ITIRRA

Itirra is a boutique software consultancy founded in 2008, headquartered in Kirkland, WA (Seattle area). We specialize in AI integration and custom software development for complex enterprise systems — healthcare IT, EHR platforms, ERP, and mission-critical integrations.

Where we work best: systems that are too layered, too regulated, or too custom for a generic vendor. Our team has deep hands-on expertise in EHR integration (FHIR, SMART on FHIR, HL7), RCM automation, clinical decision support (CDS), HIPAA and HITRUST-compliant architecture, and enterprise business automation — across healthcare, digital health, growing businesses, and beyond.

Small team. Senior engineers. Every project is handled by the people who understand the system — not handed off. That's what boutique means to us: fewer clients, deeper work, longer relationships. Some of ours span over a decade.

Based in the Pacific Northwest. Serving clients across the US.

Services:

• Healthcare AI & AI-powered applications
• EHR integration (HL7 FHIR / SMART on FHIR)
• Clinical Decision Support (CDS Hooks)
• RCM automation & denial management
• FHIR-native application development
• Prior authorization automation
• Custom healthcare software
• Cloud & mobile solutions
• HIPAA/HITRUST-compliant architecture