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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Get Access To All JobsEMPLOYMENT TYPE:
Full time
SHIFT:
DESCRIPTION:
At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. Saint Alphonsus is looking to hire a Risk Adjustment Coding Specialist II for our SAMG Population Health. This position is fully remote. It is full time, 40 hours a week, and is benefit eligible.
The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic care team and coding/billing staff. The Risk Adjustment Coding Specialist may also conduct medical record audits for risk adjustment and core quality measures and assist with other performance improvement initiatives that promote the success of Advanced Payment Model (APM) contracts. The position is responsible to work with all applicable payer partners for varying arrangements spanning across Medicare, Medicare Advantage, Commercial, QHP and Medicaid, and will leverage data and reports to maximize clinical condition documentation (CCD), and will become familiar with risk adjustment methodologies as applicable (HCC/RAF, HHS, MARA, Johns Hopkins, etc.). The Risk Adjustment Coding Specialist will provide insights and direct contributions to the development of analytics and reporting to enhance providers' ability to document and code to the highest level of specificity and improve coding and recapture rates as is clinically appropriate. The role will maintain strict confidentiality of all data and information. The Risk Adjustment Coding Specialist will develop and maintain collaborative relationships with internal and external partners to ensure effective, results-oriented project outcomes.
GENERAL REQUIREMENTS:
- Minimum of 2 years of experience working in risk adjustment coding in a medical practice, network or payer setting using electronic health records (EHR) required. Chart auditing experience preferred.
- Minimum of 4 years coding experience required.
Education:
- High school diploma or equivalent required. Associates/Bachelor's Degree or some college preferred.
LICENSE/CERTIFICATION:
- Certified Risk Adjustment Coder (CRC) required.
- AAPC or AHIMA coding credential required.
Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.
Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
EMPLOYMENT TYPE:
Full time
SHIFT:
DESCRIPTION:
At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. Saint Alphonsus is looking to hire a Risk Adjustment Coding Specialist II for our SAMG Population Health. This position is fully remote. It is full time, 40 hours a week, and is benefit eligible.
The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic care team and coding/billing staff. The Risk Adjustment Coding Specialist may also conduct medical record audits for risk adjustment and core quality measures and assist with other performance improvement initiatives that promote the success of Advanced Payment Model (APM) contracts. The position is responsible to work with all applicable payer partners for varying arrangements spanning across Medicare, Medicare Advantage, Commercial, QHP and Medicaid, and will leverage data and reports to maximize clinical condition documentation (CCD), and will become familiar with risk adjustment methodologies as applicable (HCC/RAF, HHS, MARA, Johns Hopkins, etc.). The Risk Adjustment Coding Specialist will provide insights and direct contributions to the development of analytics and reporting to enhance providers' ability to document and code to the highest level of specificity and improve coding and recapture rates as is clinically appropriate. The role will maintain strict confidentiality of all data and information. The Risk Adjustment Coding Specialist will develop and maintain collaborative relationships with internal and external partners to ensure effective, results-oriented project outcomes.
GENERAL REQUIREMENTS:
- Minimum of 2 years of experience working in risk adjustment coding in a medical practice, network or payer setting using electronic health records (EHR) required. Chart auditing experience preferred.
- Minimum of 4 years coding experience required.
Education:
- High school diploma or equivalent required. Associates/Bachelor's Degree or some college preferred.
LICENSE/CERTIFICATION:
- Certified Risk Adjustment Coder (CRC) required.
- AAPC or AHIMA coding credential required.
Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.
Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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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.