Green Card Coding Specialist Jobs
Coding Specialist roles qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification, where your employer documents the recruitment process before filing an I-140 immigrant petition. Health information management and medical coding positions are in consistent demand, giving foreign professionals a realistic path to permanent residency without lottery exposure.
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Get Access To All JobsRegistered Nurse – HCC/RAF Coding Specialist
Registered Nurse in Springfield, MA | Baystate Health Careers
Department: Population Health
Location: Baystate Health, Springfield, Massachusetts
Job Type: Full-Time
Shift: Days
Make an Impact with Baystate Health
Baystate Health is seeking a Registered Nurse – HCC/RAF Coding Specialist to join our Population Health team in Springfield, Massachusetts. This role supports Baystate Health's Value-Based Care and Population Health initiatives by conducting comprehensive medical record reviews, identifying risk-adjustment opportunities, and ensuring accurate and compliant clinical documentation for Medicare populations.
The Registered Nurse – HCC/RAF Coding Specialist role offers the opportunity to combine clinical expertise with coding, quality, and population health initiatives while partnering closely with providers and practice staff across the Baystate Health system. This position plays a critical role in improving documentation quality, supporting Medicare Risk Adjustment (RAF) accuracy, enhancing patient outcomes, and advancing organizational quality and reimbursement goals.
The Registered Nurse Will:
- Review medical records and assign accurate ICD-10-CM diagnosis codes in accordance with CMS HCC guidelines.
- Identify documentation gaps and collaborate with providers to clarify incomplete, conflicting, or ambiguous documentation.
- Maintain accurate patient problem lists by adding, updating, and resolving diagnoses as appropriate.
- Identify and validate chronic conditions that impact Medicare Risk Adjustment (RAF) and quality reporting initiatives.
- Educate providers and clinical staff on HCC coding, documentation improvement strategies, and coding best practices.
- Utilize risk adjustment analytics and reports to prioritize chart reviews, provider education, and documentation improvement efforts.
- Support Medicare Annual Wellness Visits, Population Health initiatives, clinical outcome programs, and quality improvement activities.
- Serve as a clinical coding resource while promoting compliance with CMS regulations, ICD-10-CM coding standards, and organizational policies.
Schedule Details
- Job Type: Full-Time
- Shift: Days
- Hours: 40 hours per week
- Schedule: Monday-Friday
- Weekend Requirement: None
- On-Call Requirement: None
- Other Scheduling Requirements: Hybrid work schedule with the ability to travel to practices throughout the Baystate Health System to conduct provider education, training sessions, and on-site documentation improvement initiatives.
Benefits That Support You
At Baystate Health, you get the best of both worlds: the resources, stability, and career opportunities of a large integrated healthcare system with the supportive culture of a community-focused organization.
Depending on eligibility, benefits may include:
- Competitive Pay & Benefits: Excellent compensation with high-quality, low-cost medical, dental, and vision coverage.
- Tuition & Training: Certification and continuing education reimbursement.
- Career Growth: Opportunities to expand expertise in Population Health, Clinical Documentation Improvement, Risk Adjustment, and Value-Based Care initiatives.
- Regional Opportunities: Career opportunities across Baystate Health hospitals, medical practices, and services throughout western Massachusetts.
- Retirement: 403(b) retirement plan with company match and annual company contribution increases based on years of service.
- Paid Time Off: Generous PTO for eligible employees.
- Additional Benefits: Life insurance, pet, home, auto, and personal insurance; free financial coaching; reimbursement for wellbeing activities including gym memberships, fitness equipment, personal training, massage therapy, and more; and comprehensive wellbeing programs supporting mental, physical, and financial health.
About Baystate Health
Baystate Health is an integrated healthcare system serving patients and communities throughout western Massachusetts. Our network includes Baystate Medical Center, Baystate Children's Hospital, Baystate Noble Hospital, Baystate Franklin Medical Center, Baystate Wing Hospital, Baystate Medical Practices, and Baystate Home Health & Hospice.
Whether you provide direct patient care, clinical services, or operational support, your work at Baystate Health helps improve the health of the communities we serve.
Required Skills
- Associate Degree in Nursing (ADN) required.
- Current Massachusetts Registered Nurse (RN) license required.
- Minimum of three (3) years of clinical RN experience required.
- Valid driver's license required.
- Experience with electronic medical record systems.
- Strong clinical knowledge of chronic disease management.
- Knowledge of ICD-10-CM coding, CMS HCC guidelines, Medicare Risk Adjustment methodologies, HEDIS, and Clinical Documentation Improvement (CDI) principles.
- Excellent communication, organizational, analytical, and problem-solving skills.
- Proficiency with Microsoft Office applications and electronic medical record systems.
- Ability to work independently while managing multiple priorities and maintaining high productivity, accuracy, and quality standards.
Preferred Qualifications & Skills
- Bachelor of Science in Nursing (BSN) preferred.
- Physician practice clinical experience.
- Experience with HCC/RAF coding, Medicare Risk Adjustment, Clinical Documentation Improvement (CDI), or Population Health initiatives.
- Cerner experience preferred.
- Strong presentation, facilitation, provider education, and relationship-building skills.
- Self-motivated with a commitment to continuous learning and maintaining current knowledge of CMS HCC, ICD-10-CM, Medicare Risk Adjustment, and related regulatory guidelines.
Start Your Career at Baystate Health
You Belong at Baystate.
Education:
Associates Degree (Required)
Certifications:
Driver License – Other
Registered Nurse – State of Massachusetts
Compensation
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.
Minimum – Midpoint – Maximum
$89,606.00 – $103,001.00 – $121,804.00
Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
Registered Nurse – HCC/RAF Coding Specialist
Registered Nurse in Springfield, MA | Baystate Health Careers
Department: Population Health
Location: Baystate Health, Springfield, Massachusetts
Job Type: Full-Time
Shift: Days
Make an Impact with Baystate Health
Baystate Health is seeking a Registered Nurse – HCC/RAF Coding Specialist to join our Population Health team in Springfield, Massachusetts. This role supports Baystate Health's Value-Based Care and Population Health initiatives by conducting comprehensive medical record reviews, identifying risk-adjustment opportunities, and ensuring accurate and compliant clinical documentation for Medicare populations.
The Registered Nurse – HCC/RAF Coding Specialist role offers the opportunity to combine clinical expertise with coding, quality, and population health initiatives while partnering closely with providers and practice staff across the Baystate Health system. This position plays a critical role in improving documentation quality, supporting Medicare Risk Adjustment (RAF) accuracy, enhancing patient outcomes, and advancing organizational quality and reimbursement goals.
The Registered Nurse Will:
- Review medical records and assign accurate ICD-10-CM diagnosis codes in accordance with CMS HCC guidelines.
- Identify documentation gaps and collaborate with providers to clarify incomplete, conflicting, or ambiguous documentation.
- Maintain accurate patient problem lists by adding, updating, and resolving diagnoses as appropriate.
- Identify and validate chronic conditions that impact Medicare Risk Adjustment (RAF) and quality reporting initiatives.
- Educate providers and clinical staff on HCC coding, documentation improvement strategies, and coding best practices.
- Utilize risk adjustment analytics and reports to prioritize chart reviews, provider education, and documentation improvement efforts.
- Support Medicare Annual Wellness Visits, Population Health initiatives, clinical outcome programs, and quality improvement activities.
- Serve as a clinical coding resource while promoting compliance with CMS regulations, ICD-10-CM coding standards, and organizational policies.
Schedule Details
- Job Type: Full-Time
- Shift: Days
- Hours: 40 hours per week
- Schedule: Monday-Friday
- Weekend Requirement: None
- On-Call Requirement: None
- Other Scheduling Requirements: Hybrid work schedule with the ability to travel to practices throughout the Baystate Health System to conduct provider education, training sessions, and on-site documentation improvement initiatives.
Benefits That Support You
At Baystate Health, you get the best of both worlds: the resources, stability, and career opportunities of a large integrated healthcare system with the supportive culture of a community-focused organization.
Depending on eligibility, benefits may include:
- Competitive Pay & Benefits: Excellent compensation with high-quality, low-cost medical, dental, and vision coverage.
- Tuition & Training: Certification and continuing education reimbursement.
- Career Growth: Opportunities to expand expertise in Population Health, Clinical Documentation Improvement, Risk Adjustment, and Value-Based Care initiatives.
- Regional Opportunities: Career opportunities across Baystate Health hospitals, medical practices, and services throughout western Massachusetts.
- Retirement: 403(b) retirement plan with company match and annual company contribution increases based on years of service.
- Paid Time Off: Generous PTO for eligible employees.
- Additional Benefits: Life insurance, pet, home, auto, and personal insurance; free financial coaching; reimbursement for wellbeing activities including gym memberships, fitness equipment, personal training, massage therapy, and more; and comprehensive wellbeing programs supporting mental, physical, and financial health.
About Baystate Health
Baystate Health is an integrated healthcare system serving patients and communities throughout western Massachusetts. Our network includes Baystate Medical Center, Baystate Children's Hospital, Baystate Noble Hospital, Baystate Franklin Medical Center, Baystate Wing Hospital, Baystate Medical Practices, and Baystate Home Health & Hospice.
Whether you provide direct patient care, clinical services, or operational support, your work at Baystate Health helps improve the health of the communities we serve.
Required Skills
- Associate Degree in Nursing (ADN) required.
- Current Massachusetts Registered Nurse (RN) license required.
- Minimum of three (3) years of clinical RN experience required.
- Valid driver's license required.
- Experience with electronic medical record systems.
- Strong clinical knowledge of chronic disease management.
- Knowledge of ICD-10-CM coding, CMS HCC guidelines, Medicare Risk Adjustment methodologies, HEDIS, and Clinical Documentation Improvement (CDI) principles.
- Excellent communication, organizational, analytical, and problem-solving skills.
- Proficiency with Microsoft Office applications and electronic medical record systems.
- Ability to work independently while managing multiple priorities and maintaining high productivity, accuracy, and quality standards.
Preferred Qualifications & Skills
- Bachelor of Science in Nursing (BSN) preferred.
- Physician practice clinical experience.
- Experience with HCC/RAF coding, Medicare Risk Adjustment, Clinical Documentation Improvement (CDI), or Population Health initiatives.
- Cerner experience preferred.
- Strong presentation, facilitation, provider education, and relationship-building skills.
- Self-motivated with a commitment to continuous learning and maintaining current knowledge of CMS HCC, ICD-10-CM, Medicare Risk Adjustment, and related regulatory guidelines.
Start Your Career at Baystate Health
You Belong at Baystate.
Education:
Associates Degree (Required)
Certifications:
Driver License – Other
Registered Nurse – State of Massachusetts
Compensation
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.
Minimum – Midpoint – Maximum
$89,606.00 – $103,001.00 – $121,804.00
Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
See all 189+ Green Card Coding Specialist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Green Card Coding Specialist Jobs.
Get Access To All JobsTips for Finding Green Card Sponsorship as a Coding Specialist
Match your credentials to EB-2 or EB-3
EB-2 requires an advanced degree or demonstrated specialized expertise in health informatics or coding systems. EB-3 fits candidates with a bachelor's degree or two or more years of verifiable coding experience. Clarifying your tier before you apply prevents mismatched employer filings.
Verify your CPC or CCS certification status
PERM audits for coding roles frequently focus on whether the posted job requirements match your actual credentials. Hold a current CPC, CCS, or RHIT certification before your employer files, so the prevailing-wage determination and recruitment documentation align with your qualifications.
Search OFLC Wage Search before salary negotiations
The DOL's OFLC Wage Search shows the Level I through Level IV prevailing wages for your SOC code and work location. Knowing the wage floor lets you negotiate an offer that clears the PERM threshold and avoids a denial for underpayment before the case even reaches USCIS.
Target healthcare systems with active PERM filing history
Large hospital networks, health plan administrators, and revenue cycle management companies sponsor coding specialists at higher rates than outpatient clinics. Migrate Mate filters employers by green card filing history so you can focus applications on organizations with demonstrated sponsorship infrastructure.
Understand the PERM recruitment window before accepting
Your employer must complete DOL-mandated recruitment within 180 days before filing. If they start that window after extending your offer, the process can stretch six to twelve months before the I-140 is even filed. Ask the hiring team where they are in that timeline.
Use your O*NET profile to counter narrow job descriptions
PERM job requirements cannot be tailored to fit only the sponsored worker. If a posting looks overly restrictive, reference the O*NET occupation profile for your coding specialty to confirm whether the duties and degree requirements reflect the standard definition of the role.
Green Card Coding Specialist: Frequently Asked Questions
Do Coding Specialist roles qualify for both EB-2 and EB-3 green card categories?
Yes. EB-3 applies to candidates with a bachelor's degree in health information management or a related field, or two or more years of qualifying experience. EB-2 is available if the position requires an advanced degree or if you can document specialized expertise that rises above standard entry-level qualifications. Your employer's attorney determines the correct category when drafting the PERM job description.
How does green card sponsorship differ from H-1B sponsorship for this role?
H-1B visa sponsorship is temporary, capped at 85,000 per year, and subject to lottery selection. EB-3 green card sponsorship through PERM has no annual lottery, and while per-country visa backlogs can extend timelines for some nationalities, the process leads to permanent residency rather than a renewable but conditional status. For coding specialists from countries without severe backlogs, the EB-3 path is often more predictable than repeated H-1B renewals.
How long does the PERM process take for a Coding Specialist position?
The DOL currently processes standard PERM applications within several months, though audit-selected cases can add six months or more. After PERM certification, USCIS adjudicates the I-140 immigrant petition, and then the applicant waits for a current priority date before filing for adjustment of status. Total timelines range from under two years to considerably longer depending on your country of birth and whether the case is audited.
Where can I find Coding Specialist jobs with verified green card sponsorship?
Migrate Mate surfaces Coding Specialist positions at employers with documented PERM and I-140 filing activity, so you're not guessing about sponsorship willingness from a generic job posting. Filtering by EB-2 or EB-3 history helps you prioritize outreach toward organizations that have already built the internal processes required to sponsor foreign workers through to permanent residency.
Can my employer start the PERM process while I am on OPT or H-1B status?
Yes. PERM is employer-sponsored and is independent of your current nonimmigrant status. Many coding specialists begin the green card process while on OPT STEM extension or H-1B, giving them a priority date that preserves their place in line even if their nonimmigrant status later changes. Coordinating the PERM start date with your OPT or H-1B expiration timeline is something your employer's immigration counsel should map out early.