OPT Medical Coding Specialist Jobs
Medical Coding Specialist roles on OPT require F-1 students to secure employer authorization before their OPT start date. Most positions in this field qualify as STEM-adjacent through health informatics programs, and many hospital systems and coding firms actively hire candidates with CPC or CCS credentials.
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OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.
Job Description:
The Medical Coding and Billing Specialist is responsible for writing and maintaining coding and billing rules in the practice management system. The position is also responsible for reviewing and importing daily Urologic and Surgical charges and daily claim filing. Excellent verbal and written communication skills required. The coding and billing works under the direct supervision of their respective team manager.
Responsibilities:
- Review and verify patient insurance coverage and eligibility for Urologic and Surgical treatments.
- Verify all applicable charges for Urologic and Surgical services are entered timely and accurately into the practice management system for reimbursement.
- Generate and submit accurate and timely claims for Urologic and Surgical services to insurance payers.
- Monitor and track claims through the billing process to ensure timely payment and identification of payer roadblocks.
- Assist with investigation and resolution of any claim rejections, denials, or appeals related to Urologic and Surgical treatments.
- Review and interpret insurance policies and regulations related to Urologic and Surgical treatments to ensure compliance with billing requirements.
- Work collaboratively with the Urologic and Surgical center's medical and pre-authorization teams to ensure accurate and complete billing for their Urologic and Surgical treatments.
- Maintain accurate and up-to-date records of billing activities in patient files and computer systems.
- Ability to review and interpret Urologic and Surgical medical records for accuracy as it relates to coding and billing. Educate clinical team on appropriate documentation requirements.
- Assist team members with responses to patient and insurance company inquiries about billing for Urologic and Surgical treatments in a timely and professional manner.
- Stay current with industry trends, changes to insurance policies, and other developments that may impact the billing process for Urologic and Surgical treatments.
- Review and verify patient insurance coverage and eligibility for Urologic and Surgical treatments as needed.
- Reviews charges in “Approve Failed” status daily for accuracy and corrective action.
- Contacts the appropriate department to follow up on pending issues for insurance and referrals.
- Drafts appeal letters based on payer policy to support AR functions.
- Reviews charges on “Hold” status daily for accuracy and corrective action.
- Creates new Candid rules/edits as needed to reduce claim denials and/or manual review.
- Maintains Candid rules to ensure data is current.
- Answers Urologic and Surgical coding inquiries from the AR team.
- Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the fields of Urology and Surgery and effectively applies this knowledge.
- Communicates effectively with practice leadership regarding coding issues to help ensure coding compliance and minimize denials.
- Demonstrates outstanding work ethic and works cooperatively with all team members and management.
- Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.
Required Qualifications:
EDUCATION & EXPERIENCE:
- Bachelors degree preferred.
- Minimum two years’ experience in charge entry/billing required.
- 1+ year(s) of Prior Authorization experience.
- Extensive knowledge of CPT, HCPCS, and ICD-9 coding in addition to insurance billing guidelines required.
- Proficiency in Microsoft EXCEL spreadsheets and strong computer background.
- Medical insurance background required.
- Expertise in insurance policies and regulations related to medical billing, including Medicare and Medicaid.
Physical Requirements:
- Must be willing and able to lift up to 25 pounds.
- Must be willing and able to travel to satellite clinics when necessary.
Essential Competencies:
- Attendance is an essential job function.
- Ability to work effectively with all levels of management and other colleagues.
- Ability to demonstrate initiative and mature judgment.
- Ability to demonstrate high degree of professionalism and adaptability.
- Ability to demonstrate proficiency in the use of end-user computer applications (MS work, Excel, Outlook), database and patient scheduling and other medical information systems.
- Ability to demonstrate strong customer service delivery skills.
- Ability to utilize websites, portal and electronic options when available to increase efficiency.
- Ability to follow oral and written instructions.
- Ability to recognize and solve problems using creative thinking skills, hands on problem solving skills and the ability to analyze and respond to data.
- Skilled at effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations.
- Skilled at Multi-tasking, organizational skills and superb attention to detail.
- Working knowledge of Hospice and other payer requirements.
- Knowledge of clinic office procedures, medical practice and medical terminology.
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Get Access To All JobsTips for Finding OPT Sponsorship as a Medical Coding Specialist
Lead with your coding credentials
CPC, CCS, or CCA certifications signal job-readiness faster than your degree alone. Employers hiring remote medical coders receive high applicant volume, so a visible credential in your resume headline immediately separates you from uncertified candidates.
Clarify your OPT authorization upfront
Medical coding roles often attract applicants who need H-1B visa sponsorship later. Being transparent that you have OPT work authorization now, with STEM extension eligibility if applicable, removes hiring hesitation before it becomes a rejection reason.
Target revenue cycle and health informatics employers
Large hospital networks, medical billing companies, and health IT firms process thousands of claims and hire coders consistently. These employers have HR infrastructure familiar with OPT authorization, making them more comfortable extending offers to F-1 students.
Emphasize remote work readiness
A significant share of medical coding positions are fully remote. Highlight any experience coding from home, using encoder software like Optum360 or 3M, and maintaining productivity independently. Remote roles also expand your employer pool beyond your current city.
Align your degree field to the STEM OPT extension
If your degree is in health informatics, biomedical science, or a related STEM-designated field, you may qualify for a 24-month STEM OPT extension. Confirm your CIP code with your DSO and mention this eligibility to employers who ask about long-term work authorization.
Apply before your OPT start date approaches
Hiring timelines for coding roles can stretch four to eight weeks. Starting your search at least two months before your OPT authorization begins gives employers time to complete onboarding and background checks without your work authorization becoming a scheduling problem.
Medical Coding Specialist OPT: Frequently Asked Questions
Can I work as a Medical Coding Specialist on F-1 OPT?
Yes. Medical Coding Specialist roles qualify for F-1 OPT work authorization as long as the position is directly related to your field of study. Common qualifying degree fields include health information management, health informatics, biomedical science, and related programs. Confirm the connection with your DSO before accepting an offer.
Do medical coding employers typically sponsor OPT students?
Many do, particularly large hospital systems, health IT companies, and national medical billing firms. These employers hire coders at scale and often have HR teams experienced with OPT authorization. Smaller independent practices are less consistent. On Migrate Mate, you can filter specifically for Medical Coding Specialist roles at employers open to OPT candidates.
Does a medical coding degree qualify for the STEM OPT extension?
It depends on your specific degree and its CIP code. Health informatics and health information management programs are frequently STEM-designated, which would make you eligible for a 24-month extension after your initial 12 months of OPT. Check your program's CIP code with your international student office to confirm eligibility before making employment plans.
Can I work remotely as a Medical Coding Specialist on OPT?
Yes, and remote work is common in this field. For OPT purposes, your work authorization is tied to your employment relationship with a qualifying employer, not to a physical work location. You must still report your employer and any changes to your DSO through SEVP. Remote roles at OPT-friendly employers are a practical way to expand your options.
What should I tell employers about my OPT authorization timeline?
Be direct about your OPT start date, end date, and whether you're eligible for a STEM extension. Employers want to know how long you can work without additional filings on their part. If you have 12 months of standard OPT plus a potential 24-month STEM extension, saying so upfront gives employers a realistic picture of your availability and often reduces hesitation.