Green Card Physical Medicine and Rehabilitation Physician Jobs
Physical Medicine and Rehabilitation Physician roles qualify for EB-2 sponsorship when the position requires a board-certified specialist with a medical degree, or EB-3 for licensed physicians in skilled worker classifications. Employers initiate PERM labor certification through DOL before filing the I-140 petition, creating a pathway to permanent residency rather than temporary status.
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Get Access To All JobsINTRODUCTION
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
ROLE AND RESPONSIBILITIES
The IRF CMG Coding & Payment Integrity SME is responsible for leading clinical and coding validation efforts related to CMS Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS), with a specialized focus on Case Mix Group (CMG) assignment, functional scoring (IRF PAI), and comorbidity tiering accuracy.
This role partners across clinical, coding, and analytics teams to identify, validate, and recover payment variances driven by documentation gaps, functional scoring discrepancies, and incorrect comorbidity tier assignment.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- CMG & Tiering Validation
- Perform detailed reviews of IRF cases to validate:
- CMG assignment accuracy
- Functional scoring (IRF PAI Section GG) integrity
- Comorbidity tier assignment (Tier 1, 2, 3 vs. non-tier)
- Identify and quantify overpayments and underpayments tied to CMG and tiering misclassification
-
Apply CMS Grouper logic to validate expected CMG outcomes
-
Clinical Documentation & Coding Integrity
- Evaluate alignment between:
- Medical record documentation
- IRF PAI functional scores
- ICD 10 coding and comorbidity capture
- Lead clinical validation for:
- Etiologic diagnosis (primary rehab driver)
- Comorbidity eligibility for tiering
-
Identify patterns of:
- Unsupported functional scores
- Incorrect diagnosis sequencing
- Missed or invalid tier opportunities
-
Audit & Recovery Strategy
- Support development of CMG-focused audit strategies, including:
- Targeting high-weight CMGs
- Tiering-driven opportunity identification
- CARC/RARC mapping for denial alignment
- Partner with analytics teams to:
- Define data elements (IRF PAI, ICD 10, LOS, CMG weights)
- Build prioritization logic for claim selection
-
Draft audit rationales, findings summaries, and client-facing reports
-
Regulatory Expertise & SME Leadership
- Serve as internal SME on:
- CMS IRF PPS rules
- CMG Grouper updates and annual recalibration
- Comorbidity tiering changes and exclusions
- Interpret CMS rule updates and translate into:
- Operational guidance
- Audit logic enhancements
-
Provide education and training to internal teams and clients
-
Cross-Functional Collaboration
- Partner with:
- Clinical teams (therapy, nursing documentation)
- Coding teams (ICD 10 and IRF PAI specialists)
- Payment integrity and recovery teams
- Support product development and strategy for IRF-related solutions
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.
BASIC QUALIFICATIONS
- Clinical Licensure - Hold a license in one of the following: RN, PT, OT, SLP
- Coding Licensure - RHIA, RHIT, CCS, or CPC with strong IRF experience
- 5+ years of experience in one or more of the following:
- Inpatient Rehabilitation Facility (IRF) coding or auditing
- IRF PAI completion and functional scoring
- Payment integrity, DRG/CMG validation, or audit recovery
- Experience applying CMS regulatory guidance in an audit or compliance setting
- Demonstrated expertise in:
- CMG assignment methodology
- IRF PPS payment structure
- Comorbidity tiering logic and ICD 10 application
PREFERRED QUALIFICATIONS
- CCS (Certified Coding Specialist)
- CPC (Certified Professional Coder)
- CRC (Certified Risk Adjustment Coder)
- CDIP (Clinical Documentation Improvement Practitioner)
- Experience in payment integrity / recovery audits (vs. only facility coding)
- Experience identifying tiering eligibility exclusions or misclassification
- Proven background in functional scoring validation (GG items)
- Proven exposure to IRF Grouper tools or CMS Web Pricer logic
- Proven ability to translate findings into financial impact narratives
CORE COMPETENCIES
- Deep IRF PPS knowledge (CMG, IRF PAI, tiering)
- Solid clinical documentation interpretation skills
- Ability to link documentation coding & payment outcomes
- Audit and investigative mindset (root cause + financial impact)
- Experience with large dataset review and trend identification
- Solid communication skills for client-facing reporting
SUCCESS PROFILE (What "great" looks like in this role)
- Consistently identifies high-value CMG/tiering opportunities
- Detects documentation vs IRF PAI inconsistencies
- Improves audit yield by focusing on:
- High-weight CMGs
- Tier 2/3 cases
- Serves as a trusted SME for both clinical and coding validation
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
APPLICATION DEADLINE: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
INTRODUCTION
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
ROLE AND RESPONSIBILITIES
The IRF CMG Coding & Payment Integrity SME is responsible for leading clinical and coding validation efforts related to CMS Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS), with a specialized focus on Case Mix Group (CMG) assignment, functional scoring (IRF PAI), and comorbidity tiering accuracy.
This role partners across clinical, coding, and analytics teams to identify, validate, and recover payment variances driven by documentation gaps, functional scoring discrepancies, and incorrect comorbidity tier assignment.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- CMG & Tiering Validation
- Perform detailed reviews of IRF cases to validate:
- CMG assignment accuracy
- Functional scoring (IRF PAI Section GG) integrity
- Comorbidity tier assignment (Tier 1, 2, 3 vs. non-tier)
- Identify and quantify overpayments and underpayments tied to CMG and tiering misclassification
-
Apply CMS Grouper logic to validate expected CMG outcomes
-
Clinical Documentation & Coding Integrity
- Evaluate alignment between:
- Medical record documentation
- IRF PAI functional scores
- ICD 10 coding and comorbidity capture
- Lead clinical validation for:
- Etiologic diagnosis (primary rehab driver)
- Comorbidity eligibility for tiering
-
Identify patterns of:
- Unsupported functional scores
- Incorrect diagnosis sequencing
- Missed or invalid tier opportunities
-
Audit & Recovery Strategy
- Support development of CMG-focused audit strategies, including:
- Targeting high-weight CMGs
- Tiering-driven opportunity identification
- CARC/RARC mapping for denial alignment
- Partner with analytics teams to:
- Define data elements (IRF PAI, ICD 10, LOS, CMG weights)
- Build prioritization logic for claim selection
-
Draft audit rationales, findings summaries, and client-facing reports
-
Regulatory Expertise & SME Leadership
- Serve as internal SME on:
- CMS IRF PPS rules
- CMG Grouper updates and annual recalibration
- Comorbidity tiering changes and exclusions
- Interpret CMS rule updates and translate into:
- Operational guidance
- Audit logic enhancements
-
Provide education and training to internal teams and clients
-
Cross-Functional Collaboration
- Partner with:
- Clinical teams (therapy, nursing documentation)
- Coding teams (ICD 10 and IRF PAI specialists)
- Payment integrity and recovery teams
- Support product development and strategy for IRF-related solutions
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.
BASIC QUALIFICATIONS
- Clinical Licensure - Hold a license in one of the following: RN, PT, OT, SLP
- Coding Licensure - RHIA, RHIT, CCS, or CPC with strong IRF experience
- 5+ years of experience in one or more of the following:
- Inpatient Rehabilitation Facility (IRF) coding or auditing
- IRF PAI completion and functional scoring
- Payment integrity, DRG/CMG validation, or audit recovery
- Experience applying CMS regulatory guidance in an audit or compliance setting
- Demonstrated expertise in:
- CMG assignment methodology
- IRF PPS payment structure
- Comorbidity tiering logic and ICD 10 application
PREFERRED QUALIFICATIONS
- CCS (Certified Coding Specialist)
- CPC (Certified Professional Coder)
- CRC (Certified Risk Adjustment Coder)
- CDIP (Clinical Documentation Improvement Practitioner)
- Experience in payment integrity / recovery audits (vs. only facility coding)
- Experience identifying tiering eligibility exclusions or misclassification
- Proven background in functional scoring validation (GG items)
- Proven exposure to IRF Grouper tools or CMS Web Pricer logic
- Proven ability to translate findings into financial impact narratives
CORE COMPETENCIES
- Deep IRF PPS knowledge (CMG, IRF PAI, tiering)
- Solid clinical documentation interpretation skills
- Ability to link documentation coding & payment outcomes
- Audit and investigative mindset (root cause + financial impact)
- Experience with large dataset review and trend identification
- Solid communication skills for client-facing reporting
SUCCESS PROFILE (What "great" looks like in this role)
- Consistently identifies high-value CMG/tiering opportunities
- Detects documentation vs IRF PAI inconsistencies
- Improves audit yield by focusing on:
- High-weight CMGs
- Tier 2/3 cases
- Serves as a trusted SME for both clinical and coding validation
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
APPLICATION DEADLINE: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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 6,812+ Green Card Physical Medicine and Rehabilitation Physician Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Green Card Physical Medicine and Rehabilitation Physician Jobs.
Get Access To All JobsTips for Finding Green Card Sponsorship as a Physical Medicine and Rehabilitation Physician
Verify your ECFMG certification before applying
Most PERM-sponsoring employers require ECFMG certification plus U.S. residency completion before initiating labor certification. Confirm your credentials are fully documented and your medical license is active in the state where the role is located.
Target rehabilitation hospital networks and academic medical centers
Inpatient rehabilitation facilities, academic medical centers, and large hospital systems file PERM petitions far more frequently than private outpatient clinics. Filter your search to employers with established immigration counsel and HR processes for physician sponsorship.
Search sponsoring employers using Migrate Mate
Use Migrate Mate to identify Physical Medicine and Rehabilitation Physician roles at employers with active EB-2 and EB-3 sponsorship history, so you're targeting positions where the PERM process is already familiar to the hiring team.
Benchmark your offer against OFLC prevailing wage levels
PERM requires your offered wage to meet or exceed the DOL prevailing wage for your specific SOC code and geographic area. Use the OFLC Wage Search to confirm your offer qualifies at Level II or above before accepting any position.
Negotiate PERM filing timelines during the offer stage
Ask the employer directly when they plan to initiate labor certification after your start date. Delays are common and PERM can add 18 to 24 months before I-140 filing, so getting a written commitment at the offer stage protects your timeline.
Understand whether EB-2 or EB-3 affects your priority date strategy
If you're from India or China, your priority date wait time differs significantly between EB-2 and EB-3 categories. Review the USCIS Visa Bulletin before your employer files the I-140 to determine which classification gives you the earlier cut-off date.
Green Card Physical Medicine and Rehabilitation Physician: Frequently Asked Questions
Do Physical Medicine and Rehabilitation Physician roles qualify for EB-2 or EB-3 sponsorship?
Both categories apply. EB-2 covers the role when the employer's minimum requirement is an advanced degree, which board-certified physiatrists satisfy through their MD or DO plus residency. EB-3 applies when the position is classified as a skilled worker requiring at least a bachelor's degree or equivalent. Your employer's job description and DOL labor certification filing determine which category is used.
How does PERM green card sponsorship differ from H-1B sponsorship for this role?
H-1B visa provides temporary status in two-to-three-year increments with an annual cap and lottery for most applicants. PERM-based EB-2 and EB-3 sponsorship has no annual lottery, leads to permanent residency, and is initiated by the employer through DOL labor certification followed by an I-140 petition with USCIS. The tradeoff is a longer overall timeline, typically two to four years from PERM filing to green card approval for most nationalities.
Which types of employers sponsor green cards for physiatrists most consistently?
Inpatient rehabilitation hospitals, academic medical centers, VA health systems, and large integrated health networks sponsor EB-2 and EB-3 petitions most frequently for physiatrists. These organizations have established immigration legal teams and structured onboarding processes that accommodate the multi-year PERM timeline. Smaller outpatient practices rarely have the infrastructure to manage the labor certification process. Use Migrate Mate to find Physical Medicine and Rehabilitation Physician roles at employers with verified green card sponsorship history.
What happens to my green card process if I change employers mid-PERM?
Changing employers before your I-140 is approved generally requires restarting the PERM process from the beginning with the new employer. If your I-140 has been approved for more than 180 days, AC21 portability may allow you to transfer the priority date to a new employer in the same or similar occupational category, protecting your place in the queue without refiling PERM.
Can a foreign-trained physiatrist with a non-U.S. residency qualify for PERM sponsorship?
Yes, provided you meet the employer's stated minimum requirements, which typically include ECFMG certification, completion of an ACGME-accredited or equivalent residency program, and an active state medical license. DOL evaluates whether your credentials satisfy the job requirements listed in the PERM application. Some employers require U.S. residency completion as a stated minimum, which would be assessed during the labor certification process rather than by USCIS directly.