Our story

Built by people who run clinics — for people who run clinics.

Focus was started in 2021 by a primary care physician, an EHR engineer, and a billing manager who'd watched the same problem from three different angles: software was the bottleneck on revenue, not the multiplier.

The standard playbook for an EHR is to charge for charting and let billing be somebody else's problem. The result: clinicians document for hours after the visit ends, billers chase down what should have been captured live, and the practice loses money on every encounter that wasn't coded correctly the first time.

We built Focus on a different bet: that an EHR should complete the visit — not just record it. That AI scribing is only useful if the note is structured for billing, not just readable. That a denial prevented is worth ten denials worked. That coding correctness should happen in real time, while documentation is fresh, not weeks later when an A/R team is rebuilding intent from notes.

Five years and 2,400+ practices later, the bet is paying off. Practices on Focus see 98% first-pass claim acceptance, +6.2% in collections, and clinicians get 12 hours back per week. We're just getting started.

What we believe

Our operating principles.

01 / 06

The visit is the unit. Not the note.

A documented visit isn't a finished visit. Until it's coded, validated, and billable, the work isn't done. Every product decision starts there.

02 / 06

Prevent denials. Don't just work them.

An A/R team running fast is a system running broken. We invest in the front end — scrubbing, modifier logic, medical-necessity checks — so denials never get sent.

03 / 06

Clinicians sign every note. AI drafts. Humans decide.

Focus AI never authors. It listens, suggests, structures — and stops. The clinician edits and signs. Liability stays with the licensed practitioner, where it belongs.

04 / 06

Show the math. Always.

Every metric drills through to the encounter, claim, or denial that produced it. If we can't defend a number with source data, we don't put it on a slide.

05 / 06

One bill. One rate.

No per-feature upsells. No per-claim charges. No surprise contracts. The number on your demo is the number on your invoice — the same six months in.

06 / 06

Independent practices matter. We exist to keep them independent.

Most software in this space is built to make small practices easier to acquire. Focus is built so they don't have to be. We measure success by retention, not consolidation.

Who we are

A team of clinicians, engineers, and billers.

EM

Dr. Elena Moreno, MD

CEO & Co-founder · Internal Med

RK

Ravi Krishnan

CTO & Co-founder · Eng

JA

Jamie Alvarez

COO & Co-founder · RCM

SC

Dr. Sarah Chen, MD

Chief Medical Officer · Peds

▲ By the numbers
2,400+
Independent practices on Focus.
98%
First-pass claim acceptance, platform-wide.
12hrs
Saved per clinician, per week.
42%
Of staff are practicing or former clinicians and billers.

Want to build the system that runs the clinic?

We're hiring engineers, clinicians, designers, and RCM specialists across the US. Remote-friendly, salary bands public, no on-call rotations. We measure shipped work, not hours online.

See open roles →Talk to the team