Green Card Medical Coding Specialist Jobs
Medical Coding Specialist roles qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification, where your employer documents that no qualified U.S. worker is available for the position. Coding credentials like CPC or CCS strengthen your PERM file and signal the specialized knowledge USCIS looks for in permanent residency petitions.
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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 Medical Coding Specialist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Green Card Medical Coding Specialist Jobs.
Get Access To All JobsTips for Finding Green Card Sponsorship as a Medical Coding Specialist
Certify your coding credentials before applying
A CPC, CCS, or RHIT credential from AHIMA or AAPC signals specialty-occupation depth to PERM reviewers. Employers filing EB-3 petitions often cite these certifications as the minimum job requirements that justify a labor certification.
Target health systems with in-house billing departments
Large hospital networks and academic medical centers employ dedicated coding teams and have established PERM filing infrastructure. Smaller revenue cycle management firms may outsource coding offshore instead of sponsoring permanent residency.
Verify the job description matches your specialty codes
PERM requires the employer to post a job description that defines the actual role. If you code primarily for orthopedics or cardiology, confirm the DOL-filed job description reflects those CPT and ICD-10 families, not a generic coder profile.
Search green card sponsoring employers on Migrate Mate
Filter Medical Coding Specialist roles by employers with active EB-2 and EB-3 filing history. Migrate Mate surfaces PERM-sponsoring employers so you spend time on applications that lead to permanent residency, not dead ends.
Confirm prevailing wage tier before accepting an offer
Run your role's SOC code through the OFLC Wage Search to identify which wage level the employer must certify. A Level I wage on a PERM filing can create RFE risk if your duties and credentials align with Level II or III.
Understand the PERM recruitment timeline before your start date
DOL requires employers to complete a supervised recruitment period before filing PERM. Ask HR when that process will begin relative to your onboarding date, since delays push your I-140 filing and priority date further into the future.
Green Card Medical Coding Specialist: Frequently Asked Questions
Do Medical Coding Specialist roles qualify for EB-2 or EB-3 sponsorship?
Most Medical Coding Specialist positions qualify under EB-3, which covers skilled workers requiring at least two years of training or experience. Roles demanding a bachelor's degree in health information management or a related field may qualify under EB-2. Your employer's job description and the minimum requirements documented in the PERM filing determine which category applies.
How does PERM green card sponsorship differ from H-1B sponsorship for this role?
H-1B visa sponsorship is temporary, subject to the annual lottery, and requires showing specialty occupation status, which can be harder to establish for coding roles. PERM sponsorship leads to permanent residency with no annual cap at the EB-3 level for most countries. The tradeoff is timeline: PERM labor certification, I-140 approval, and adjustment of status typically take two to four years before you receive your green card.
What credentials strengthen a PERM petition for a coding role?
USCIS and DOL look at whether the minimum job requirements are both legitimate and met by you. A CPC from AAPC, a CCS from AHIMA, or an RHIT designation aligns directly with employer-defined minimums and reduces audit risk. Specialty-specific experience in high-complexity coding areas like surgery or interventional cardiology also supports the employer's documented business necessity.
How do I find employers actively sponsoring Medical Coding Specialist green cards?
Use Migrate Mate to filter Medical Coding Specialist openings by employers with verified EB-2 and EB-3 filing history. Searching this way removes the guesswork of cold applications to employers who have no PERM infrastructure, and it lets you focus on health systems and coding companies that have already demonstrated willingness to sponsor permanent residency.
Can remote Medical Coding Specialist roles still be sponsored for a green card?
Yes, but the employer must file the PERM labor certification for the worksite location, which for remote roles is typically the employee's home address. This means the DOL prevailing wage is benchmarked to your location, not the employer's headquarters. Confirm with HR which worksite address the employer plans to use before the PERM recruitment period begins.