---
title: 'Software Engineer at Decoda Health'
canonical: 'https://feeny.ai/job/software-engineer-decoda-health-toronto-s811x0y7mt18'
type: 'job'
last_seen: '2026-09-07'
---

# Software Engineer at Decoda Health

- **Company:** Decoda Health
- **Location:** Toronto, Canada
- **Compensation:** $100k–$160k
- **Employment:** full-time
- **Work type:** onsite
- **Posted:** 2026-06-17
- **Last confirmed live:** 2026-09-07
- **Apply:** https://jobs.ashbyhq.com/decodahealth/894b22a8-cb2f-43f2-ade8-eff8fa0a520f

## Job description

## SOFTWARE ENGINEER

Decoda Health · Full-time · Toronto

## ABOUT DECODA

Decoda is the all-in-one, AI-native operating system for modern elective-care clinics — med spas, wellness, longevity, and aesthetics practices. Most clinics run on 5–10 disconnected tools that don't talk to each other; we replace all of them with a single platform: scheduling, charting, billing, payments, memberships, inventory, and patient communication in one place, with AI built into every workflow — an AI front desk that books patients 24/7, an ambient scribe that writes clinical notes in real time, and automated follow-ups that keep calendars full.

We're a Y Combinator (S23) company. We're live in 200+ clinics, processing $150M+ in annual transactions, and we've grown more than ten-fold in the last six months. We're a small team that has consistently out-shipped incumbents many times our size, and we're hiring engineers who want that kind of leverage.

## THE ROLE

As an early engineer at Decoda, you own meaningful surface area from day one. You'll work across the stack to ship product that clinic staff use every hour of every day — and that directly moves revenue, patient experience, and clinical efficiency for our customers. This is a build-and-own role: you'll scope problems, talk to users, write the code, ship it, and watch how it lands.

Because we're small and the platform is broad, the work spans real-time patient communication (voice, text, and document), payments and billing infrastructure, EMR workflows like charting and scheduling, and the AI agents that sit on top of all of it. You won't be boxed into one corner of the codebase.

## WHAT YOU'LL DO

- Design, build, and ship full-stack features end-to-end — from data model to API to UI — that clinics rely on daily.
- Build and harden the infrastructure behind payments, patient messaging, and clinical documentation, where correctness and uptime are non-negotiable.
- Integrate and productionize AI capabilities (agents, ambient scribing, automated follow-ups) into real clinical and front-desk workflows.
- Work directly with customers and the founders to turn ambiguous problems into shipped product, often within days.
- Own quality: write tests, instrument what you ship, and fix things fast when they break.
- Help set the technical foundations — patterns, tooling, and standards — that the next 20 engineers will build on.

## WHAT WE'RE LOOKING FOR

- 3+ years building and shipping production software, ideally at a startup or on a small team where you owned features end-to-end.
- Strong fundamentals in a modern backend language and a typed frontend stack; comfortable moving across the full stack.
- Solid grasp of data modeling, APIs, and relational databases (SQL).
- A bias for shipping — you'd rather get something real in front of users and iterate than polish in isolation.
- Comfort with ambiguity and a sense of ownership; you treat "is this someone's job?" as "this is my job."
- Clear written and verbal communication, and a 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.

## WHY JOIN

- Leverage. AI gives tiny teams massive reach. Your code ships to 150+ clinics and shows up in real revenue and saved hours.
- Ownership. You'll have outsized influence on the product, the architecture, and the culture this early.
- Momentum. A growing, profitable-trajectory business in a category we're positioned to define, backed by YC.
- Real impact. You're freeing clinical teams from busywork so they can focus on patients.

## About Decoda Health

## Company Overview
- **One-liner**: Decoda Health provides an all-in-one, AI-native EMR and practice management platform purpose-built for med spas, wellness clinics, and elective care practices.
- **Entity Type**: Private (YC S23, post-seed; total funding $4.625M)
- **Headquarters**: San Francisco, California, United States (with an office in Toronto, Canada)
- **Founded**: 2023
- **Founders**: Kevin Cheng, Daniyal Afzal, and James Oswald (Co-Founder & CTO)

## Core Business
- Primary industry: Healthcare IT / Practice Management Software for elective care (medical aesthetics, dermatology, cosmetic surgery, wellness, longevity).
- Target customers: B2B – med spas, aesthetics clinics, and other elective-care providers (SMB to mid-market).
- Mission or purpose statement: To be the operating system for modern elective-care clinics — replacing 5-10 disconnected tools with one unified platform where AI handles the busywork so teams can focus on patients.

## Products & Services
- **Decoda Platform (Core EMR & Practice Management)**: A unified SaaS suite covering scheduling, intake & consent forms, charting & documentation, billing & payments, memberships, inventory, patient communication, and reporting & analytics. [decodahealth.com](https://decodahealth.com/)
- **AI Front Desk**: An AI agent that answers calls and books patients 24/7, with deep context from the practice’s schedule and patient records. [ycombinator.com](https://www.ycombinator.com/companies/decoda-health)
- **Ambient Scribe (AI Note-Taking)**: Generates clinical notes in real time during patient visits, reducing documentation burden. [ycombinator.com](https://www.ycombinator.com/companies/decoda-health)
- **Automated Patient Follow-Ups**: AI-driven messaging to keep appointment calendars full and improve patient engagement. [ycombinator.com](https://www.ycombinator.com/companies/decoda-health)
- **Custom AI Agents**: Tailored agents that carry clinic-specific context and perform tasks like answering questions, generating reports, or training staff. [decodahealth.com](https://decodahealth.com/)
- **Ask Decoda (AI Assistant)**: An always-available trainer/support agent that answers questions about the platform, revenue reports, how-to guides, etc. [decodahealth.com](https://decodahealth.com/)

## Market Standing
- **Valuation/Market Cap**: Not disclosed (private company).
- **Key Metric**: Total Funding of $4.625M as of November 2025. [linkedin.com](https://www.linkedin.com/company/decoda-health) Processes $100M+ in annual transactions across 150+ clinics. [ycombinator.com](https://www.ycombinator.com/companies/decoda-health)
- **Notable Investors/Partners**: Y Combinator (lead investor on seed rounds), with participation from other angel investors. [ycombinator.com](https://www.ycombinator.com/companies/decoda-health)
- **Growth Signals**: Live in 150+ clinics (growing ten-fold in the last 6 months as of YC profile); headcount grew 71.4% YoY to ~12 employees; processing $100M+ in annual transactions; claims to have saved $7M in admin time and generated $20M+ in new revenue for customers. [ycombinator.com](https://www.ycombinator.com/companies/decoda-health) [linkedin.com](https://www.linkedin.com/company/decoda-health)

## Competitive Advantages
- **AI-native from day one**: Intelligence woven into every workflow, not bolted on later — giving a small team outsized leverage against incumbents with 500-person orgs. [ycombinator.com](https://www.ycombinator.com/companies/decoda-health)
- **Purpose-built for elective care**: Focused on a fast-growing, underserved segment (med spas, aesthetics, longevity) rather than general-purpose EMRs. [ycombinator.com](https://www.ycombinator.com/companies/decoda-health)
- **No lock-in, full data portability**: Month-to-month contracts, cancel anytime, full export of data anytime with no retention team. [decodahealth.com](https://decodahealth.com/)
- **Dedicated human support**: Real people via Slack with average response time <5 minutes, no phone tree, no chatbots. [decodahealth.com](https://decodahealth.com/)
- **Unified platform**: Replaces 5-10 disconnected tools, reducing errors and administrative overhead. [ycombinator.com](https://www.ycombinator.com/companies/decoda-health)

## Strategic Focus
- Scale rapidly within the elective care vertical (med spas, dermatology, cosmetic surgery, wellness, longevity).
- Continue to deepen AI capabilities (front desk, scribing, follow-ups) and expand the platform’s module set.
- Maintain a lean, high-leverage engineering culture where AI gives a small team massive output.
- Grow the customer base from 150+ clinics toward a category-defining position in elective care. [ycombinator.com](https://www.ycombinator.com/companies/decoda-health) [decodahealth.com](https://decodahealth.com/)

## Why Work Here
- **Culture highlights**: Small, high-impact team (<15 people) where AI enables rapid feature shipping; focus on solving real problems for clinic staff; transparent, no-nonsense culture (no lock-in, no phone trees).
- **Remote/hybrid policy**: Hybrid/remote-friendly – headquarters in San Francisco, an office in Toronto, and open roles listed as “In-Office or Remote” or “Remote” across the US and Canada. [builtin.com](https://builtin.com/company/decoda-health-1)
- **Notable perks or engineering culture**: Engineers get to work on a full-stack AI platform from scratch (not an acquisition); dedicated Slack channel for support; generous data export policy; opportunity to shape a category-defining product in a fast-growing market. [decodahealth.com](https://decodahealth.com/) [ycombinator.com](https://www.ycombinator.com/companies/decoda-health)
- **Open roles** (as of search): Content Creator, Customer Success Manager, Account Executive, Business Development Representative, Software Engineers (multiple). [jobs.ashbyhq.com](https://jobs.ashbyhq.com/decodahealth) [builtin.com](https://builtin.com/company/decoda-health-1)

## Sources
1. [decodahealth.com](https://decodahealth.com/)
2. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/decodahealth)
3. [ycombinator.com](https://www.ycombinator.com/companies/decoda-health)
4. [linkedin.com](https://www.linkedin.com/company/decoda-health)
5. [builtin.com](https://builtin.com/company/decoda-health-1)

## Other roles at Decoda Health

- [Customer Support Specialist](https://feeny.ai/job/customer-support-specialist-decoda-health-toronto-4hkpv76rc1cs) — Toronto, Canada
- [Forward Deployed Engineer](https://feeny.ai/job/forward-deployed-engineer-decoda-health-toronto-jm87bx3qfmwb) — Toronto, Canada
- [Onboarding Specialist](https://feeny.ai/job/onboarding-specialist-decoda-health-toronto-zqg812b0htnm) — Toronto, Canada
- [Business Development Representative](https://feeny.ai/job/business-development-representative-decoda-health-argentina-csnfftb0yxv6) — Argentina &, Mexico
- [Forward Deployed Engineer](https://feeny.ai/job/forward-deployed-engineer-decoda-health-toronto-nyn9dp9j57hq) — Toronto, Canada
- [Business Development Representative](https://feeny.ai/job/business-development-representative-decoda-health-united-states-scmy3ye3xbhv) — United States
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