Founding Engineer

Recruiting from Scratch pay range

This range is provided by Recruiting from Scratch. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

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Recruiting from Scratch is a premier talent firm that focuses on placing the best product managers, software, and hardware talent at innovative companies. Our team is 100% remote and we work with teams across the United States to help them hire.

We’re an early-stage, venture-backed startup building AI systems for medical coding and revenue cycle workflows. We’re looking for a Founding Engineer to take end-to-end ownership of core AI systems—from data ingestion and retrieval to model adaptation and production deployment. This is a hands‑on role in a fast-paced environment with high responsibility and meaningful equity upside.

• Design and build RAG systems over clinical notes, billing data, and coding guidelines
• Adapt and fine‑tune LLMs (LoRA/QLoRA, instruction tuning) for medical coding and explanations
• Help architect and operate GCP-based infrastructure (Cloud Run/GKE, Vertex AI, Big Query, Pub/Sub)
• Build evaluation and feedback loops to measure accuracy and quality
• Own integrations with EHRs, RCM systems, and other healthcare data sources

• Experience building and shipping LLM + RAG systems in production
• Hands‑on experience with model adaptation or fine‑tuning techniques
• Comfortable working with messy, real‑world data and production systems
• Ownership mindset and ability to move quickly in an early‑stage startup

• Healthcare, EHR, or medical coding experience (ICD‑10, CPT, HCPCS)
• Experience handling PHI and working in HIPAA‑regulated environments
• Familiarity with Vertex AI or high‑performance inference
• NYC‑based or able to be in‑office periodically

Base Salary: $120,000 – $150,000. Equity:
Meaningful early‑stage equity.

We are committed to diversity and inclusivity.

• Medical insurance
• Vision insurance
• 401(k)

Referrals increase your chances of interviewing at Recruiting from Scratch by 2x.

New York, United States (NYC‑based or periodic office attendance required)