H-1B Visa Coding Specialist Jobs
Coding Specialists translate clinical documentation into ICD-10-CM, CPT, and HCPCS codes used for billing and compliance. Employers across hospital systems, insurance companies, and health IT firms regularly sponsor H-1B visas for this role, which qualifies as a specialty occupation requiring a bachelor's degree in health information management or a related field.
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Staff Position Description
Position Title: Professional Services Coder and Coding Reviewer
Position Code: Coder-8125
Oracle code: Coder-8215
Department: Health Information Management
Safety Sensitive: Yes No
Reports to: HIM Director/Manager
Exempt Status: Yes No
Position Purpose:
All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.
Key Responsibilities
- Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits; evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors; evaluate insurance requests and claim denials to assist the Business Office with the revenue cycle.
- Ensures data quality in compliance with State, Federal and regulatory requirements; codes all professional charges to ensure accurate and timely billing; perform coding reviews and/or surgical coding for practices and providers.
- Provides technical guidance, training, and on-going coding education when instructed, to physicians and their office staff and other ancillary departments on both general and specific coding issues to include documentation and guidance in quality coding for proper collection of health data.
- Manage work activities, work assignments and schedules to ensure accurate and timely submission of information; provides reports as requested on data collected, abstracted and coded.
- Review bulletins, newsletters and periodicals and attends workshops to stay abreast of current issues, trends and changes in the laws and regulations governing medical record coding and documentation.
- Demonstrates dependability, teamwork, and maintains patient confidentiality; develops and maintains excellent relationships with providers, provider’s staff, operational directors, and business office staff.
- Strives to be a productive member of this institution, attends departmental meetings as required, maintains certification, and obtains continued education units (CEU).
- Completes all other duties, projects and assignments as directed/requested.
Qualifications
- Advanced knowledge of ICD-10-CM, CPT, HCPCS, Medical Terminology and medically approved abbreviations required.
- Thorough understanding of CMS coding and billing guidelines required.
- Excellent written and verbal communication skills and critical thinking skills.
- Ability to work independently and make independent decisions based on specialized knowledge.
- Computer literacy and familiarity with the operation of basic office equipment, required.
Education
High school diploma or equivalent
Certification/Licensure
Maintains current Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC) or currently enrolled in AHIMA or AAPC and actively working towards obtaining Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC). Certification required within 12 months of hire or placement in this position.
Preferences
Experience
Experience in a medical billing/coding office.
Special Position Requirements
- Travel to off-site locations as required.
Exposure Categories: Category II:
Expected duties have possible, but not routine, potential for exposure to blood, body fluids or tissues
Work Requirements
- Able to collaborate with individual practices, the Business Office, and Operation Directors.
- Requires ability to stand and walk in the performance of job responsibilities.
- Ability to work at a computer for extended periods.
- Some bending and lifting may be required.
Date Staff Position Description Created / Revised: 03/21/2019; 8/12/2026
See all 195+ H-1B Visa Coding Specialist Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Coding Specialist
Verify your SOC code before applying
Coding Specialist roles are typically filed under SOC 29-2072 (Medical Records Specialists). Confirm the employer's LCA uses this code, since a mismatched SOC can trigger an RFE or delay certification at DOL.
Document your credential equivalency early
USCIS scrutinizes specialty occupation claims for coding roles. Get a credential evaluation from a NACES-approved evaluator before your employer files, especially if your health information degree is from outside the U.S.
Search LCA filings to find active sponsors
Use Migrate Mate to filter employers by H-1B LCA filings for coding and health information roles, so you're targeting companies with a documented history of sponsoring this occupation, not guessing from job titles alone.
Target employers already E-Verify enrolled
Hospitals and health systems with federal contracts must use E-Verify, which also signals a streamlined onboarding process for H-1B hires. Ask HR whether the facility is enrolled before investing time in the interview process.
Negotiate your start date around cap deadlines
H-1B employment can't begin before October 1 of the fiscal year the petition was filed for. If you receive an offer in February, build at least a seven-month buffer into your start date discussion so the employer files in March.
Use the OFLC Wage Search to benchmark Level I vs Level II
Employers set your prevailing wage at one of four DOL levels. Run the OFLC Wage Search for your specific SOC code and metro area before your offer letter arrives, so you can spot a Level I filing on a senior-scope role.
H-1B Visa Coding Specialist: Frequently Asked Questions
Does a Coding Specialist role qualify as a specialty occupation for H-1B purposes?
Yes, if the position requires at least a bachelor's degree in health information management, medical coding, or a closely related field. Roles that list a degree as preferred rather than required may face RFEs. Employers strengthen the petition by referencing the O*NET profile for Medical Records Specialists and tying the job duties directly to degree-level coursework in anatomy, physiology, and coding systems.
Which employers sponsor H-1B visas for Coding Specialist roles?
Hospital systems, revenue cycle management firms, health insurance companies, and health IT vendors are the most consistent sponsors for this occupation. Remote coding roles have expanded the pool significantly since 2020. Migrate Mate filters employers by verified LCA filing history for coding and health information roles, so you can identify active sponsors without manually searching DOL disclosure data.
How does the H-1B prevailing wage requirement affect Coding Specialist offers?
Your employer must pay at least the DOL prevailing wage for the SOC code and geographic location listed on the LCA. For Coding Specialists, wage levels vary significantly by metro area and by whether the role is classified at Level I (entry) or Level II (qualified). Run the OFLC Wage Search for SOC 29-2072 in your target city before accepting an offer to confirm the filing level matches your actual experience.
Can a Coding Specialist work remotely on an H-1B visa?
Yes, but each work location must have a certified LCA on file. If you work from a home office in a different metro area than your employer's address, a separate LCA may be required for that location. USCIS and DOL have both issued guidance on multi-location H-1B compliance. Confirm with your employer's immigration counsel whether your home address requires a separate posting and LCA before you begin remote work.
What happens to my H-1B status if I switch coding employers?
You can start working for a new H-1B sponsor as soon as the new employer files a non-frivolous petition on your behalf, under H-1B portability rules from AC21. You don't need to wait for approval. The new employer must file before your current status expires, and the role must be in the same or a similar occupational classification as your original petition. Keep copies of both your current I-94 and receipt notice from the previous employer.