Cook Children's Health Care System Green Card Visa Sponsorship Jobs USA
Cook Children's Health Care System sponsors Green Cards for clinical and allied health professionals, with a focus on roles where specialized pediatric expertise justifies long-term sponsorship. It's a consistent sponsor in the healthcare sector, making it a realistic target for nurses, physicians, and allied health specialists seeking permanent residence.
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Get Access To All JobsLocation:
Medical Center - Fort Worth
Department:
HIM-Coding
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
Summary
The HIM Coder Analyst III requires superior knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records. Validates the coded data to one or more Diagnosis Related Groupers (DRG) validates the Present on Admission (POA) indicators for accuracy. Primarily codes more complex and difficult inpatient medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Performs extended length of stay coding for interim cycle billing. During inhouse interim coding, reviews for documentation opportunities and queries with CDIS to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Assists with coding outpatient surgery, observation outpatient ancillary clinic, specialty clinic and emergency room record visits as necessary. Minimum expected accuracy rate for all coding & DRG assignments is 95% or above. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists or Quality Auditors on patient cases regarding documentation needs and requirements, and coding and DRG assignment accuracy. Maintains current knowledge of coding, DRG and documentation changes, rules and guidelines.
Education & Experience:
- RHIA, RHIT required, with CCS highly desired, or CCS with two (2) year minimum full-time current and continuous ICD-10-CM/PCS hospital inpatient medical record coding and prospective payment system, experience with DRG assignment.
- Outpatient observation and ambulatory surgery with CPT-4 coding and abstracting experience preferred.
- Pediatric coding experience highly desired.
- Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required.
- Experience using Microsoft Office Excel and Word highly desired.
- Ability to work well independently and productively with minimal guidance and without direct supervision.
- Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills.
- Ability to maintain confidentiality.
- Goal oriented, flexible and energetic.
- Demonstrates superior coding skills, and critical thinking skills.
- Ability to solve problems appropriately using job knowledge and current policies and procedures.
- Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% accuracy prior to hire.
Certification/Licensure:
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required. Required to provide current American Health Information Management Association (AHIMA) continuing education certification records.
About us:
Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
Location:
Medical Center - Fort Worth
Department:
HIM-Coding
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
Summary
The HIM Coder Analyst III requires superior knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records. Validates the coded data to one or more Diagnosis Related Groupers (DRG) validates the Present on Admission (POA) indicators for accuracy. Primarily codes more complex and difficult inpatient medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Performs extended length of stay coding for interim cycle billing. During inhouse interim coding, reviews for documentation opportunities and queries with CDIS to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Assists with coding outpatient surgery, observation outpatient ancillary clinic, specialty clinic and emergency room record visits as necessary. Minimum expected accuracy rate for all coding & DRG assignments is 95% or above. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists or Quality Auditors on patient cases regarding documentation needs and requirements, and coding and DRG assignment accuracy. Maintains current knowledge of coding, DRG and documentation changes, rules and guidelines.
Education & Experience:
- RHIA, RHIT required, with CCS highly desired, or CCS with two (2) year minimum full-time current and continuous ICD-10-CM/PCS hospital inpatient medical record coding and prospective payment system, experience with DRG assignment.
- Outpatient observation and ambulatory surgery with CPT-4 coding and abstracting experience preferred.
- Pediatric coding experience highly desired.
- Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required.
- Experience using Microsoft Office Excel and Word highly desired.
- Ability to work well independently and productively with minimal guidance and without direct supervision.
- Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills.
- Ability to maintain confidentiality.
- Goal oriented, flexible and energetic.
- Demonstrates superior coding skills, and critical thinking skills.
- Ability to solve problems appropriately using job knowledge and current policies and procedures.
- Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% accuracy prior to hire.
Certification/Licensure:
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required. Required to provide current American Health Information Management Association (AHIMA) continuing education certification records.
About us:
Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
Job Roles at Cook Children's Health Care System
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Get Access To All JobsTips for Finding Cook Children's Health Care System Green Card Visa Sponsorship Jobs USA
Match your credentials to pediatric specialty needs
Cook Children's sponsorship is concentrated in roles requiring specialized clinical training, not generalist positions. Review posted job descriptions for language like 'pediatric experience required' or specialty certifications, then document how your credentials align before applying. A weak credential match rarely advances to sponsorship discussion.
Understand which Green Card pathway fits your role
EB-2 applies if your role requires an advanced degree or you qualify for a National Interest Waiver. EB-3 covers positions requiring a bachelor's degree or skilled labor. Most staff-level clinical roles at large health systems like Cook Children's fall under EB-3, so confirm the pathway before negotiating sponsorship terms.
Ask about PERM timing during the offer stage
PERM labor certification must be filed before your Green Card petition, and DOL processing can stretch beyond a year. During offer negotiations, ask directly whether the employer initiates PERM before or after your start date. Starting the process early can prevent authorization gaps if your nonimmigrant status has a fixed expiration.
Verify prevailing wage for your specific job title
PERM requires Cook Children's to pay at or above the DOL prevailing wage for your exact role and location. Before your interview, run your job title and the Fort Worth, Texas location through the OFLC Wage Search to understand what wage level your role is likely to carry. This prevents surprises during the offer stage.
Use Migrate Mate to find verified Green Card filing history
Confirming that Cook Children's has actively filed Green Card petitions for roles similar to yours strengthens your negotiating position. Migrate Mate surfaces DOL Labor Condition Application and Green Card filing data by employer, so you can see which departments and job titles have historically received sponsorship before your first conversation.
Prepare a complete credential verification package early
Healthcare employers must document that no qualified U.S. worker was available, a PERM requirement that applies even to specialized clinical roles. Gather your foreign credential evaluations, licensure records, and any CGFNS certifications well in advance. Incomplete documentation is the most common reason PERM cases stall at large health systems.
Cook Children's Health Care System Green Card Visa Sponsorship: Frequently Asked Questions
Does Cook Children's Health Care System sponsor Green Card visas?
Yes, Cook Children's Health Care System sponsors Green Card visas for clinical and specialized healthcare roles. Sponsorship is most common in positions requiring pediatric-specific expertise, advanced clinical credentials, or specialty licensure. Candidates already working at Cook Children's on an H-1B visa are typically the strongest candidates for Green Card sponsorship.
Which roles at Cook Children's are most likely to receive Green Card sponsorship?
Physicians, advanced practice providers, registered nurses in specialty units, and allied health professionals in roles like radiology, respiratory therapy, and clinical pharmacy are the most common Green Card-sponsored positions. Generalist or administrative roles are less likely to qualify because PERM requires the employer to demonstrate a shortage of available U.S. workers for the specific position.
How do I start the Green Card process at Cook Children's Health Care System?
The process begins with your employer filing a PERM labor certification through DOL, which documents that no qualified U.S. worker is available for your role. Once PERM is approved, USCIS reviews your immigrant visa petition. Cook Children's immigration counsel typically manages this process, but you should confirm timelines and responsibilities during your offer negotiation.
How long does Green Card sponsorship take at a healthcare employer like Cook Children's?
Total processing depends on your country of birth and the visa category. PERM alone can take one to two years with DOL. EB-3 applicants born in high-demand countries may then face additional wait times based on the USCIS visa bulletin priority date system. Starting on an H-1B visa with a clear sponsorship commitment from your employer is the most practical path.
How do I find open Green Card-eligible jobs at Cook Children's Health Care System?
Migrate Mate lists open positions at employers with verified Green Card filing history, including Cook Children's, so you can target roles where sponsorship is a realistic outcome rather than a possibility. Filtering by employer and visa type before applying saves time and focuses your search on positions where the sponsorship conversation is already expected by the hiring team.
What is the prevailing wage for Green Card sponsorship at Cook Children's Health Care System?
Employers sponsoring a Green Card through the PERM labor certification process must pay at least the prevailing wage for the role. The Department of Labor determines this rate based on the specific job title, location, and experience level. The prevailing wage is locked in during the PERM filing and applies through the entire Green Card process. You can look up current rates using the DOL's OFLC Wage Search tool.