Green Card Clinical Documentation Specialist Jobs
Clinical Documentation Specialist roles qualify for EB-2 or EB-3 green card sponsorship through the PERM labor certification process, which requires employers to demonstrate no qualified U.S. workers are available. Health systems, hospital networks, and revenue cycle management firms regularly sponsor these positions for foreign professionals with clinical coding credentials and healthcare documentation expertise.
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Opportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together.
As the Registered Nurse, you will be responsible for effective care delivery and management of patient care within a specialty, utilizing the nursing process and adhering to current standards of nursing practice. Communicates and coordinates effectively with all entities involved in the care of the patient to promote safe, high quality care. Making decisions reflecting critical thinking and evidence based nursing practice.
Position Details:
- Location: Remote (MA Residents only)
- Department: Population Health - Risk adjustment
- Schedule: Full time, 40HRS Weekly
If you are a MA resident, you will have the flexibility to work remotely as you take on some tough challenges.
Primary Responsibilities:
- Reviews encounters in the electronic medical record to ensure accuracy and appropriateness of clinician documentation using relevant risk adjustment program standards
- Utilizes abstract reports to substantiate HCC diagnoses that have been billed and/or are considered relevant but do not appear on the patient's problem list
- Provides concurrent and retrospective abstraction for all Reliant Risk Adjustment programs
- Independently conducts chart reviews for supporting documentation of diagnosis codes which can be added to Problem List. Assigns accurate diagnosis codes to Problem List; follows standard work for adding diagnoses to Problem List
- Reviews new Reliant Medical Group patients for potential diagnoses supporting risk adjustment programs and updates problem list in the electronic medical record
- With coding education team, provides clinician training for risk adjustment programs. Ad hoc visits to clinical sites may be scheduled to enhance coordination of team-based care and to facilitate clinician education
- Participates in development, implementation, and monitoring of procedures that support organizational goals and business objective related to risk adjustment capture
- Utilizes thorough understanding of CMS/Medicare coding regulations as well as technical knowledge of ICD-10 and CPT systems
- Performs other duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Graduate of a State-approved school of nursing
- Current, unrestricted, license to practice professional nursing in the Commonwealth of Massachusetts
- Certification as professional coder (CPC, CCS-P, CCS, CPC-H, CRC-risk, AAPC) or ability to obtain certification while working in the position
- American Heart Association Basic Life Support (BLS)
- 3+ years nursing experience with at least 3 years of clinical experience with chronic disease patient populations in an ambulatory or inpatient setting
Preferred Qualifications:
- Bachelor of Science in Nursing (BSN)
- Advanced Cardiac Life Support (ACLS) may be required based on specialty
- 2+ years of RN experience in a variety of specialties and multiple diseases within each specialty
- Computer experience with the ability to use word processing and spreadsheet programs
- Electronic medical record (EMR) experience and/or aptitude to master the EMR based on other technology experience
- Proven solid written communication skills
- Proven solid critical thinking, problem solving, interpersonal and patient interviewing skills
- Proven ability to interpret clinical information, assess the implication of treatment and develop and implement a plan of care
- Proven ability to prioritize, multitask, and work in a rapidly changing environment with multiple demands
- Proven excellence in practice, documentation, and cost-effective care utilization. Maintains high patient satisfaction
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
See all 180+ Green Card Clinical Documentation Specialist Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Clinical Documentation Specialist
Verify your credentials meet PERM requirements
PERM filings for Clinical Documentation Specialist roles typically require a bachelor's degree in health information management, nursing, or a related clinical field. Confirm your foreign credential equivalency through a NACES-member evaluation service before employers submit the labor certification.
Target health systems with active PERM histories
Large hospital networks and academic medical centers file PERM applications far more frequently than smaller clinics. Filter your search to employers with documented EB-3 sponsorship activity in health information or revenue cycle management to avoid roles where sponsorship is negotiated from scratch.
Search green card sponsoring jobs on Migrate Mate
Use Migrate Mate to filter Clinical Documentation Specialist openings by employers with active green card sponsorship history, so you're applying to roles where PERM filing is already part of the hiring workflow rather than an afterthought.
Clarify whether EB-2 or EB-3 applies to your offer
If your role requires only a bachelor's degree, most employers file under EB-3. Roles requiring a master's degree in health informatics or equivalent advanced training may qualify under EB-2, which can mean shorter wait times for certain nationalities. Confirm the classification before accepting.
Understand the DOL prevailing wage before negotiating
Your employer must pay at least the DOL prevailing wage for your specific job zone and location. Use the OFLC Wage Search to look up the current wage level for your role and geography before salary discussions begin, so you can negotiate from an informed position.
Expect a multi-year timeline and plan your status bridge
PERM labor certification alone can take 12 to 18 months, followed by I-140 adjudication and a priority date wait that varies by country of birth. If you're currently on H-1B visa, confirm your employer will maintain that status while the green card process runs concurrently.
Green Card Clinical Documentation Specialist: Frequently Asked Questions
Do Clinical Documentation Specialist jobs typically qualify for EB-2 or EB-3 green card sponsorship?
Most Clinical Documentation Specialist positions are filed under EB-3, which covers professionals with a U.S. bachelor's degree or its foreign equivalent. If your role requires a master's degree in health informatics or a directly related advanced field, your employer may file under EB-2 instead. The classification depends on the specific job requirements in the PERM application, not your personal credentials alone.
How does green card sponsorship differ from H-1B sponsorship for this role?
An employment-based green card through PERM leads to permanent residency, not a temporary status with renewal deadlines. Unlike the H-1B, there is no annual lottery for EB-3, and the process is not capped in a way that prevents filing. The tradeoff is time: PERM, I-140, and priority date waits can span several years, particularly for applicants born in India or China.
What does the PERM labor certification process require from my employer?
Your employer must conduct a DOL-prescribed recruitment process to demonstrate no qualified U.S. workers are available for your role. This includes posting the position, documenting responses, and filing the ETA-9089 form with DOL. The process typically takes 10 to 18 months before an approved PERM certificate is issued, after which your employer files the I-140 immigrant petition with USCIS.
Where can I find Clinical Documentation Specialist jobs that already offer green card sponsorship?
Migrate Mate filters job listings specifically by employment-based green card sponsorship history, so you can identify health systems and revenue cycle employers who have previously sponsored PERM applications for this job category. Targeting employers with documented sponsorship activity saves time compared to approaching companies where the process would need to be initiated from scratch.
Can I switch employers after my PERM is approved but before I receive my green card?
If your I-140 has been approved for 180 days or more and your priority date is current or close to current, portability rules under AC21 may allow you to change to a same or similar occupation without restarting the process. Clinical documentation roles at comparable health systems or medical coding functions generally meet the same-or-similar standard, but confirm the specifics with your employer's immigration counsel before making any move.