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Engineering Manager (Medical Coding)

Engineering Manager (Medical Coding)

Heidi HealthSan Francisco, CA, US
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Engineering Manager - Medical Coding

We're looking for an Engineering Manager - Medical Coding to lead the engineering team responsible for turning Heidi's AI scribe platform into compliant, billable, structured medical documentation.

You'll lead the team that builds and scales systems embedding coding logic seamlessly into Heidi's product experience, ensuring clinicians never need to think about ICD-10, CPT, or payer-specific codes while billing works effortlessly in the background. You'll also play a key role in defining Heidi's strategic roadmap and product direction in the medical coding space.

What you'll do :

You'll work as an engineering leader on our medical coding team to shape the infrastructure behind the future of healthcare :

  • Lead and grow a team of engineers working at the intersection of clinical logic, structured coding, and healthcare automation.
  • Design and maintain systems that produce compliant, audit-ready medical documentation embedded with ICD-10, CPT, and other codes.
  • Collaborate with clinicians, product managers, and medical coders to map real-world clinical workflows into AI-supported automation.
  • Scale infrastructure that surfaces coding and billing insights at the point of care, retrospective coding enrichment, and integration with EHR / billing systems.
  • Own technical architecture decisions for structured data pipelines, medical terminologies, and version-controlled guidelines.
  • Build feedback loops using payer adjudication data and coding accuracy metrics to continuously improve system performance.
  • Ensure compliance with US billing regulations, CMS guidelines, and clinical coding best practices.
  • Foster excellence through mentorship, code reviews, and driving a culture of safety, clarity, and technical quality.

What we'll look for :

  • Engineering leader with 5+ years of software engineering experience, including 2+ years managing teams.
  • Deep familiarity with medical coding systems (ICD-10, CPT, HCPCS, SNOMED) and healthcare documentation workflows.
  • Experience building products in healthtech, health insurance, revenue cycle, or EHR-integrated systems.
  • Strong technical background in Python, TypeScript, or Go, and comfort with modern cloud architectures (e.g., AWS, GCP).
  • Knowledge of FHIR, HL7, or other healthcare data standards is a plus.
  • Comfortable working with clinicians, medical coders, and regulatory stakeholders to translate requirements into product decisions.

    • What do we believe in?

  • We create unconventional solutions to difficult problems and we build them fast. We want you to set impossible goals and make them happen, think landing a rocket but the medical version.
  • You'll be surrounded by a world-class team of engineers, medicos and designers to do your best work, inspired by our shared beliefs :
  • We will stop at nothing to improve patient care across the world.
  • We design user experiences for joy and ship them fast.
  • We make decisions in a flat hierarchy that prioritizes the truth over rank.
  • We provide the resources for people to succeed and give them the freedom to do it.

    • Why you'll flourish working with us?

  • Additional paid day off for your birthday and wellness days
  • A generous personal development budget of $500 per annum
  • Learn from some of the best engineers and creatives, joining a diverse team
  • Become an owner, with shares (equity) in the company, if Heidi wins, we all win
  • The rare chance to create a global impact as you immerse yourself in one of the leading healthtech startups in the world
  • If you have an impact quickly, the opportunity to fast track your startup career!

    • Help us reimagine patient care and change the face of healthcare around the world.

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