Xtensys Tech Stack

Healthcare IT and revenue cycle management for hospital systems

Hospitals and Health Care Ithaca, NY 201–500 employees Founded 2023 Partnership

Xtensys operates as a healthcare-focused partnership with 201–500 employees, built on Epic Systems, HL7, Waystar, and a deep Microsoft enterprise stack (365, Entra ID, Intune). The org is balanced between healthcare domain staff (15), engineering (12), and support (6), with a seniority split favoring mid and senior roles—typical of consulting-led implementations. Active projects cluster around Epic conversion, coding accuracy, claim queue optimization, and workflow adoption, while pain points center on billing complexity and compliance gaps; the company is actively adopting Microsoft 365 at scale.

Tech Stack 30 technologies

Core StackEpic Systems Cisco VMware Active Directory Intune Azure AD ServiceNow Jira PagerDuty HL7 Juniper Mist Fibre Channel Windows iSCSI LDAP RADIUS Azure Entra ID Waystar Excel Word Outlook PowerPoint Exchange Online SharePoint OneDrive Teams Proofpoint PowerShell PACS

AdoptingMicrosoft 365

What Xtensys Is Building

◆Challenges

Improving coding accuracy
Compliance with coding guidelines
Workflow optimization
System efficiency
User satisfaction
Workflow adoption
Legacy data mapping
Complex billing work queues
Addressing security risks
Efficiency improvement opportunities

▲Active Projects

Workflow optimization projects
Community connect initiatives
Customer onboarding and post-go-live training materials
Epic conversion projects
Coder report card dashboard
Performance improvement plan implementation
Claim edit queue optimization
Annual auditing/review schedule
Documentation compliance education program
Community connect program

Hiring Activity

Steady40 roles · 15 in 30d

Department

Healthcare

Engineering

Support

Finance

Ops

Data

Security

Seniority

Mid

Senior

Junior

Manager

Director

Notable leadership hires: Community Connect Program Director

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About Xtensys

Xtensys is a healthcare technology partnership based in Ithaca, NY, founded in 2023. The company serves hospital systems and health systems, with particular focus on revenue cycle optimization, clinical workflow design, and Epic Systems implementation and support. Core operations span healthcare operations, clinical coding improvement, billing and claims management, and IT infrastructure (networking, security, directory services). The team supports 42 open roles across healthcare, engineering, support, finance, and ops functions, with steady hiring velocity concentrated in the United States.

HeadquartersIthaca, NY

Company Size201–500 employees

Founded2023

Hiring MarketsUnited States

Frequently Asked Questions

What is Xtensys's tech stack?

Epic Systems, HL7, Waystar (revenue cycle), Cisco/Juniper Mist networking, VMware/iSCSI infrastructure, Active Directory/Azure Entra ID/LDAP identity, Microsoft 365 (Teams, Exchange, SharePoint), ServiceNow, Jira, PagerDuty, and PACS for imaging.

What is Xtensys working on?

Epic conversion projects, revenue cycle optimization (claim queues, coding accuracy), workflow adoption, community connect programs, customer onboarding, and performance improvement initiatives for hospital systems.