H-1B Visa Clinical Documentation Improvement Jobs
Clinical Documentation Improvement specialists qualify for H-1B visa sponsorship under the specialty occupation category, typically requiring a health information management or clinical degree. Most roles are concentrated in hospital systems and large health networks that file LCAs annually, making employer research a critical first step.
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Get Access To All JobsOptum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided
- Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
- Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations
- Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
- Provides Working DRG lists to Care Coordination
- Provides complete follow-through on all requests for clarification or recommendations for improvement
- Leads the development and execution of physician education strategies resulting in improved clinical documentation
- Provides timely feedback to providers regarding clinical documentation opportunities for improvement and successes
- Ensures effective utilization of Optum® CDI 3D Technology to document all clarification activities
- Utilizes only the Optum360 approved clarification forms
- Proactively develops a reciprocal relationship with the HIM Coding Professionals
- Coordinates and conducts regular meetings with HIM Coding Professionals to reconsolidate DRGs, monitor retrospective query rates and discuss questions related to Coding and CDI
- Engages and consultations with Physician Advisor / VPMA when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process
- Actively engages with Care Coordination and the Quality Management teams to continually evaluate and spearhead clinical documentation improvement opportunities
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Associate's degree
- RN with at least 1 year CDI experience and current RN license OR Medical Graduate with CDI experience and CDI certification (CCDS, CDIP)
- Intermediate level of proficiency using a PC in a Google environment and Electronic Medical Records
- 1+ years of experience communicating & working closely with Physicians
Preferred Qualifications:
- CCDS, CDIP or CCS certification
- Experience in Clinical Documentation Improvement
- All Telecommuters 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 hourly pay for this role will range from $60,200 to $107,400 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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 make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location, and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is 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 is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided
- Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
- Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations
- Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
- Provides Working DRG lists to Care Coordination
- Provides complete follow-through on all requests for clarification or recommendations for improvement
- Leads the development and execution of physician education strategies resulting in improved clinical documentation
- Provides timely feedback to providers regarding clinical documentation opportunities for improvement and successes
- Ensures effective utilization of Optum® CDI 3D Technology to document all clarification activities
- Utilizes only the Optum360 approved clarification forms
- Proactively develops a reciprocal relationship with the HIM Coding Professionals
- Coordinates and conducts regular meetings with HIM Coding Professionals to reconsolidate DRGs, monitor retrospective query rates and discuss questions related to Coding and CDI
- Engages and consultations with Physician Advisor / VPMA when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process
- Actively engages with Care Coordination and the Quality Management teams to continually evaluate and spearhead clinical documentation improvement opportunities
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Associate's degree
- RN with at least 1 year CDI experience and current RN license OR Medical Graduate with CDI experience and CDI certification (CCDS, CDIP)
- Intermediate level of proficiency using a PC in a Google environment and Electronic Medical Records
- 1+ years of experience communicating & working closely with Physicians
Preferred Qualifications:
- CCDS, CDIP or CCS certification
- Experience in Clinical Documentation Improvement
- All Telecommuters 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 hourly pay for this role will range from $60,200 to $107,400 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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 make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location, and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is 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 is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
See all H-1B Visa Clinical Documentation Improvement Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Clinical Documentation Improvement
Verify your credentials match specialty occupation
USCIS requires a direct relationship between your degree field and CDI work. A health information management, nursing, or clinical coding degree maps cleanly. A general business degree typically won't satisfy the specialty occupation standard without supplemental documentation.
Target hospitals with active LCA filing history
Use Migrate Mate to filter CDI roles by employers with verified H-1B LCA filings. Health systems that sponsor consistently are your highest-probability targets, cutting time wasted on employers who've never filed for this occupation.
Confirm AHIMA or ACDIS credentials before applying
CDI roles at H-1B-sponsoring hospitals frequently list CCDS or CDIP certification as a hiring requirement, not just a preference. Holding active credentials before you apply removes a common objection employers cite when declining to sponsor.
Request the prevailing wage level before accepting an offer
Ask your prospective employer which DOL wage level they intend to use on the LCA. CDI roles range from Level I through Level III depending on supervision and complexity. Accepting a Level I designation when your role is supervisory can affect your offer and future renewal filings.
Understand the 60-day grace period if your position ends
If a hospital downsizes its CDI team or eliminates your position, USCIS allows a 60-day grace period to find a new sponsoring employer or change status. Start your search immediately and avoid gaps that could jeopardize your lawful presence.
Use O*NET to build your specialty occupation argument
The O*NET occupation profile for Health Information Technologists documents the degree requirements and specialized knowledge USCIS looks for. Pull specific tasks and knowledge areas from O*NET when working with your employer's attorney on the I-129 petition.
H-1B Visa Clinical Documentation Improvement: Frequently Asked Questions
Does a Clinical Documentation Improvement role qualify as a specialty occupation for H-1B purposes?
Yes, CDI specialist roles generally qualify because the work requires theoretical and practical application of health information management or clinical knowledge at the bachelor's degree level or higher. USCIS evaluates each petition individually, so the job description must clearly state that a degree in a specific field like health information management, nursing, or a clinical discipline is required, not merely preferred.
Which types of employers are most likely to sponsor H-1B visas for CDI roles?
Large hospital systems, academic medical centers, and multi-facility health networks sponsor most H-1B CDI positions because they have dedicated HR and legal infrastructure to manage the filing process. Smaller community hospitals and outpatient clinics sponsor less frequently. You can identify active sponsors by reviewing LCA filing history on Migrate Mate, which surfaces employers with documented H-1B activity in this occupation.
How does the DOL prevailing wage requirement apply to CDI specialists?
Your employer must file a Labor Condition Application certifying they'll pay at least the prevailing wage for the CDI occupation in your geographic area. Wage levels are set by DOL and vary by metro region and role complexity. You can look up the applicable wage for your location and job duties using the OFLC Wage Search before you negotiate your offer.
Can I switch from OPT to H-1B while working as a CDI specialist?
Yes. If you're currently working in a CDI role on OPT and your employer files an H-1B petition before April 1, USCIS can grant cap-gap protection that extends your work authorization through September 30 of that year. Your employer needs to begin the LCA process with DOL several weeks before the April filing window opens to meet the deadline.
What documentation should I prepare to support an H-1B petition for a CDI position?
You'll need official transcripts showing a relevant degree, any AHIMA or ACDIS certifications such as CDIP or CCDS, a detailed employment letter describing your specific duties, and a credential evaluation if your degree was issued outside the U.S. Your employer's attorney uses these to build the specialty occupation argument in the I-129 petition submitted to USCIS.