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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The Clinical Documentation Improvement (CDI) Specialist-RN is a registered nurse responsible for performing concurrent and retrospective reviews of inpatient medical records to ensure complete, accurate, and compliant clinical documentation. This role focuses on supporting accurate ICD 10 CM/PCS coding, MS DRG assignment, severity of illness (SOI), risk of mortality (ROM), quality reporting, and reimbursement integrity. This role works closely with providers, coders, and quality teams to clarify documentation and support accurate data capture for clinical, financial, and regulatory reporting.
This role applies clinical knowledge and critical thinking skills to identify documentation gaps and facilitate timely, compliant provider clarification.
Primary Department, Division, or Unit:
Facility Coding, UHS Revenue Cycle Operations
Primary Work Shift:
Day
Regular Scheduled Weekly Hours:
40
Compensation Range:
$37.00 - $55.50 per hour, depending on experience
Education/Experience
Minimum Required:
* Associate’s Degree in Nursing (ASN) or Nursing Diploma.
Preferred:
Bachelor’s Degree in Nursing (BSN).
Working knowledge of encoding system and Excel.
* Previous Coding experience.
License/Certification
Minimum Required:
* Valid NYS RN licensure or eligible.
Preferred:
CCS (Certified Coding Specialist) – AHIMA
CIC (Certified Inpatient Coder) - AAPC
* CCDS (Certified Clinical Documentation Specialist) – ACDIS
Why You’ll Love Working at UHS
At United Health Services (UHS), we believe every connection—to patients, to purpose, to each other—makes a difference. That’s why we’re intentional about supporting our team in ways that go beyond the job. Whether through meaningful benefits, personal growth, or fun along the way, we’re here to help you thrive in work and life.
A Culture of Connection – We support each other like family and create space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster belonging and collaboration. Outside of work, we stay connected through team events like trivia, trunk-or-treat, volunteer days, our staff choir, or seasonal celebrations.
Comprehensive Benefits for Life & Family – We offer medical, dental, and vision coverage starting the first of the month after hire for employees working 24+ hours/week. With flexible plan options and coverage tiers, you can choose what fits your life best. Additional perks include discounted childcare through Bright Horizons and voluntary benefits like pet insurance, legal services, and identity theft protection.
Well-Being & Financial Security – From day one, PTO starts accruing so you can take time to recharge. We support your long-term wellness with a 403(b) retirement plan and company match, flexible spending accounts, access to financial advisors, and up to $400/year in wellness rewards. When life gets tough, we’re here with 24/7 EAP counseling, virtual mental health support, a food pantry, PTO donation program, and professional attire through the Classy Closet.
Growth That Moves with You – With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can feel confident your work is valued and rewarded fairly.
A Place to Call Home – Located in New York’s Southern Tier, UHS offers more than a career—we offer a lifestyle. Enjoy four-season recreation, affordable living, top-rated schools, minor league sports, craft brews, a close-knit community, and more, all within reach of the Finger Lakes, the Catskills, and major Northeast cities.
About United Health Services
United Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York’s Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in Broome and surrounding counties. UHS provides healthcare and medical services for two-thirds of the region’s population, produces $1.3 billion a year in total economic impact, and boasts a workforce of more than 6,300 employees and providers.
At UHS, our work is guided by our Values of Compassion, Trust, Respect, Teamwork, and Innovation. Whether you provide direct patient care or support behind the scenes, you are part of a shared purpose: to improve the health and well-being of the communities we serve. Every employee plays a meaningful role in fulfilling our mission—we’d love for you to consider joining us!
United Health Services is an Equal Opportunity Employer.
Position Overview
The Clinical Documentation Improvement (CDI) Specialist-RN is a registered nurse responsible for performing concurrent and retrospective reviews of inpatient medical records to ensure complete, accurate, and compliant clinical documentation. This role focuses on supporting accurate ICD 10 CM/PCS coding, MS DRG assignment, severity of illness (SOI), risk of mortality (ROM), quality reporting, and reimbursement integrity. This role works closely with providers, coders, and quality teams to clarify documentation and support accurate data capture for clinical, financial, and regulatory reporting.
This role applies clinical knowledge and critical thinking skills to identify documentation gaps and facilitate timely, compliant provider clarification.
Primary Department, Division, or Unit:
Facility Coding, UHS Revenue Cycle Operations
Primary Work Shift:
Day
Regular Scheduled Weekly Hours:
40
Compensation Range:
$37.00 - $55.50 per hour, depending on experience
Education/Experience
Minimum Required:
* Associate’s Degree in Nursing (ASN) or Nursing Diploma.
Preferred:
Bachelor’s Degree in Nursing (BSN).
Working knowledge of encoding system and Excel.
* Previous Coding experience.
License/Certification
Minimum Required:
* Valid NYS RN licensure or eligible.
Preferred:
CCS (Certified Coding Specialist) – AHIMA
CIC (Certified Inpatient Coder) - AAPC
* CCDS (Certified Clinical Documentation Specialist) – ACDIS
Why You’ll Love Working at UHS
At United Health Services (UHS), we believe every connection—to patients, to purpose, to each other—makes a difference. That’s why we’re intentional about supporting our team in ways that go beyond the job. Whether through meaningful benefits, personal growth, or fun along the way, we’re here to help you thrive in work and life.
A Culture of Connection – We support each other like family and create space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster belonging and collaboration. Outside of work, we stay connected through team events like trivia, trunk-or-treat, volunteer days, our staff choir, or seasonal celebrations.
Comprehensive Benefits for Life & Family – We offer medical, dental, and vision coverage starting the first of the month after hire for employees working 24+ hours/week. With flexible plan options and coverage tiers, you can choose what fits your life best. Additional perks include discounted childcare through Bright Horizons and voluntary benefits like pet insurance, legal services, and identity theft protection.
Well-Being & Financial Security – From day one, PTO starts accruing so you can take time to recharge. We support your long-term wellness with a 403(b) retirement plan and company match, flexible spending accounts, access to financial advisors, and up to $400/year in wellness rewards. When life gets tough, we’re here with 24/7 EAP counseling, virtual mental health support, a food pantry, PTO donation program, and professional attire through the Classy Closet.
Growth That Moves with You – With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can feel confident your work is valued and rewarded fairly.
A Place to Call Home – Located in New York’s Southern Tier, UHS offers more than a career—we offer a lifestyle. Enjoy four-season recreation, affordable living, top-rated schools, minor league sports, craft brews, a close-knit community, and more, all within reach of the Finger Lakes, the Catskills, and major Northeast cities.
About United Health Services
United Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York’s Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in Broome and surrounding counties. UHS provides healthcare and medical services for two-thirds of the region’s population, produces $1.3 billion a year in total economic impact, and boasts a workforce of more than 6,300 employees and providers.
At UHS, our work is guided by our Values of Compassion, Trust, Respect, Teamwork, and Innovation. Whether you provide direct patient care or support behind the scenes, you are part of a shared purpose: to improve the health and well-being of the communities we serve. Every employee plays a meaningful role in fulfilling our mission—we’d love for you to consider joining us!
United Health Services is an Equal Opportunity Employer.
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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.