Software Engineer

The role

You will design, build, and ship full-stack features for an AI-native operating system for elective-care clinics. You will work across the stack on payments, patient messaging, clinical documentation, and AI agent integration.

What you will do

• Design, build, and ship full-stack features end-to-end.
• Build and harden infrastructure for payments, patient messaging, and clinical documentation.
• Integrate and productionize AI capabilities into clinical and front-desk workflows.
• Work with customers and founders to turn ambiguous problems into shipped product.
• Write tests, instrument code, and fix issues quickly.
• Help set technical foundations, patterns, tooling, and standards.

Required qualifications

• 3+ years building and shipping production software.
• Strong fundamentals in a modern backend language and a typed frontend stack.
• Solid grasp of data modeling, APIs, and relational databases (SQL).
• A bias for shipping.
• Comfort with ambiguity and a sense of ownership.
• Clear written and verbal communication.
• Genuine interest in talking to the people who use what you build.

Nice to have

• Experience in healthcare, fintech/payments, or another regulated, high-trust domain.
• Hands-on work integrating LLMs or AI agents into production products.
• Familiarity with cloud infrastructure (GCP), containerization (Docker/Kubernetes), and CI/CD.
• Real-time systems experience (voice, messaging, event-driven architectures).
• Early-stage startup experience and a track record of high output with a small team.

About the company

Decoda is a Y Combinator (S23) company providing an AI-native operating system for modern elective-care clinics. The platform replaces disconnected tools with a single system for scheduling, charting, billing, and more.