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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Coding Auditor Senior
Location: Any PulsePoint office. St. Louis, MO preferred.
Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements.
How you will make an impact:
- Audits diagnosis data retrieved from physician and hospital medical records and/or data extract files for both revenue project and RADV.
- Assists with National and Targeted Risk Adjustment Data Validation audits.
- Participates and represents the department in business leadership groups.
- Serves as a subject matter expert. Assesses and identifies training opportunities.
- Maintains current knowledge of requirements and guidance required in the performance of audit duties.
Minimum Requirements:
Requires a H.S. diploma or equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/coding office setting; or any combination of education and experience, which would provide an equivalent background.
Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required.
Preferred Skills, Capabilities and Experiences:
- BS in health sciences, health management or related field preferred.
- Experience working with Medicare Advantage preferred.
- Experience with ICD-9 coding a plus. HCC coding preferred.
- Strong communication skills preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success – for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
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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.