H-1B Visa Medical Records Specialist Jobs
H-1B visa jobs for Medical Records Specialist roles are available at health systems, hospitals, and healthcare networks that file Labor Condition Applications for health information positions. Sponsoring employers typically structure these roles around degree-level duties in health information management, making the specialty occupation classification viable for qualified candidates.
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Schedule: M-F (Day Shift)
Job Description Summary:
Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes. Ensures accuracy and compliance with coding guidelines and regulations.
Job Description:
Essential Functions:
- Analyzes medical records and utilizes coding books to accurately assign codes for diagnoses, procedures, and other medical services or charges.
- Reviews claims denials and appeals to identify coding errors. Performs coding and billing corrections and charge reconciliations.
- Researches newly identified diagnoses and procedures for code assignments.
- Maintains compliance with current coding guidelines and regulations.
- Communicates with physicians, parents, and third-party payors to ensure billing and reimbursement accuracy. Assists customers and staff with billing and coding questions.
- Conducts billing and coding audits to ensure accuracy and identify missed opportunities. Reports the results and recommends quality improvements.
Education Requirement:
As required by listed licensure and/or certification requirement.
Certifications:
RHIT, RHIA, CPC, CCS, CCS-P, or COC, required.
Experience:
- Two years of coding experience, required.
- Three years computer experience in a data processing capacity, required.
Physical Requirements:
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking
FREQUENTLY: (none specified)
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting
Additional Physical Requirements performed but not listed above:
Ability to multi-task within a demanding environment.
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
Overview:
Schedule: M-F (Day Shift)
Job Description Summary:
Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes. Ensures accuracy and compliance with coding guidelines and regulations.
Job Description:
Essential Functions:
- Analyzes medical records and utilizes coding books to accurately assign codes for diagnoses, procedures, and other medical services or charges.
- Reviews claims denials and appeals to identify coding errors. Performs coding and billing corrections and charge reconciliations.
- Researches newly identified diagnoses and procedures for code assignments.
- Maintains compliance with current coding guidelines and regulations.
- Communicates with physicians, parents, and third-party payors to ensure billing and reimbursement accuracy. Assists customers and staff with billing and coding questions.
- Conducts billing and coding audits to ensure accuracy and identify missed opportunities. Reports the results and recommends quality improvements.
Education Requirement:
As required by listed licensure and/or certification requirement.
Certifications:
RHIT, RHIA, CPC, CCS, CCS-P, or COC, required.
Experience:
- Two years of coding experience, required.
- Three years computer experience in a data processing capacity, required.
Physical Requirements:
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking
FREQUENTLY: (none specified)
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting
Additional Physical Requirements performed but not listed above:
Ability to multi-task within a demanding environment.
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Medical Records Specialist
Verify your HIM credential aligns with LCA job duties
Your H-1B visa petition stands on the LCA's stated job duties, not your job title. Review the O*NET profile for Medical Records Specialists and confirm your RHIA or RHIT credential maps directly to the degree-level duties your employer lists on the LCA.
Target health systems with dedicated HIM departments
Large integrated health systems and academic medical centers file LCAs specifically for health information management roles far more consistently than small physician practices. Search employers by their historical LCA filing activity in the DOL's OFLC disclosure data before applying.
Use Migrate Mate to find verified H-1B sponsors
Filter your search to employers with confirmed LCA filing history in health information management. Migrate Mate surfaces these verified sponsors so you're not applying to employers who have never navigated H-1B sponsorship for this occupation.
Confirm each worksite gets its own certified LCA
If your role involves work at multiple hospital campuses or clinic locations, each worksite requires a separately certified LCA before you begin work there. Raise this with your employer's HR or legal team early in the offer stage, not after you've accepted.
Check prevailing wage before negotiating your offer
Your employer must pay at least the DOL prevailing wage for your SOC code and work location. Run the OFLC Wage Search for your specific county before salary discussions so your negotiation stays above the wage floor USCIS will scrutinize.
Prepare your credential evaluation before the I-129 filing
If your health information management degree is from a non-U.S. institution, get a credential evaluation completed before your employer files the I-129 petition. USCIS reviews foreign degree equivalency as part of the specialty occupation determination.
H-1B Visa Medical Records Specialist: Frequently Asked Questions
Does a Medical Records Specialist role qualify as a specialty occupation for H-1B purposes?
Not automatically. The H-1B specialty occupation standard requires a bachelor's degree in a specific related field as a minimum requirement for the position. Medical Records Specialist roles qualify when the employer structures the position around degree-level health information management duties and requires an RHIA credential or a bachelor's in health information management. Clerical records roles that don't require a specific degree typically won't meet the standard.
Which employers commonly sponsor H-1B visas for Medical Records Specialist positions?
Large hospital systems, academic medical centers, and regional health networks are the most consistent H-1B sponsors for health information management roles because they have dedicated HIM departments and established immigration infrastructure. You can identify active sponsors by reviewing DOL OFLC LCA disclosure data or searching Migrate Mate, which lists employers with verified H-1B filing history in this occupation.
How long does H-1B status last for a Medical Records Specialist job?
Initial H-1B status is granted for up to three years, with one extension available for a total maximum of six years. Beyond six years, continued H-1B extensions are only available if you have an approved I-140 immigrant petition or a PERM labor certification that has been pending for at least 365 days, allowing you to remain in H-1B status while your green card case progresses.
What happens to my H-1B status if I move to a different hospital location?
Each worksite where you perform H-1B duties requires its own certified LCA from the DOL showing the prevailing wage for that specific location. If your employer assigns you to a new hospital campus or clinic not covered by your current LCA, your employer must file a new or amended LCA and potentially an amended I-129 petition with USCIS before you begin work at that site.
Can a Medical Records Specialist on H-1B status pursue a green card?
Yes. H-1B status allows dual intent, meaning you can pursue permanent residence while maintaining valid H-1B status without it being treated as evidence of immigrant intent. Most Medical Records Specialists with a bachelor's in health information management qualify under the EB-3 employment-based category, which requires PERM labor certification filed by your employer before the I-140 petition can be submitted to USCIS.