Product Manager, Ambulatory Autonomous Coding

ambiencehealthcare; San Francisco (CA); Hybrid; USD 140,000 - 190,000; Full time

Job summary

Ambience in San Francisco is seeking a Senior Product Manager for ambulatory autonomous coding. You will own the end-to-end product from discovery to delivery, guiding a roadmap that improves clinician efficiency and coding accuracy at the point of care.

You'll work with engineering, Clinical AI/ML, and GTM teams, focusing on CPT coding, E/M levels, and writeback to Epic workflows, with a goal of moving toward autonomous coding while preserving compliance and value realization for health systems.

Qualifications

• 3+ years of product management experience with ownership from discovery to delivery.
• Ability to earn trust of experts in healthcare domain.
• Strong technical aptitude and communication.

Responsibilities

• Define ambulatory coding roadmap starting with primary care and expand to more code families.
• Collaborate with clinicians, coders, and revenue-cycle teams to document, code, review, and bill encounters.
• Own clinician and coding-team experience from visit recommendations through Epic writeback.
• Partner with Engineering, Clinical AI, and GTM teams to improve accuracy and coverage of codes.
• Evaluate coding accuracy and determine when human review is needed versus autonomous processing.

Skills

Product management

Healthcare domain

Stakeholder management

Job description

About Us:

Here at Ambience, we never set out to be just another scribe. We're building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.

Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.

Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought - and we expect a lot from each other because we know the problems we're solving truly matter.

Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We're backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins - and we're just getting started.

The Role

As our Product Manager, Ambulatory Autonomous Coding, you'll own Ambience's ambulatory professional coding product, starting with primary care. Your mission is to help clinicians capture the services they provided with accurate, well-supported coding at the point of care, while reducing the manual work required from coding teams.

You’ll own the product end to end: understanding how clinicians and coding teams work today, deciding which problems to solve first, setting the roadmap, shipping with Engineering and Clinical AI, and measuring results with customers. The initial focus is CPT coding, including E/M levels, add-on codes, modifiers, and procedures. Over time, the goal is to move from coding recommendations to autonomous coding for encounters where accuracy, compliance, and customer workflows support it.

Done well, this role helps clinicians capture the full value of the care they deliver and makes accurate, compliant coding something that happens at the point of care, not after the fact.

This is a Senior PM role - you'll work closely with engineering, design, Clinical AI/ML, and GTM teams.

We're a hybrid company headquartered in San Francisco. This role requires being in the SF office 3x/week.

What You’ll Own

Product Strategy & Workflow

Define and execute the ambulatory coding roadmap, starting with primary care and expanding to additional code families and specialties based on customer needs and measurable value.

Spend time with clinicians, coders, and revenue-cycle teams to understand how encounters are documented, coded, reviewed, and billed, and use that understanding to decide what we build.

Own the clinician and coding-team experience, from recommendations during the visit through review, exception handling, and writeback into Epic's existing charge workflows.

Work closely with our ambulatory teams so coding uses the right clinical context without creating more work for clinicians.

Coding Quality & Automation

Partner with Engineering, Clinical AI, and coding experts to improve accuracy and coverage across the code sets we support.

Establish clear evaluations for coding accuracy, completeness of the encounter, supporting documentation, and reliability of Epic writeback. Understand where errors happen and prioritize the ones that matter most.

Define when a coding recommendation is ready for human review versus when an encounter can be processed with less manual intervention, validating the approach with customer coding and compliance teams before expanding autonomy.

Build a repeatable approach for adding new code families and specialties rather than treating each one as a separate product.

Customer Outcomes

Drive adoption with clinicians and coding teams. Identify where the product creates friction or fails to fit existing workflows, and fix it.

Measure code coverage, complete-encounter accuracy, manual review and exception rates, and the share of encounters that can be coded without routine human changes.

Work with Data, Value Attainment, and customer Finance and RCM teams to measure the value created through accurate revenue capture, less coding work, and reduced rework, distinguishing modeled value from results customers have realized.

Partner with GTM and Product Marketing to communicate what the product does, where it works well, and what value customers should expect.

What We’re Looking For

Must-Haves

• 3+ years of product management experience, with meaningful ownership of a product area from discovery through delivery and adoption. We care more about the quality of your experience and your rate of growth than years alone.
• Track record of rapidly learning a complex domain and earning the trust of people who know it well.
• Strong technical