TN Visa Medical Coding Specialist Jobs
Medical Coding Specialist roles qualify for TN visa sponsorship under the USMCA treaty as a Medical/Allied Health Professional occupation. Canadian citizens can apply at the port of entry without a cap. Mexican citizens require consular processing. Employers file no lottery and face no annual quota, making sponsorship faster than H-1B.
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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.
#LI-REMOTE

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.
#LI-REMOTE
See all 61+ Medical Coding Specialist jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Medical Coding Specialist roles.
Get Access To All JobsTips for Finding TN Visa Sponsorship as a Medical Coding Specialist
Align your credentials to USMCA requirements
TN status for Medical Coding Specialists falls under the Medical/Allied Health Professional category. Gather your degree transcripts, CPC or CCS certification, and a letter confirming your coding credential before contacting any employer.
Target employers experienced with visa sponsorship
Large health systems, hospital networks, and medical billing companies have experience with visa sponsorship and are familiar with work authorization processes. Remote-eligible roles expand your pool significantly, since TN status covers remote work for a U.S.-based employer.
Request a detailed support letter from your employer
Your offer letter must specify your job title, duties, wage, and start date. A vague letter is the most common reason CBP officers ask follow-up questions, so confirm the employer includes the USMCA professional category by name.
Search TN-specific job listings through Migrate Mate
Use Migrate Mate to filter Medical Coding Specialist roles by employers already open to TN sponsorship, cutting out the back-and-forth of asking recruiters whether your visa status is supported before applying.
Clarify your work arrangement before your port-of-entry appointment
Canadian applicants present their documentation directly at the border. CBP officers routinely ask whether your role is fully remote, hybrid, or on-site. Have a written statement from your employer confirming the work location and the percentage of remote duties.
Prepare for Mexican consular processing timelines
Mexican nationals apply through a U.S. consulate and face a separate TN allocation. Schedule your consular appointment as soon as your offer letter is finalized, since appointment slots in high-demand cities can book out several weeks.
Medical Coding Specialist jobs are hiring across the US. Find yours.
Find Medical Coding Specialist JobsMedical Coding Specialist TN Visa: Frequently Asked Questions
Does a Medical Coding Specialist role qualify for TN visa status?
Yes. Medical Coding Specialists qualify under the USMCA Medical/Allied Health Professional category. You need a baccalaureate or licenciatura degree in a relevant field, or a post-secondary credential plus a state or national certification such as the CPC or CCS. The employer must provide a support letter detailing your duties and confirming the professional nature of the role.
How does TN visa sponsorship for Medical Coding Specialists compare to H-1B?
TN has no annual lottery and no cap for Canadian citizens, so there is no waiting period tied to random selection. H-1B requires registration, a lottery draw, and a fiscal-year start date. For Medical Coding Specialists with a qualifying credential, TN sponsorship can result in an approved status the same day a Canadian applicant presents at the border, versus months of uncertainty with H-1B.
Can I work remotely for a U.S. employer on a TN visa as a Medical Coding Specialist?
Yes. TN status permits remote work as long as your employer is a legitimate U.S. entity and your role qualifies under the USMCA professional categories. Your employer's support letter should specify the remote arrangement. CBP officers may ask about your physical work location, so having written documentation of the remote structure prevents delays at the port of entry.
Where can I find Medical Coding Specialist jobs that already offer TN visa sponsorship?
Migrate Mate is built specifically for Canadian and Mexican professionals seeking TN-sponsored roles in the United States. You can filter listings by job title and visa type, so you apply only to employers already open to TN sponsorship rather than discovering late in the interview process that a company won't support your status.
What happens to my TN status if my Medical Coding Specialist employer is acquired or merges?
A corporate acquisition or merger that results in a successor employer taking on your position may require you to obtain a new TN approval, since your existing authorization is tied to the original petitioning employer. USCIS guidance recommends verifying whether the new entity constitutes a successor in interest before your existing TN period expires to avoid any gap in authorized status.
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