OPT Health Information Management Jobs
Health Information Management jobs are a strong fit for OPT students with degrees in health informatics, health information technology, or a related field. Most roles qualify as specialty occupations, supporting both 12-month OPT and the 24-month STEM extension for eligible graduates.
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Job Summary
To code medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines.
This position will perform Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. To code for multiple facilities. Adhere to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Data reported by this incumbent is used to meet licensure requirements, is used for statistical purposes, and for financial and billing purposes. Incumbent(s) operate under the general supervision of HIM Coding leadership.
Essential Functions
- All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
- Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation.
- Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Incumbent(s) operate under the general supervision of HIM Coding leadership.
- Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines.
- Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding.
- Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding.
- Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns.
- Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards.
- Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
- Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.
- Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred.
In Lieu Of
In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered.
Required Certifications, Registrations, Licenses
- Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.
Knowledge, Skills and Abilities
- Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality.
- Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment.
- Knowledge of electronic medical records and 3M or Encoder System.
- Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
- Knowledge of MS DRG prospective payment system and severity systems.
- Ability to concentrate for extended periods of time.
- Ability to work and make decisions independently.
Work Shift
Day (United States of America)
Location
5 Medical Park Rd Richland
Facility
1500 Midlands Corporate
Department
70017512 HIM-Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Inspire health. Serve with compassion. Be the difference.
Job Summary
To code medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines.
This position will perform Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. To code for multiple facilities. Adhere to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Data reported by this incumbent is used to meet licensure requirements, is used for statistical purposes, and for financial and billing purposes. Incumbent(s) operate under the general supervision of HIM Coding leadership.
Essential Functions
- All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
- Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation.
- Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Incumbent(s) operate under the general supervision of HIM Coding leadership.
- Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines.
- Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding.
- Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding.
- Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns.
- Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards.
- Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
- Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.
- Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred.
In Lieu Of
In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered.
Required Certifications, Registrations, Licenses
- Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.
Knowledge, Skills and Abilities
- Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality.
- Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment.
- Knowledge of electronic medical records and 3M or Encoder System.
- Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
- Knowledge of MS DRG prospective payment system and severity systems.
- Ability to concentrate for extended periods of time.
- Ability to work and make decisions independently.
Work Shift
Day (United States of America)
Location
5 Medical Park Rd Richland
Facility
1500 Midlands Corporate
Department
70017512 HIM-Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
See all 50+ OPT Health Information Management Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new OPT Health Information Management Jobs.
Get Access To All JobsTips for Finding OPT Sponsorship in Health Information Management
Confirm your degree supports a specialty occupation claim
Health information management roles require a specific degree connection to qualify as a specialty occupation. A bachelor's in health informatics, health information technology, or a related field strengthens your OPT authorization and future H-1B visa eligibility.
Target employers with existing HIM compliance infrastructure
Hospitals, large physician groups, and health systems with dedicated compliance teams are more experienced with OPT work authorization. These organizations already understand HIPAA-driven hiring and are less likely to treat sponsorship as an obstacle.
Verify your role qualifies for the STEM OPT extension
If your degree is in health informatics or a related STEM-designated field, confirm your CIP code with your DSO before accepting an offer. The 24-month extension adds significant runway and makes you more attractive to employers planning long-term.
Highlight EHR system certifications in your application
Certifications in Epic, Cerner, or similar platforms signal immediate productivity to hiring managers. Employers weighing OPT work authorization costs are more likely to move forward when a candidate reduces onboarding time and technical training investment.
Address OPT authorization proactively with smaller employers
Smaller clinics and outpatient practices may not have hired OPT students before. Come prepared with a one-page summary of OPT timelines, E-Verify requirements, and the authorization period so HR can make an informed decision quickly.
Pursue RHIT or RHIA certification to strengthen your candidacy
AHIMA credentials signal professional credentialing that employers recognize beyond your degree. Holding or actively pursuing RHIT or RHIA demonstrates commitment to the field and offsets any hesitation an employer may have about work authorization complexity.
Health Information Management OPT: Frequently Asked Questions
Do health information management jobs qualify for the STEM OPT extension?
It depends on your degree's CIP code, not the job title itself. Degrees in health informatics or health information technology often carry STEM-designated CIP codes, making graduates eligible for the 24-month extension. Degrees in general health services administration typically do not. Confirm your CIP code with your DSO before assuming STEM eligibility.
What types of employers hire OPT students for health information management roles?
Hospitals, integrated health systems, outpatient clinics, health insurance companies, and healthcare IT vendors all hire HIM professionals. Large hospital networks and revenue cycle management firms tend to be the most experienced with OPT work authorization. You can browse OPT-friendly health information management employers directly on Migrate Mate, which filters for roles open to F-1 students.
Can I work as a health information manager at a hospital on OPT without H-1B sponsorship lined up?
Yes. OPT is independent of H-1B sponsorship. You're authorized to work for any qualifying employer during your OPT period without the employer needing to file anything immediately. The E-Verify requirement still applies, so confirm your employer is enrolled before your start date. H-1B sponsorship only becomes relevant if you want to stay after OPT expires.
Does working remotely in health information management affect my OPT authorization?
Remote work is permitted on OPT, but your employment must still be directly related to your major field of study. Your DSO needs accurate employer information in SEVIS, including address details even for fully remote roles. If you're working across state lines remotely, confirm with your DSO how to report the work location correctly to stay in compliance.
What happens if my OPT expires before my employer files for H-1B?
If your employer misses the H-1B filing window or you don't get selected in the lottery, your work authorization ends when OPT expires. A 60-day grace period follows, during which you can't work but can make plans to change status or depart. Starting your job search early and targeting employers with demonstrated H-1B filing history reduces this risk considerably.