Clinical Documentation Improvement Jobs in USA with Visa Sponsorship
Clinical Documentation Improvement specialists are in steady demand at hospitals and health systems that sponsor H-1B visa and TN visas for qualified candidates. Most roles require a clinical background plus a CCS, CIC, or CDIP credential, and employer sponsorship is common at larger institutions. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsINTRODUCTION
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
PRIMARY RESPONSIBILITIES:
- Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation
- Keep abreast of current coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI trends
- Effectively utilizes ICD-10 and related materials to investigate coding issues and produce accurate results
- Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
- Provides expert level leadership for overall improvement in clinical documentation by providing proficient review and assessment, and effectively articulating recommendations for improvement including the rationale for the recommendations
- Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
- Provides complete follow through on all requests for clarification or recommendations for improvement
- Ensures effective utilization of Technology to document all clarification activity
- Collaborates closely with interfacing departments such as Care Coordination and Quality
- Utilizes only the Optum/client approved clarification forms
- Proactively develops a reciprocal relationship with the HIM Coding Professionals
- Engages and consults with Physician Advisor/CMO when needed, per the hospital defined escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation integrity process
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
REQUIRED QUALIFICATIONS:
- Associates degree
- 5+ years acute care hospital clinical RN experience OR Medical Graduate with CDI experience
- Advanced proficiency in clinical medicine, pathophysiology, and pharmacology
- Advanced proficiency communicating & working closely with Physicians
- Intermediate proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
PREFERRED QUALIFICATIONS:
- 3+ years of CDI experience for an acute care hospital
- CCDS, CDIP or CCS certification
- BSN degree if a RN
- CAC experience (Computer Assistant Coding)
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
COMPENSATION
- Salary Range: $60,200 to $107,400 annually based on full-time employment
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
APPLICATION DEADLINE: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
INTRODUCTION
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
PRIMARY RESPONSIBILITIES:
- Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation
- Keep abreast of current coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI trends
- Effectively utilizes ICD-10 and related materials to investigate coding issues and produce accurate results
- Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
- Provides expert level leadership for overall improvement in clinical documentation by providing proficient review and assessment, and effectively articulating recommendations for improvement including the rationale for the recommendations
- Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
- Provides complete follow through on all requests for clarification or recommendations for improvement
- Ensures effective utilization of Technology to document all clarification activity
- Collaborates closely with interfacing departments such as Care Coordination and Quality
- Utilizes only the Optum/client approved clarification forms
- Proactively develops a reciprocal relationship with the HIM Coding Professionals
- Engages and consults with Physician Advisor/CMO when needed, per the hospital defined escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation integrity process
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
REQUIRED QUALIFICATIONS:
- Associates degree
- 5+ years acute care hospital clinical RN experience OR Medical Graduate with CDI experience
- Advanced proficiency in clinical medicine, pathophysiology, and pharmacology
- Advanced proficiency communicating & working closely with Physicians
- Intermediate proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
PREFERRED QUALIFICATIONS:
- 3+ years of CDI experience for an acute care hospital
- CCDS, CDIP or CCS certification
- BSN degree if a RN
- CAC experience (Computer Assistant Coding)
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
COMPENSATION
- Salary Range: $60,200 to $107,400 annually based on full-time employment
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
APPLICATION DEADLINE: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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Get Access To All JobsTips for Finding Clinical Documentation Improvement Jobs
Target large health systems over small practices
Academic medical centers and multi-hospital systems like Mayo Clinic, HCA Healthcare, and Kaiser Permanente have established immigration programs and sponsor H-1B petitions for CDI specialists far more consistently than independent or small outpatient practices.
Lead with your clinical credential, not just CDI experience
Employers and USCIS both care about your clinical foundation. Holding an RN license or MD degree alongside a CDIP or CCS credential strengthens both your sponsorship case and your specialty occupation classification during petition review.
Understand how your role qualifies as a specialty occupation
CDI roles require theoretical and practical application of clinical coding standards, medical terminology, and ICD-10-CM pathophysiology. Document this clearly in your resume so the employer can build a strong specialty occupation argument in the H-1B petition.
Ask about sponsorship timeline before accepting an offer
H-1B cap-subject petitions only file in April for an October start. If your OPT or current status expires before then, ask whether the employer will pursue a cap-exempt filing or support a TN if you hold Canadian or Mexican citizenship.
Highlight remote and hybrid CDI roles in your search
Many health systems post remote CDI positions that sponsor visas, which widens your options beyond your current city. Remote roles also allow employers in high-demand states to hire nationally, improving your chances of finding a sponsoring organization.
Get your credentials evaluated if your degree is from outside the U.S.
USCIS requires that foreign degrees be equivalent to a U.S. bachelor's degree in a relevant field. A credential evaluation from a NACES-approved agency strengthens your petition and removes a common point of RFE vulnerability in CDI sponsorship cases.
Frequently Asked Questions
Do Clinical Documentation Improvement jobs typically qualify for H-1B sponsorship?
Yes, CDI specialist roles generally qualify as specialty occupations because they require a bachelor's degree or higher in a clinical, health information, or related field. USCIS has approved H-1B visa petitions for CDI roles, particularly when the job description emphasizes clinical knowledge, ICD-10-CM coding standards, and pathophysiology. Roles with a purely administrative focus carry more risk of a specialty occupation challenge, so the employer's petition language matters significantly.
Which visa types are most common for CDI specialists seeking sponsorship?
The H-1B is the most common pathway, though it requires winning the annual lottery for cap-subject positions. Canadian and Mexican nationals can pursue the TN visa under the Medical/Allied Health Professional category, which is faster and lottery-free. Some CDI roles at nonprofit hospitals or university health systems qualify as cap-exempt H-1B positions, allowing year-round filing without lottery exposure. Browse sponsoring employers on Migrate Mate to identify which institutions offer these pathways.
Is a clinical degree required, or will a Health Information Management degree work?
Either can support an H-1B petition, but the degree must align with the specific job duties. A Health Information Management or Health Informatics degree works well when the role centers on coding and documentation quality. If the position requires concurrent clinical assessment, employers often prefer RNs or physicians with CDI training. USCIS will look at whether a degree in that specific field is normally the minimum requirement for the role as posted.
How does holding a CDIP or CCS credential affect my sponsorship chances?
Credentials like the CDIP (Certified Documentation Integrity Practitioner) and CCS (Certified Coding Specialist) strengthen your petition by demonstrating specialized knowledge beyond a general degree. They support the employer's argument that the role requires specialized expertise, which is central to the specialty occupation definition. While credentials alone don't satisfy the degree requirement, they significantly reduce the risk of an RFE and signal to immigration attorneys that the petition is defensible.
Are there CDI roles that sponsor visas for candidates still on OPT?
Yes, but timing is critical. If your OPT expires before October 1 and a cap-subject H-1B is the only option, you'll face a gap in work authorization unless your degree qualifies for the 24-month STEM OPT extension. Health informatics and some health information management programs qualify as STEM. Employers who sponsor early in the OPT period give you the best chance of a smooth transition. Search current openings on Migrate Mate to find employers actively sponsoring CDI roles.
What is the prevailing wage requirement for sponsored Clinical Documentation Improvement jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.