Green Card Risk Adjustment Coding Jobs
Risk adjustment coding roles at health plans, managed care organizations, and risk-bearing provider groups qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification. Employers document that no equally qualified U.S. worker is available before filing an I-140 immigrant petition, making structured sponsorship the standard pathway for credentialed foreign professionals in this specialty.
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The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk‑adjustment programs across a variety of chart types. This role applies ICD‑10‑CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/client‑specific requirements to ensure high‑quality coding outcomes. The Coder I utilizes established dispute‑resolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities.
We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti:
https://www.youtube.com/watch?v=-VgcV09cxCo
Responsibilities:
- Reviews medical records for accurate, compliant, and complete diagnosis code abstraction from a variety of chart and encounter types to support Medicare, Commercial and Medicaid prospective, concurrent and retrospective risk adjustment program initiatives.
- Stays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate.
- Professionally communicates findings, errors, and suggestions to Team Lead to facilitate ongoing communications and efficient department operations as part of a continuous improvement process.
- Complete all responsibilities as outlined in the annual performance review and/or goal setting.
- Complete all special projects and other duties as assigned.
- Must be able to perform duties with or without reasonable accommodation.
This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.
QUALIFICATIONS
Education: Minimum High School Diploma.
Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).
Experience:
- Coder 1: 1-2 years’ experience in medical risk adjustment / HCC coding.
- Experience in HCC record abstraction and coding requirements.
- Demonstrated high level of quality accuracy and productivity in clinical coding work.
- Maintains professional credential in good standing as required by AAPC and/or AHIMA.
- Adherence to official coding guidelines, coding clinic determinations, CMS, Client specific guidelines and other regulatory compliance guidelines and mandates.
- Strong knowledge of medical terminology and anatomy and physiology.
- Intermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy.
- Skills in organization and time management.
- Ability to read and understand medical record documentation for diagnosis extraction.
- Comfortable with computers and technology.
- Must abide by all HIPAA and associated patient confidentiality requirements.
- Required hours for training: Monday-Friday 8 AM – 5 PM ET.
- Required working hours: 40 hours per week, Monday-Friday 8-hour days; daytime schedule based on your time zone. This role is not intended to work nights, weekends or part-time.
Mental Requirements:
- Excellent written and communication skills with the ability to understand and explain complex information.
- Ability to regularly and consistently achieve over 95% quality accuracy.
- Ability to appropriately communicate with management regarding workload, production expectations and deliverables.
- Quick learner with positive attitude.
- Must be able to work in a fast-paced environment.
- Ability to manage and meet deadlines.
- Adaptability to changing priorities, flexible and open to new ideas.
Physical Requirements and Working Conditions:
- Must participate in all required training.
- Must be able to provide a dedicated, secure work area.
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Repeating motions that may include the wrists, hands, and/or fingers.
COMPENSATION:
- Base compensation ranges from $23.00 to $26.50 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(K) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 9/2/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/2/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
LI-SL1
junior
LI-Remote
Overview:
The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk‑adjustment programs across a variety of chart types. This role applies ICD‑10‑CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/client‑specific requirements to ensure high‑quality coding outcomes. The Coder I utilizes established dispute‑resolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities.
We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti:
https://www.youtube.com/watch?v=-VgcV09cxCo
Responsibilities:
- Reviews medical records for accurate, compliant, and complete diagnosis code abstraction from a variety of chart and encounter types to support Medicare, Commercial and Medicaid prospective, concurrent and retrospective risk adjustment program initiatives.
- Stays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate.
- Professionally communicates findings, errors, and suggestions to Team Lead to facilitate ongoing communications and efficient department operations as part of a continuous improvement process.
- Complete all responsibilities as outlined in the annual performance review and/or goal setting.
- Complete all special projects and other duties as assigned.
- Must be able to perform duties with or without reasonable accommodation.
This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.
QUALIFICATIONS
Education: Minimum High School Diploma.
Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).
Experience:
- Coder 1: 1-2 years’ experience in medical risk adjustment / HCC coding.
- Experience in HCC record abstraction and coding requirements.
- Demonstrated high level of quality accuracy and productivity in clinical coding work.
- Maintains professional credential in good standing as required by AAPC and/or AHIMA.
- Adherence to official coding guidelines, coding clinic determinations, CMS, Client specific guidelines and other regulatory compliance guidelines and mandates.
- Strong knowledge of medical terminology and anatomy and physiology.
- Intermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy.
- Skills in organization and time management.
- Ability to read and understand medical record documentation for diagnosis extraction.
- Comfortable with computers and technology.
- Must abide by all HIPAA and associated patient confidentiality requirements.
- Required hours for training: Monday-Friday 8 AM – 5 PM ET.
- Required working hours: 40 hours per week, Monday-Friday 8-hour days; daytime schedule based on your time zone. This role is not intended to work nights, weekends or part-time.
Mental Requirements:
- Excellent written and communication skills with the ability to understand and explain complex information.
- Ability to regularly and consistently achieve over 95% quality accuracy.
- Ability to appropriately communicate with management regarding workload, production expectations and deliverables.
- Quick learner with positive attitude.
- Must be able to work in a fast-paced environment.
- Ability to manage and meet deadlines.
- Adaptability to changing priorities, flexible and open to new ideas.
Physical Requirements and Working Conditions:
- Must participate in all required training.
- Must be able to provide a dedicated, secure work area.
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Repeating motions that may include the wrists, hands, and/or fingers.
COMPENSATION:
- Base compensation ranges from $23.00 to $26.50 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(K) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 9/2/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/2/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
LI-SL1
junior
LI-Remote
See all Green Card Risk Adjustment Coding Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship in Risk Adjustment Coding
Align your CRC or CPC credential first
PERM audits in healthcare coding routinely scrutinize whether the job requirements are genuinely tied to the role. Holding a current CRC or CPC certification from AHIMA or AAPC before your employer files makes the specialty occupation case harder to challenge.
Target employers subject to recruitment obligations
Health plans filing PERM must run a compliant recruitment cycle before DOL approval. Prioritize mid-size managed care organizations and risk-bearing IPAs that have in-house HR capacity to manage that cycle, since they're less likely to abandon the petition mid-process.
Verify the SOC code your employer plans to use
Risk adjustment coding roles can be filed under different Standard Occupational Classification codes, which affects the prevailing wage DOL assigns. Ask your employer's attorney which SOC code they intend before the Labor Condition Application is submitted, because changing it later restarts the process.
Search Migrate Mate for active sponsoring employers
Filter by green card sponsorship history in risk adjustment and healthcare coding roles. Migrate Mate surfaces employers who have filed PERM or I-140 petitions for coding positions, so you're targeting organizations with a documented track record rather than guessing.
Check the prevailing wage before accepting an offer
PERM requires your offered wage to meet or exceed the DOL prevailing wage for your SOC code and work location. Run your role and zip code through the OFLC Wage Search before signing an offer letter to confirm the salary meets the Level I or Level II threshold your employer intends to use.
Understand EB-3 priority date implications for your country
EB-3 green card backlogs vary significantly by country of birth, not citizenship. If you were born in India or China, your priority date wait could extend years beyond what EB-3 applicants born elsewhere face, which affects how you weigh a permanent sponsorship offer against your current visa status.
Green Card Risk Adjustment Coding: Frequently Asked Questions
Do risk adjustment coding roles qualify for EB-2 or EB-3 green card sponsorship?
Both categories are available depending on the job requirements your employer defines. EB-3 covers skilled professionals and is the more common path for coding roles requiring a bachelor's degree or equivalent credential. EB-2 applies if the position genuinely requires an advanced degree, such as a master's-level health informatics role with a risk adjustment coding component. Your employer's attorney determines the appropriate category based on the actual duties and minimum requirements documented in the PERM application.
How does green card sponsorship differ from H-1B sponsorship for this role?
The green card route through PERM leads to permanent residency rather than a temporary status that requires renewal every few years. There is no annual lottery for EB-3 petitions the way there is for H-1B visa cap-subject filings, so your employer can file any time of year. The tradeoff is timeline: PERM labor certification and I-140 approval typically take longer than an H-1B petition, and if you were born in a backlogged country, you may wait years before your priority date becomes current for adjustment of status or consular processing.
What does the PERM recruitment process look like for a risk adjustment coding position?
Your employer must conduct DOL-mandated recruitment, including job postings in specific formats and timeframes, to demonstrate no qualified U.S. worker is available. For professional roles, this typically includes a Sunday print newspaper ad in the area of intended employment, three additional recruitment steps such as a careers page posting or job fair, and a 30-day posting period. DOL reviews the recruitment documentation before certifying the application, and audits in healthcare occupations often request detailed wage and duty documentation.
How do I find employers who have actually sponsored green cards for coding roles?
Migrate Mate lets you filter job listings by verified green card sponsorship history, including PERM and I-140 filings in healthcare and coding categories. Targeting employers with a documented sponsorship track record in this specialty reduces the risk of accepting an offer from a company unfamiliar with the PERM process or unwilling to see it through to I-140 approval.
Can my employer start the green card process while I'm on an H-1B or OPT?
Yes. PERM labor certification can be filed while you're in valid H-1B status, and many employers begin the process during the first or second year of an H-1B period to build in time before the six-year H-1B limit approaches. If you're on OPT, your employer can initiate PERM, but you'll need to maintain valid work authorization throughout the multi-stage process. An approved I-140 also preserves your priority date even if you change employers later, provided the new role is in the same or similar occupational classification.