Remote R1 Rcm Medical Coding Jobs in Tacoma, WA (NOW HIRING)

FutureSight is seeking a Co-Founder & CEO to lead Concordance, an AI-native clinical documentation compliance venture. This is a co-founder partnership with meaningful founder equity, not a salaried executive role.

Concordance AI audits 100% of healthcare charts in real-time, catches payer-specific gaps before they hit billing, and eliminates the manual QA overhead that costs organizations millions in denials and clawbacks every year. Currently, manual QA teams consume 25%+ of operational labour budgets, yet audit only about 10% of patient charts, leaving organizations massively exposed.

We didn't just build a thesis; we validated it directly with the market. We have spoken directly with Compliance Directors, QA Leaders, and Revenue Cycle Directors across behavioural health organizations. The market signal is incredibly strong:

• Unprompted Product Pull: Every single lead described the exact product we want to build: a pre-billing, real-time, EHR-integrated flagging layer that checks documentation against payer-specific rules before claims are submitted.
• Massive Financial Pain: The real pain comes from post-payment recoupments (clawbacks). Buyers cited chronic, aggressive payer audits happening weekly or monthly, with single audit events causing catastrophic losses ranging from $150,000 to $850,000.
• Budget is NOT the Blocker: Buyers explicitly stated that if the tool integrates cleanly with their EHR and meets a high accuracy bar, securing the budget is not a problem.

We are targeting a large, highly fragmented market where revenue cycle teams are increasingly struggling to manage denials at scale. The total addressable market is estimated at $4.0B–$6.0B+, spanning more than 20,000 organizations, including multispecialty groups, behavioural health providers, and health systems. The ROI case is compelling: at current price points, the software can quickly pay for itself by reducing manual auditing labour by an estimated 80–85% while also preventing clawbacks that translate into millions in avoided losses.

FutureSight is a leading venture builder that co-creates world-class software companies with values-driven entrepreneurs from inception to exit. We are a team of founders, operators and designers with experience successfully bringing software to market at scale.

You’ll co-create with a proven studio team, led by John Carbrey (4x entrepreneur, $100M ARR), Krista LaRiviere (3x exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe) bring a rare combination of operator exits, institutional investing, and AI product depth.

• Founder equity with meaningful ownership from inception
• Pre-seed capital committed by FutureSight for early hires and MVP development, with potential for follow-on funding
• Venture building resources, including embedded design, engineering, growth, and fundraising support from day one
• Investor and advisor network across vertical AI and early-stage capital markets
• A true co-creation model in which you operate as CEO with FutureSight's cross-functional team as your partner

As Co-Founder & CEO, you will set the venture's direction and lead its execution.

• Strategy — Refine the ICP, pricing model, and product positioning
• Customer Development — Lead pilots with compliance and revenue cycle leaders, convert them to paid engagements, and build the go-to-market motion
• Product — Partner with the FutureSight product and engineering team to ship V1 and iterate on user feedback
• Capital — Lead the seed raise, supported by FutureSight's network and traction
• Team — Recruit and lead the founding team, and establish the cultural foundation of the company

• Previous founding experience at a venture-backed company
• Demonstrated success in B2B SaaS or B2B AI go-to-market, including sales and customer engagement
• Fundraising fluency, with the ability to develop investor narratives and close capital
• Proven ability to attract, develop, and retain top talent
• Clear-eyed understanding of the risks and demands of co-founding a venture-backed company
• RCM Domain & Workflow Depth: Deep, operational exposure to healthcare revenue cycle, medical billing, or denial management. You must intuitively understand the operational differences between clinical/coding denials and administrative roadblocks. You are familiar with the fragmented realities of smaller EHR/PM systems and the "band-aid" tech stacks billers use to survive

Please submit your resume, LinkedIn profile, and a brief note on why this venture aligns with your goals as a founder. We will move quickly for the right candidate.

FutureSight is committed to diversity, equity, and inclusion. We welcome applicants of all backgrounds and experiences.

FutureSight is committed to diversity, equity, and inclusion. We welcome applicants of all backgrounds and experiences.