and JavaScript, improving usability and consistency across pages.
  • Supported Azure-aligned architecture decisions across frontend/backend integration to keep implementations maintainable.
  • Automated inquiry intake by connecting web forms to Google Sheets via Google Apps Script, enabling instant structured data capture and eliminating manual uploads.
  • Supported IT/operations workflows (setup, troubleshooting, process improvements) to keep delivery unblocked and systems reliable.

Healthcare Data & AI Quality Engineer

Jan 2026 – Feb 2026

Contract/Consulting

  • Evaluated AI-generated healthcare administrative outputs (eligibility, benefits coordination, enrollment workflows) for accuracy and workflow correctness.
  • Validated structured member/plan data extracted from unstructured emails and insurance documents, ensuring consistency and compliance alignment.
  • Performed PHI/PII redaction under HIPAA-aligned standards; documented recurring failure patterns and edge cases to improve training data and validation logic.
  • Designed evaluation rubrics to measure output accuracy, compliance, and administrative rule correctness.

Full-Stack & AI Engineer Freelancer

Jan 2020 – Present

tabitha.dev

  • Designed and developed responsive websites and web applications for clients using modern frontend technologies, including HTML, CSS, JavaScript, and Tailwind CSS.
  • Built full-stack solutions that connected user-facing websites with backend workflows, databases, forms, and automation tools.
  • Created personal and professional websites for clients, translating their goals, brand, and content into clean, user-friendly digital experiences.
  • Integrated automation workflows using tools such as Google Apps Script, Google Sheets, and form-based data collection to improve efficiency and reduce manual work.
  • Supported AI-focused projects involving data validation, workflow evaluation, prompt review, and quality assessment of AI-generated outputs.
  • Assisted clients with technical setup, troubleshooting, website updates, process improvements, and ongoing digital support.
  • Communicated directly with clients to gather requirements, explain technical decisions, deliver updates, and ensure final solutions met their needs.

Remote Managed Care Billing Specialist

Mar 2019 – Oct 2022

Providence Healthcare Management | Remote

  • Streamlined billing workflows and reduced processing time by 20% through data review and process improvements.
  • Improved first-pass claim acceptance rates by identifying recurring denial causes and correcting workflows.
  • Leveraged PointClickCare and Excel to track reimbursement patterns and generate management reports.
  • Managed AR aging (30/60/90 days) and resolved complex denials by preparing appeals with medical necessity documentation.
  • Ensured compliance with HIPAA, managed Medicare, and commercial payer rules across high-volume claims (UB-04/CMS-1500).

Remote Billing Specialist

May 2017 – Mar 2019

Richter Healthcare Consultants | Remote

  • Standardized denial management workflows and prepared appeal packages with supporting documentation to ensure timely reimbursement.
  • Generated and analyzed PointClickCare reports to track billing performance and AR trends.
  • Collaborated with SNF billing teams to align workflows with payer policy updates and system changes.
  • Managed insurance verification and eligibility for managed care, managed Medicare, and workers’ compensation claims.

Accounts Receivable & Radiology Billing Specialist

Jun 2014 – May 2017

MSN Healthcare Solutions

  • Managed radiology billing for diagnostic and interventional services (X-ray, CT, MRI, Nuclear Medicine).
  • Applied complex CPT 70000-series codes and modifiers (26, TC, 59, RT, LT) in compliance with NCCI edits.
  • Coordinated with radiology coders, RIS, and PACS teams to ensure proper charge capture and claim integrity.
  • Verified medical necessity (LCD/NCD) requirements prior to submission to prevent downstream denials.

Education

Master of Science, Information Technology

University of the People | Oct 2025

GPA 3.97. Coursework: Databases, Machine Learning, Cybersecurity, Advanced Algorithms.

Bachelor of Science, Computer Science

University of the People | Dec 2023

GPA 3.59. Coursework: Data Mining, Software Engineering, Data Structures, Web Programming.

Credentials & Contributions

Certifications & Training

View all on LinkedIn
AI Python Nanodegree
Udacity Completed
HIPAA Compliance Training
Healthcare Compliance Completed
PMI Certified Professional in Managing AI
Project Management Institute Completed
AI Agents Intensive Course
Kaggle (Google) Completed

Professional Status

πŸ‡ΊπŸ‡Έ Authorization Authorized to work in the United States
🎯 Target Roles
Software Engineer Data Engineer Healthcare AI Systems Engineer AI Quality Engineer
🏒 Work Style Remote-Capable | Autonomous & Collaborative

Featured Projects

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Interested in collaboration or discussing AI quality engineering? Let's connect.

Email

tabitha-dev@outlook.com

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