E-3 Visa Medical Coder Jobs
Medical Coder roles qualify for E-3 visa sponsorship when tied to a specialty occupation requiring a bachelor's degree in health information management, coding, or a related field. Australian professionals can secure employer-sponsored E-3 status with no lottery and indefinite two-year renewals, making this one of the more stable U.S. work visa pathways for HIM-credentialed coders.
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Get Access To All JobsWork Arrangement: Regular
Location: Durham, NC, US, 27710
Personnel Area: PRMO
Date: Apr 14, 2026
PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke’s reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas.
- Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments.
Occ. Summary—
The Medical Records Coder II (Inpatient) is a certified coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM, ICD-10-PCS, and/or CPT-4 coding conventions. Review the medical record to ensure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures.
Duties and Responsibilities of this Level
- Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS and/or CPT coding conventions.
- Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits.
- Assist with research, development and presentation of continuing education programs on areas of specialization.
- Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS and/or CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges.
- Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding.
- Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM, ICD-10-PCS and/or CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
- Maintain a thorough understanding of medical record practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), etc.
- Assist with special projects as required.
- Perform other related duties incidental to the work described herein.
Required Qualifications at this Level
Education: High school diploma required.
Experience
- RHIA certification - no experience required
- RHIT certification - no experience required
- CCS certification - one year of coding experience required
- CPC or HCS-D certification - two years of coding experience required
Degrees, Licensures, Certifications
Must hold one of the following active/current certifications:
- Registered Health Information Administrator (RHIA) Hospital Coding
- Registered Health Information Technician (RHIT) Hospital Coding
- Certified Coding Specialist (CCS) Hospital Coding
- Certified Professional Coder (CPC)
- Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
Work Arrangement: Regular
Location: Durham, NC, US, 27710
Personnel Area: PRMO
Date: Apr 14, 2026
PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke’s reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas.
- Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments.
Occ. Summary—
The Medical Records Coder II (Inpatient) is a certified coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM, ICD-10-PCS, and/or CPT-4 coding conventions. Review the medical record to ensure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures.
Duties and Responsibilities of this Level
- Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS and/or CPT coding conventions.
- Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits.
- Assist with research, development and presentation of continuing education programs on areas of specialization.
- Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS and/or CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges.
- Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding.
- Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM, ICD-10-PCS and/or CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
- Maintain a thorough understanding of medical record practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), etc.
- Assist with special projects as required.
- Perform other related duties incidental to the work described herein.
Required Qualifications at this Level
Education: High school diploma required.
Experience
- RHIA certification - no experience required
- RHIT certification - no experience required
- CCS certification - one year of coding experience required
- CPC or HCS-D certification - two years of coding experience required
Degrees, Licensures, Certifications
Must hold one of the following active/current certifications:
- Registered Health Information Administrator (RHIA) Hospital Coding
- Registered Health Information Technician (RHIT) Hospital Coding
- Certified Coding Specialist (CCS) Hospital Coding
- Certified Professional Coder (CPC)
- Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
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Get Access To All JobsTips for Finding E-3 Visa Sponsorship as a Medical Coder
Credential your Australian coding qualifications correctly
U.S. employers and USCIS require your Australian HIM diploma or bachelor's degree to map to a recognized specialty. Get a credential evaluation from a NACES-approved body before applying so your documents are ready when an employer requests them.
Target employers with dedicated HIM compliance teams
Large hospital systems, revenue cycle management firms, and health insurance payers regularly file E-3 LCAs for coders. These employers already understand the specialty occupation standard and are far less likely to stall at the sponsorship conversation.
Search specifically for E-3 sponsorship on Migrate Mate
Generic job boards rarely surface employers willing to sponsor Australian nationals. Migrate Mate filters by E-3 sponsorship history so you can find Medical Coder roles where the employer has already committed to the visa process.
Clarify the specialty occupation case before accepting an offer
Not every coding role automatically qualifies as a specialty occupation. Confirm your job description explicitly requires a bachelor's degree in health information management or a directly related field before your employer files the LCA with DOL.
Use remote-first roles to widen your employer pool
Many revenue cycle and coding roles are fully remote, meaning you can secure a U.S. job offer and complete consular processing in Australia without relocating before your visa is approved. Your E-3 allows you to enter once the visa stamp is issued.
Streamline your LCA and consulate prep end-to-end
The LCA certification, DS-160, and consulate preparation each have sequencing dependencies that catch first-time E-3 applicants off guard. Use Migrate Mate's E-3 filing service to handle your LCA and visa paperwork so nothing falls through the gaps.
Medical Coder jobs are hiring across the US. Find yours.
Find Medical Coder JobsMedical Coder E-3 Visa: Frequently Asked Questions
How do I find Medical Coder jobs with E-3 visa sponsorship?
Migrate Mate is built specifically for Australian professionals searching for U.S. roles by visa type. You can filter Medical Coder listings by E-3 sponsorship, which eliminates employers unfamiliar with the visa and surfaces companies that have already committed to sponsoring Australian workers in health information roles.
How much does it cost to get an E-3 visa?
Migrate Mate's E-3 filing service covers the entire process for $499, including the Labor Condition Application, visa document preparation, and consulate appointment guidance. Traditional immigration lawyers charge $2,000–$5,000+ for the same work. The E-3 has less paperwork than most work visas, so paying thousands for legal help is usually unnecessary.
Does a Medical Coder role qualify as a specialty occupation for the E-3?
It depends on how the role is defined. USCIS requires the position to normally demand a bachelor's degree or higher in a specific field. A Medical Coder role tied to health information management, clinical coding, or a directly related discipline typically qualifies, but a generalist coding role where any degree will do may not meet the standard. Your offer letter's degree requirement language matters.
How does the E-3 compare to the H-1B for Medical Coders?
The E-3 has no annual cap and no lottery, so an Australian coder can be approved at any point in the year. The H-1B is capped at 85,000 per year and requires a lottery selection before an employer can even file. For Medical Coders who qualify under both visa types, the E-3 is a faster and more predictable path to U.S. employment.
Can I transfer my E-3 if I change coding employers in the U.S.?
Yes, but the process restarts with each new employer. Your new employer must file a fresh LCA with DOL certifying prevailing wage compliance for your role, and you'll typically need a new E-3 visa stamp before re-entering the U.S. if you leave the country. Some coders handle the transition by timing travel to Australia to coincide with the new consular appointment.
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