H-1B Visa Medical Coder Jobs
Medical Coder roles qualify as H-1B visa specialty occupations when the position requires a bachelor's degree in health information management or a related field. Employers file the Labor Condition Application with DOL before sponsoring your H-1B, certifying the offered wage meets the prevailing wage for your SOC code and work location.
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Description
Summary:
Responsible for maintaining current and high-quality ICD-10-CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting. Inpatient coding is applicable towards all regional Inpatient encounters.
Coder will work collaboratively with various CHRISTUS Health HIM and Clinical Documentation Specialists to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.
- Extracts and abstracts required information from source documentation, to be entered into appropriate CHRISTUS Health electronic medical record system.
- Validates admit orders and discharge dispositions.
- Works from assigned coding queue, completing and re-assigning accounts correctly.
- Manages accounts on ABS Hold or through Epic WQs using account activities, finalizing accounts when corrections have been made, in a timely manner.
- Meets or exceeds an accuracy rate of 95%.
- Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
- Assists in implementing solutions to reduce backend-errors.
- Identifies and appropriately reports all hospital-acquired conditions (HAC).
- Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists.
- Participates in both internal and external audit discussions.
- Strong written and verbal communication skills.
- Demonstrated proficiency in use of multiple technologies and comfort level with virtual applications and electronic medical record applications such as Epic, Meditech, 3M/360, OneContent, Microsoft Office, Teams, Outlook, OneNote, etc.
- Able to work independently in a remote setting, with little supervision.
- All other work duties as assigned by Manager.
Job Requirements:
Education/Skills
- High school Diploma or equivalent years of experience required.
- Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred.
Experience
- 3-5 years of Inpatient coding experience in an acute care setting preferred.
Licenses, Registrations, or Certifications
At least one of the following certifications are required:
- Registered Health Information Administrator (RHIA) (AHIMA)
- Registered Health Information Technician (RHIT) (AHIMA)
- Certified Coding Specialist (CCS) (AHIMA)
- Certified Coding Associate (CCA) (AHIMA)
Work Type:
Full Time
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Medical Coder
Verify your credentials meet specialty occupation
USCIS requires your role to theoretically and practically require a bachelor's degree in a specific field. An AHIMA CCS or RHIA credential paired with a relevant degree strengthens your specialty occupation argument significantly for medical coding positions.
Check prevailing wages by SOC code
Medical Coders fall under SOC 29-2072. Use the OFLC Wage Search to look up the four wage levels for your exact work location before negotiations. Your offered salary must meet at least Level I to pass DOL's LCA certification.
Target health systems with coding departments
Large hospital networks and health information management vendors file LCAs regularly for coding staff. Filter your search on Migrate Mate by H-1B filing history to identify employers who have sponsored coders before, not just those open to the idea.
Ask about remote work location implications
If your employer allows remote work in a different metro area after your H-1B is approved, they may need to file an amended LCA for the new worksite. Confirm the employer's policy before accepting an offer to avoid status complications later.
Clarify whether the role is contract or direct-hire
Third-party staffing agencies can sponsor H-1B holders for coding roles, but USCIS scrutinizes employer-employee control more heavily in these arrangements. Direct-hire positions at health systems or insurers typically face less RFE risk on this issue.
Time your cap-gap window carefully
If you're on OPT when your H-1B is selected in the lottery, your cap-gap authorization extends your work eligibility through September 30. Confirm your employer understands this bridge period so your start date and petition filing align without a work authorization gap.
H-1B Visa Medical Coder: Frequently Asked Questions
Does a Medical Coder role qualify as an H-1B specialty occupation?
It depends on how the position is defined. USCIS requires the role to normally require a bachelor's degree or higher in a specific field. If your employer's job description mandates a degree in health information management, health informatics, or a related discipline, the position will typically qualify. Generic coding roles that list a degree as preferred rather than required are more likely to receive an RFE.
Which coding credentials help with H-1B approval for this role?
Credentials from AHIMA, such as the Registered Health Information Administrator or Certified Coding Specialist, reinforce the argument that your occupation requires specialized, degree-level knowledge. USCIS does not treat certifications as substitutes for a degree, but they add supporting evidence that the role is a specialty occupation, particularly when your degree field is not an exact match to the job title.
How do I find employers who have sponsored H-1B visas for Medical Coder roles before?
Migrate Mate surfaces employer LCA filing history by occupation code, so you can identify health systems, insurers, and health information management companies that have filed for coding roles. Focusing on employers with an established H-1B track record for this specific SOC code reduces the risk of encountering an employer unfamiliar with the sponsorship process.
Can a medical coding staffing agency sponsor my H-1B?
Yes, staffing agencies can serve as H-1B petitioners for coding placements, but USCIS applies stricter scrutiny to third-party placement arrangements. The agency must demonstrate it retains the right to control your work, including supervision and the ability to reassign you. Agency-sponsored H-1Bs in this field face a higher rate of RFEs compared to direct-hire arrangements at hospitals or insurers.
What happens to my H-1B if my employer moves my coding role fully remote in a new state?
A permanent relocation to a new worksite outside your original LCA's covered area requires your employer to file a new LCA reflecting the new work location's prevailing wage and post required notices there. Working remotely from a new location without an updated LCA puts your H-1B status at risk. Confirm the process with your employer before relocating, even temporarily.