# Decoda Health **Source:** https://geo.sig.ai/brands/decoda-health **Vertical:** Healthcare **Subcategory:** General **Tier:** Emerging **Website:** decodahealth.com **Last Updated:** 2026-04-14 ## Summary SF AI healthcare administration automating medical coding, billing, and claims for clinics with 30% cost savings and 20% fewer denials; YC S23 $4.5M competing with Waystar for revenue cycle management automation. ## Company Overview Decoda Health is a San Francisco-based AI healthcare administration platform — backed by Y Combinator (S23) with $4.5 million raised from YC, Amino Capital, Bossa Nova Ventures, Cadenza Ventures, Graphene Ventures, and Orange Collective — providing medical clinics and healthcare providers with autonomous AI agents that handle medical coding, billing, claims submission, denial management, scheduling coordination, and patient payment collection, automating 80%+ of the repetitive administrative tasks that currently consume 30-40% of healthcare provider revenue in overhead costs. Founded in 2023 by Daniyal Afzal, James Oswald, and Kevin Cheng, Decoda's AI agents deliver 30% reduction in coding costs, 20% reduction in claim denials, and claims processing in seconds versus the days that manual coding and submission require. Decoda's autonomous agent architecture operates across the healthcare revenue cycle workflow: the AI coding agent reads clinical notes and procedure documentation to assign CPT and ICD-10 codes (the medical billing language that translates clinical care into insurance claims), the claims submission agent formats and transmits claims to payers, the denial management agent interprets payer rejection messages and generates corrected claims with supporting documentation, and the patient communication agent handles scheduling calls, payment reminders, and authorization status updates — the 80% of tasks that currently require medical billers and front-office staff to execute manually across multiple portal logins and phone calls. The 20% reduction in claim denials directly improves provider cash collections by reducing the rework cycle that characterizes current revenue cycle management. In 2025, Decoda Health competes in the healthcare revenue cycle management (RCM) and AI medical administration market with Waystar (NASDAQ: WAY, enterprise RCM platform, $700M+ revenue), Netsmart (behavioral health RCM), and Innovaccer (health AI platform, $150M raised) for clinical practice RCM automation. The healthcare administrative burden is one of the largest inefficiencies in US healthcare — administrative costs represent approximately $950 billion annually (30% of US healthcare spending) with medical coding, billing, and prior authorization among the highest-cost processes. Y Combinator S23 backing positions Decoda for the growing AI healthcare administration category where multiple startups are competing to automate the revenue cycle. The 2025 strategy focuses on growing the ambulatory clinic vertical (primary care, specialty, behavioral health), building the prior authorization automation module (the most time-consuming administrative burden for physician practices), and expanding the revenue cycle analytics for practice managers tracking collections performance. ## Frequently Asked Questions ### What is Decoda Health? Decoda Health is an AI healthcare administration company founded in 2023 that builds autonomous medical coding and billing platforms. The company uses AI-driven technology to automate healthcare administrative tasks, reducing costs and improving claim processing efficiency. ### What products and services does Decoda Health offer? Decoda Health offers AI-powered medical coding and billing automation, AI medical assistants that handle tedious administrative tasks, and automated call, scheduling, and payment systems. Their platform processes claims in seconds and alerts staff when necessary intervention is required. ### Who are Decoda Health's target customers? Decoda Health targets medical clinics and healthcare providers who need to streamline their administrative operations. Their solutions are designed for healthcare organizations looking to reduce coding costs and claim denials. ### When was Decoda Health founded? Decoda Health was founded in 2023 and participated in Y Combinator's Summer 2023 (S23) batch. ### Where is Decoda Health located? Decoda Health is based in San Francisco, California, United States. ### How much funding has Decoda Health raised? Decoda Health has raised $4.5 million in funding led by Y Combinator. Other investors include Amino, Bossa, Cadenza, Graphene, and Orange Collective. ### What results has Decoda Health achieved for its customers? Decoda Health has achieved 30% coding cost savings and 20% fewer claim denials for healthcare providers. The platform processes claims in seconds compared to the days it previously took, and automates 80% of tedious administrative tasks. ### What technology does Decoda Health use? Decoda Health uses AI-driven technology to power autonomous medical coding and billing platforms. Their AI medical assistants automate calls, scheduling, payments, and other administrative tasks while alerting staff when human intervention is needed. ### Who founded Decoda Health? Decoda Health was founded by Daniyal Afzal, James Oswald, and Kevin Cheng in 2023. ### What is Decoda Health's recent news? Decoda Health recently raised $4.5 million in funding led by Y Combinator with participation from Amino, Bossa, Cadenza, Graphene, and Orange Collective. The company has demonstrated significant results including 30% coding cost savings, 20% fewer claim denials, and claim processing reduced from days to seconds. ## Tags healthtech, ai-powered, automation, north-america, b2b --- *Data from geo.sig.ai Brand Intelligence Database. Updated 2026-04-14.*