Tech Lead (Medical Coding Agents) (m/w/d)

Role overview Lead the technical development of software agents that support medical coding and hospital billing appeals. The system processes case files, proposes codes, assesses audit findings, and prepares appeal drafts for expert review. The role combines hands-on engineering with technical leadership, and may expand into related healthcare workflows.

Responsibilities - Set architecture and technical direction across backend, frontend, and healthcare data models, and shape a deliverable roadmap with the team. - Design how language models, deterministic rules, and expert review work together, partnering with AI specialists on system design. - Build backend services for cases, documents, and long-running agent tasks, including an append-only record of decisions and supporting evidence. - Partner with product and subject matter experts on requirements, plans, and technical trade-offs. - Own production reliability, observability, and security for sensitive healthcare workflows. - Establish evaluation practices using expert-reviewed examples, regression checks, and error categories as part of release quality.

Requirements - At least 6 years of experience, including experience leading a small team. - Hands-on experience building with large language models and understanding their limits, including variability, cost, latency, and evaluation. - Ability to assess quality using ground truth, regression tests, and a clear way to classify errors. - Strong full-stack and data engineering skills, with willingness to write and review production code. - Comfort working with asynchronous pipelines, legacy interfaces, and systems built by other teams. - Clear written and spoken English for explaining decisions and trade-offs in a remote team.

Nice to have Production experience with LLM or agent systems; German language skills; machine learning experience; retrieval and source attribution; familiarity with FHIR, medical-device regulation, or the EU AI Act.

Benefits and work setup Fully remote within European time zones, with hiring locations in Germany, Austria, Spain, Italy, Portugal, the Netherlands, and the United Kingdom. The listing describes flexible hours, workations by arrangement, a work laptop and accessory budget, a monthly voucher or sports-club benefit for employees in Germany, a birthday day off, and team gatherings.