Green Card Health Information Management Jobs
Health Information Management roles at hospitals, health systems, and payers regularly qualify for EB-2 and EB-3 green card sponsorship through the PERM labor certification process. Employers file on your behalf, certifying your role meets specialty occupation and prevailing-wage standards before your I-140 petition advances toward permanent residency.
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Description
Summary:
The Manager Health Information Management Coding oversees daily coding operations to support remote coding associates in meeting and exceeding performance metrics. The Manager HIM Coding reports to the Director of HIM Coding Operations and works collaboratively with customer groups across all levels of the systems organization and facilities. The Manager ensures that Associates follow CHRISTUS standards, policies, and practices along with industry-specific coding guidelines and federal guidelines directing correct coding initiatives. These include American Health Information Management Association (AHIMA) and American Hospital Association (AHA) practices and coding rules, among other regulatory agencies such as CMS, the Joint Commission, and related to HIM Coding operations. This role ensures that coding operations are standardized, meet regulatory requirements, and support hospital operations and revenue cycle initiatives. The Manager HIM Coding is expected to maintain effective professional relationships to coach, encourage, instruct, share, and implement actions in support of remote Coding Associates and related to coding functions and process improvements. This role monitors and reports barriers to meeting our key performance indicators as requested by the System Director of HIM.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Analyze internal and external audit results to identify individual and global improvement opportunities.
- Participate in audit discussions and ensure timely updates to billing systems following audit-related rebills.
- Provide coaching and feedback to coding staff based on audit findings and support the Lead in managing audit rebuttals.
- Ensure coding staff attend all required and supplemental training, including inpatient/outpatient coding, APC, MS-DRG/APR-DRG, and Coding Integrity education.
- Deliver education to external coding consultants and contracted entities in alignment with CHRISTUS HIM standards.
- Coordinate and provide training for non-coding staff, including physicians, billing personnel, and ancillary departments, on documentation, coding compliance, and data management.
- Support the Education Manager in serving as a resource for regional staff, department directors, and administration on coding and documentation standards.
- Facilitate cross-training opportunities for coding staff to enhance team flexibility and coverage.
- Serve as a subject matter expert and liaison for coding-related issues across the organization.
- Oversee coder work assignments, manage account reallocation, and monitor coding/billing reports to ensure timely processing.
- Collaborate with corporate and regional departments (e.g., CDI, HIM, Revenue Cycle, IT) to optimize workflows and reduce billing errors.
- Partner with Coding Integrity, Compliance, and Quality teams to analyze coding trends and support educational initiatives.
- Ensure adherence to ethical coding standards (AHIMA/AAPC) and CHRISTUS-wide policies and procedures.
- Monitor regulatory changes affecting documentation, reimbursement, and coding to maintain compliance.
- Support denial management processes related to HIM and coding issues.
- Contribute to discussions and implementations of new systems and processes to improve coding and billing accuracy.
- Lead and support team performance through coaching, documentation, scheduling, and conflict resolution.
- Promote a culture of teamwork, service excellence, and continuous improvement.
- Participate in interviewing, hiring, onboarding, and training new coding associates.
- Produce clinical and statistical reports for use in hospital efficiency, quality assurance, administrative planning, compliance reporting, and medical research.
- Perform other responsibilities as assigned by leadership.
Education/Skills
- Bachelor's degree, medical record science/administration, or equivalent healthcare leadership experience required.
- Extensive knowledge of health information management functions, including coding and compliance (ICD-10/PCS, CPT coding systems, MS-DRGs, and APCs) required.
- Knowledge of internal integrity requirements and procedures.
- Knowledge of governmental, federal, state, and local regulations related to billing rules and compliance.
- Must be proficient in Microsoft Office (Excel, Outlook, PowerPoint, and other web-based applications).
Experience
- 3+ years of coding supervisory/management experience preferred.
- At least 5 years of experience in a medical record department of a mid-to-large inpatient facility preferred.
- Remote work force operations experience required.
- Centralized staffing model experience preferred.
Licenses, Registrations, or Certifications
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) preferred.
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
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Get Access To All JobsTips for Finding Green Card Sponsorship in Health Information Management
Align your credentials to PERM requirements
PERM requires your education and experience to match the job description exactly. A degree in health information management, health informatics, or a closely related field strengthens your labor certification case and reduces the risk of a DOL audit.
Target employers with active EB-3 filing history
Large health systems, academic medical centers, and hospital networks file PERM petitions far more frequently than small clinics. Search Migrate Mate to identify employers who have sponsored green cards for health information roles specifically.
Verify your role's O*NET classification early
Health information management jobs span several O*NET codes, and the one your employer uses on the PERM application must accurately reflect your actual duties. A mismatch between job duties and the SOC code can trigger a DOL audit or denial.
Check prevailing wages before negotiating your offer
Use the OFLC Wage Search to look up the prevailing wage for your specific job title and location before accepting an offer. Your employer must pay at least the DOL-certified prevailing wage, so knowing the number protects you during salary discussions.
Clarify EB-2 versus EB-3 eligibility with your employer
Roles requiring a bachelor's degree qualify for EB-3; roles requiring a master's degree or specialized credentials like RHIA can qualify for EB-2. Ask the employer which category they plan to file under, since it affects your priority date and wait time.
Confirm USCIS filing intent before accepting an offer
Not every employer willing to extend a job offer is prepared to sponsor a green card. Before signing, ask HR directly whether they have sponsored EB-2 or EB-3 petitions before and whether their legal team handles PERM filings in-house or through outside counsel.
Green Card Health Information Management: Frequently Asked Questions
Do health information management jobs qualify for EB-2 or EB-3 green card sponsorship?
Both categories apply depending on the role's requirements. EB-3 covers positions that require a bachelor's degree, which includes most health information management analyst and specialist roles. EB-2 applies when the employer requires a master's degree or equivalent advanced credentials such as the RHIA with substantial specialized experience. Your employer specifies the category in the PERM application.
How does PERM green card sponsorship differ from H-1B for this field?
H-1B visa is a temporary work visa subject to an annual lottery, while PERM leads to permanent residency with no cap at the EB-3 level for most countries. The PERM process requires your employer to complete a supervised labor market test before filing your I-140 petition, making it more involved but resulting in a path to a green card rather than a renewable temporary status.
How long does the PERM and EB-3 green card process take for health information management professionals?
DOL currently processes most PERM applications within six to twelve months, though audited cases take longer. After PERM certification, your employer files an I-140 petition with USCIS, and you file I-485 to adjust status once a visa number is available. For most countries outside India and China, the full process from PERM filing to green card approval can take two to four years.
Where can I find employers who sponsor green cards for health information management roles?
Migrate Mate lets you search for health information management jobs specifically filtered by employers with employment-based green card sponsorship history. This saves significant time compared to applying broadly and discovering late in the process that a specific employer does not sponsor PERM petitions for this job category.
Can I switch employers after my I-140 is approved but before I receive my green card?
Yes, under AC21 portability rules you can change employers after your I-140 has been approved and your I-485 has been pending for at least 180 days, as long as the new role is in the same or a similar occupational classification. Health information management roles generally port well within the broader health informatics and health services category, but confirm the SOC code match with your attorney before switching.