A

AKASA

Healthcare RCM automation using AI

Forward Deployed Engineer

Full-Time
$150k - $170k+ Equity
Mid
Bachelor's
San Francisco, CA, USA+1 moreMore locations: New York, NY, USA
Hybrid
Software EngineeringAI Application Engineering

About the job

Requirements
  • A bachelor's degree in Computer Science, Engineering, or a similar field is required.
  • At least 3 years of professional Python experience is required.
  • Experience designing and running offline and online large language model evaluations to measure model quality and performance is required.
  • Comfort working with relational databases, application programming interfaces, and extract, transform, and load pipelines is required.
  • Strong communication and interpersonal skills, along with meticulous attention to detail, are required.
Responsibilities
  • Execute implementation tasks for new deployments, including requirements analysis, configuration, testing, rollout, and support of production health.
  • Guide customers through technical onboarding, integration setup, troubleshooting, and data acquisition in partnership with client engagement teams.
  • Build and own evaluation frameworks to continuously measure and improve large language model performance across customer deployments.
  • Contribute feedback and insights that shape product and platform improvements.
  • Work closely with research and development engineering teams to build robust, scalable client solutions.
Desired Qualifications
  • Familiarity with FastAPI, SQLAlchemy, and PostgreSQL.
  • Proficiency in Docker, Kubernetes, and Amazon Web Services.
  • Continuous integration and continuous delivery experience with GitHub Actions.
  • Experience with healthcare data exchange standards, including Fast Healthcare Interoperability Resources, Health Level Seven, and Electronic Data Interchange.
  • Frontend experience with React.

About the company

AKASA uses computer vision-based RPA, machine learning, and human-in-the-loop workflows to automate Revenue Cycle Management in healthcare. The platform analyzes clinical and administrative documents, extracts data, applies ML decisions, and uses robotic automation to complete tasks within healthcare IT systems, with humans reviewing uncertain outcomes to ensure accuracy. This end-to-end solution aims to reduce errors, increase transparency, and scale RCM, delivering measurable financial gains for providers. By specializing in healthcare, AKASA differentiates itself from generic automation tools and has demonstrated impact, such as a $30M gross yield increase at Methodist Health System.

Company Size

201-500

Company Stage

Series C

Total Funding

$205M

Headquarters

South San Francisco, California

Founded

2018

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Simplify's Take

What believers are saying

  • AKASA processed roughly 10% of U.S. inpatient discharges by October 2026.
  • Series D and D-1 in July 2026 added $118.65M, signaling investor support.
  • CDI Optimizer and autonomous coding expand wallet share inside existing health-system accounts.

What critics are saying

  • Epic and EHR vendors bundle RCM automation, squeezing standalone sales by 2027.
  • Explainability and compliance requirements raise deployment costs across autonomous coding workflows.
  • One major implementation failure at Cleveland Clinic would damage trust with health systems.

What makes AKASA unique

  • AKASA fine-tunes health-system-specific models on each customer's own clinical and financial data.
  • October 2, 2026 autonomous platform codes inpatient cases in under 90 seconds.
  • Cleveland Clinic collaboration spans coding and CDI across U.S. locations.

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Benefits

  • Flexible vacation policy.
  • Generous coverage for health, dental, and vision insurance.
  • Free membership to One Medical for you and your family.
  • Health FSA account.
  • Full employee coverage for life insurance.
  • 401K plan.

Company News

Built In
Oct 15th, 2026
Akasa featured on Fortune's 2026 Best Workplaces in Health Care list.

Akasa featured on Fortune's 2026 Best Workplaces in Health Care list. The company applies generative AI to streamline complex workflows in healthcare revenue cycles. Published on Oct. 15, 2026 Akasa, a generative AI company operating in the healthcare sector, was recently featured the 2026 Fortune Best Workplaces in Health Care list. The company works to solve administrative inefficiencies by providing AI-powered solutions for healthcare revenue cycles. The company integrates its technology into health systems' clinical data repositories, such as electronic health records, and leverages generative AI and LLMs trained on clinical and financial data to solve practical revenue cycle problems. Its platform encompasses AI assistants and automation capabilities, and it enables health systems to create their own tailored models. Akasa employs engineers, AI researchers and healthcare professionals to solve complex challenges in clinical documentation and medical coding. The company's inclusion on Fortune's list comes from confidential employee survey responses, recognizing healthcare companies that provide a positive workplace experience across roles and backgrounds. "Building AI that makes a difference in healthcare starts with giving talented people the trust and support to do their best work," Malinka Walaliyadde, Akasa's CEO and co-founder, said in a statement. "I'm proud of the team we've built and grateful for the culture they create together that results in awards like this."

Built In
Oct 14th, 2026
AKASA launches AI platform for medical coding and documentation.

AKASA launches AI platform for medical coding and documentation. The solution automates inpatient coding and clinical documentation in complex and resource-intensive healthcare workflows. Published on Oct. 14, 2026 AKASA, a company that builds custom AI models for healthcare revenue cycle workflows, announced the launch of its latest solution. The company released an autonomous AI platform for the mid-cycle. This offering expands AKASA's use beyond AI-powered pre-bill review to autonomy for inpatient medical coding and clinical documentation integrity. AKASA's platform helps health systems expand workforce capacity, accelerate billing and improve quality performance. Its solutions fully code highly complex inpatient cases across specialties without human intervention. The mid-cycle is where a patient's clinical record is translated from documentation into codes for reimbursement, quality reporting, risk adjustment and patient record integrity, according to the company. "The incredible demand for healthcare is finally being addressed by advancements in AI. Multiple parts of the healthcare ecosystem will need to scale up, with documentation and coding being critical components," Malinka Walaliyadde, AKASA's CEO and co-founder, said in a statement. "For years, an autonomous mid-cycle has been a holy grail in our industry. Today, AKASA is making it real."

PR Newswire
Oct 2nd, 2026
AKASA launches autonomous AI platform for medical coding and documentation, serving 1 in 10 US inpatient discharges

AKASA has launched an autonomous AI platform for medical coding and clinical documentation in healthcare revenue cycles. The South San Francisco-based company's customers now represent more than $180 billion in aggregate net patient revenue and roughly 10% of US inpatient discharges. The platform codes complex inpatient cases across all specialties without human intervention. Third-party evaluations showed AKASA's AI matched or exceeded human coder performance on key accuracy measures. The system completes coding in under 90 seconds after patient discharge, compared to 30–60 minutes for human coders. AKASA fine-tunes AI models for individual health systems, accounting for differences in patient populations and documentation practices. The company's inpatient volume has grown nearly sixfold in the past year. Cleveland Clinic and Nebraska Methodist Health System are among its customers exploring the autonomous platform.

HIT Consultant
May 5th, 2025
Akasa Launches Genai-Powered Cdi Optimizer To Enhance Clinical Documentation Integrity

AKASA Launches GenAI-Powered CDI Optimizer to Enhance Clinical Documentation Integrity. by Jasmine Pennic 05/05/2025 Leave a Comment. What You Should Know: – AKASA, the preeminent provider of generative AI (GenAI) solutions for the healthcare revenue cycle, today announced the launch of AKASA CDI Optimizer™. – The new GenAI assistant is designed to help healthcare organizations significantly enhance clinical documentation integrity (CDI), improve compliance, and ensure the full clinical picture is captured for every patient encounter.Addressing Mid-Cycle Revenue Cycle ChallengesThe launch of CDI Optimizer comes as healthcare provider organizations face mounting pressures within their mid-cycle operations – the crucial steps encompassing clinical documentation, coding, and compliance. Factors like rising denial rates, constantly evolving regulatory requirements, and persistent staffing shortages challenge traditional CDI processes. AKASA notes that many health systems still depend on manual chart reviews or older, rules-based systems, which can often miss crucial revenue opportunities and fail to capture necessary quality and compliance metrics.Leveraging Generative AI for Deeper InsightsCDI Optimizer utilizes clinically trained large language models (LLMs) – a form of generative AI – to automatically review 100% of inpatient encounters across all service lines. This AI-driven approach allows the tool to identify documentation gaps and surface high-impact query opportunities that might be missed by other methods.“CDI Optimizer is more than a new product — it’s a strategic leap forward for the mid-cycle,” said Malinka Walaliyadde, CEO and co-founder of AKASA

HIT Consultant
Apr 29th, 2025
Cleveland Clinic Taps Akasa To Launch Ai Tools For The Revenue Cycle

What You Should Know:– Cleveland Clinic and AKASA have established a strategic collaboration to deploy generative AI tools to support efficient and accurate medical coding practices.– Through this partnership, Cleveland Clinic will apply multiple AKASA AI-powered tools during the mid-revenue cycle – the phase between patient care and billing, where documentation and coding occur – across its U.S. locations.Cleveland Clinic Advances Revenue Cycle Operations with AI-Powered Coding and Documentation ToolsCleveland Clinic, a nonprofit multispecialty academic medical center based in Cleveland, Ohio, continues to drive healthcare innovation by integrating clinical care, research, and education. Founded in 1921 by four physicians dedicated to cooperation, compassion, and innovation, the institution remains a leader in delivering outstanding patient care.Reflecting the complexity of patient care through accurate documentation and coding has long been a time-intensive task. Revenue cycle staff at Cleveland Clinic typically review over 100 clinical documents per case—including progress notes, discharge summaries, and pathology reports—and select from more than 140,000 coding options. This manual process can take up to an hour per patient encounter.To enhance efficiency and accuracy, Cleveland Clinic has begun implementing new AI tools:AI coding assistant : Capable of reading clinical documents in less than two seconds and processing over 100 documents in 1.5 minutes, this tool supports comprehensive and efficient coding by understanding clinical context beyond keyword matching and adapting to patient complexity.: Capable of reading clinical documents in less than two seconds and processing over 100 documents in 1.5 minutes, this tool supports comprehensive and efficient coding by understanding clinical context beyond keyword matching and adapting to patient complexity. Clinical Documentation Integrity (CDI) AI tool: Currently in pilot testing, this tool aims to further improve documentation accuracy by ensuring clinical narratives align with coding practices.Developed with AKASA’s health-system-specific approach, these AI solutions are designed to learn from real-world documentation practices and recognize institutional nuances