Founder & CEO (PreSeed HealthTech) - Clinical Coding Revenue Intelligence

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About The Venture

Every hospital in Europe loses millions to a manual, error‑prone coding process that hasn't changed in decades. When a patient is discharged, a trained specialist reads 20–50 pages of clinical documentation and manually translates every diagnosis and procedure into standardised codes. These codes determine how much the hospital gets paid.

In Germany, 17.5 million inpatient cases per year require manual coding. 51.5% of audited cases contain errors. €2.5–3 billion is clawed back annually by insurers through MD audits. 75% of German hospitals ended 2024 in deficit. The coder workforce — several thousand Kodierfachkräfte, each requiring 6–12 months of training at ~€42K salary — cannot scale fast enough.

We are building an autonomous AI coding agent that reads everything the coder reads, reasons from the official coding guidelines (Deutsche Kodierrichtlinien), and enters codes into existing hospital software — in seconds, not 35 minutes. Unlike traditional ML approaches that learn from historical patterns (and inherit their errors), our architecture reasons from the rules at inference time: when InEK publishes annual updates, we swap the guideline document. No retraining. No training data needed. Every code comes with an evidence chain and DKR citation — audit‑ready by construction.

The deployment model is equally differentiated: computer‑use agents navigate any hospital information system (KIS) via VPN, exactly as a human coder would. No API integration. No IT burden on the hospital. Deployment in days, not months. Deep EHR integration follows as relationships deepen, creating switching costs.

The AI clinical coding market is ~$3B today, projected to reach $10–11B by 2035. In Germany, the addressable market is €150–400M for AI coding software alone, with an additional ~€1.6B/year in audit clawbacks that better coding recovers. US players (CodaMetrix, Fathom, Nym) have raised $600M+ but are built for American codes and EHRs. Parallel has proven the model in France ($23.5M raised, computer‑use approach validated) but hasn't entered Germany. The German G‑DRG system is wide open.

Our Offer

• €275k of spin‑out capital plus a founder stipend + studio budget to build, validate, and launch
• Expert Team: Hands‑on support across product, growth, fundraising, AI/ML, design, legal, hiring, and more
• MVP Build: Full‑time venture builder(s) to help ship your first product
• Accelerator: 6 months of deep operational support post‑launch
• Strategic Network: Intros to top‑tier investors and corporate partners
• Validation: A vetted concept, domain insight, and a head start in a massive market

Jobs to be Done

As Founder & CEO, you will be responsible for turning a strong thesis into a scaled, defensible business.

• Define the wedge. Decide which clinical specialty, which KIS vendor, and which hospital segment you attack first — and whether v1 focuses on coding alone or includes insurer challenge defence.
• Build the coding engine. Architect an LLM + rules engine that reasons from DKR guidelines, handles ICD‑10‑GM and OPS codes, and produces audit‑defensible output with evidence chains.
• Ship via computer‑use. Deploy the first agent that navigates a hospital KIS like a human coder — VPN, user account, days to deploy — and prove accuracy against the human baseline.
• Win RBK as a reference site. Run a retrospective analysis on historical cases to quantify revenue left on the table, then convert to a live pilot.
• Navigate regulation. Build for BSI C5 Type 2 certification, GDPR compliance, and EU AI Act readiness — these are table stakes, not afterthoughts.
• Build the agent factory. Once coding earns trust, extend to billing, admissions, CDI — each new agent on the same infrastructure, compounding switching costs.

Your Ideal Experience

We are not looking for a traditional healthcare executive or a pure AI researcher. The ideal candidate sits at the intersection.

• Experienced founder or builder capable of operating from zero to one in enterprise health‑tech or AI infrastructure.
• Unique market insight or a "top 1%" advantage in clinical coding, hospital revenue cycle, health‑tech AI, or German healthcare IT.
• Strong technical instincts: you can reason about LLM architectures, computer‑use agents, clinical NLP, and hospital system integration — even if you are not writing the code yourself.
• Proven ability to sell into conservative, risk‑averse hospital buyers and navigate German healthcare procurement.
• High IQ and EQ — comfortable speaking with hospital CFOs, clinical coders, and IT directors in the same week.
• Deep understanding of the German healthcare market. German language skills (fluency) are essential to navigate the G‑DRG system, DKR guidelines, and MD audit processes.

Most importantly, you are motivated by building the system that automates the most cognitively demanding administrative process in healthcare — and turns every hospital into a customer for an expanding suite of AI agents.