Clinical Documentation Specialist Jobs in USA with Visa Sponsorship
Clinical Documentation Specialists are in demand at hospitals and health systems that routinely sponsor H-1B visa and TN visas for qualified candidates. Most roles require a clinical background plus CCS, CCS-P, or RHIA credentials, and employers typically file LCAs under healthcare-specific SOC codes. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsJob ID 17179
Location California, United States
Job Category Patient Financial Services
Date posted 05/06/2026
Job Description
Summary:
The Clinical Documentation Specialist (CDS) II is a more experienced CDS, spending at least 75% of their time on independent reviews without supervision, creating queries, and facilitating their follow-up. Level 2 specialists create trend reports to provide insights into documentation practices and engage directly with physicians to manage queries. They spend 25% of their time mentoring the CDS I and providing feedback to leadership.
Principal Responsibilities:
- Reviews and analyzes clinical information with the electronic health record to identify areas within the chart for potential gaps in physician/provider documentation.
- Formulate credible clinical documentation clarifications to improve clinical documentation of principal diagnosis, co-morbidities, present on admission (POA), quality core measures, and patient safety indicators (PSI).
- Confirms and/or assigns a working diagnostic related group (DRG) and severity level using coding rules and guidelines with follow up reviews as required by length of stay (LOS) standards.
- Extracts essential data elements for reporting and tracking, specifically for Joint Commission record reviews, CORE measures, severity of illness (SOI)/risk of mortality (ROM) assessments, patient safety indicators (PSI), and revenue optimization criteria, dedicating full attention to core measure responsibilities.
- Engages in ongoing queries with physicians and providers to clarify and enhance documentation specificity in medical records.
- Conducts post discharge reviews for comparative analysis clinical documentation integrity (CDI) and Coding assigned codes.
- Communicates with physicians, nurse practitioners, case managers, coders and other members of the care team to facilitate comprehensive medical record documentation to reflect treatment, decision-making and medical documentation.
- Identifies trends related to documentation issues, provider specific concerns, code specific needs, etc.
- Makes presentations to peer audiences on various topics, such as clinical diagnoses, regulatory changes, guidelines, new practices, etc.
- Mentors and precepts Clinical Documentation Specialist Level 1. Initiates special clinical documentation integrity (CDI) projects for process improvement.
Department Specific Responsibilities:
Teamwork/Customer Relations Responsibilities:
- Collaborates to problem solve and make decisions to achieve desired outcomes.
- Establishes effective working relationships with cross-functional team(s).
- Responds timely, effectively and appropriately to deliverables.
- Shares knowledge, time and expertise to assist other members of the team.
- Cultivates and maintains strong customer relationships and rapport with stakeholders and/or client groups.
- Ensures practices and procedures are inclusive of interpersonal and cultural diversity.
- Identifies and responds appropriately to both internal and external customer needs utilizing available resources.
- Represents the company with external constituents.
Qualifications
Education:
- High school diploma or GED required.
- Bachelor's Degree in Nursing or other advanced health care field preferred.
- Foreign trained MDs will be considered.
License/Certifications:
- Registered Nurse, LVN, Occupational Therapist, Physical Therapist, Physician Assistant, foreign MD license or certification in Health Information Management or Medical Coding, such as RHIT, RHIA, CDIP OR CPC, preferred.
- CCDS required.
Experience:
- A minimum of 3 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management preferred.
- Working knowledge of Joint Commission standards and regulatory requirements.
- 2 years performing CDI reviews within an acute care facility or bedside experience required.
- Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes preferred.
- Solid computer proficiency required.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
Req ID 17179
Working Title Clinical Documentation Specialist - 8 Hour Days
Department CSRC CDI Services
Business Entity Cedars-Sinai Medical Center
Job Category Patient Financial Services
Job Specialty Revenue Integrity
Overtime Status NONEXEMPT
Primary Shift Day
Shift Duration 8 hour
Base Pay $51.50 - $82.40
Diversity and Inclusion at Cedars-Sinai
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve Quality Care and Research—For All, By All.
Our compensation philosophy
We offer a competitive compensation package for our employees. The base pay range shown generally applies to the greater Los Angeles area and may vary based on work location. Our range takes into account the wide range of factors that are considered in making compensation decisions, including knowledge/skills: relevant experience and training, education/certifications/licensure; and other business and organizational factors. The base pay range does not include any incentive payments that may be applicable to a role. Pay Transparency Non-Discrimination Provision (PDF).
Cedars-Sinai is an Equal Employment Opportunity employer.
Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.
Job ID 17179
Location California, United States
Job Category Patient Financial Services
Date posted 05/06/2026
Job Description
Summary:
The Clinical Documentation Specialist (CDS) II is a more experienced CDS, spending at least 75% of their time on independent reviews without supervision, creating queries, and facilitating their follow-up. Level 2 specialists create trend reports to provide insights into documentation practices and engage directly with physicians to manage queries. They spend 25% of their time mentoring the CDS I and providing feedback to leadership.
Principal Responsibilities:
- Reviews and analyzes clinical information with the electronic health record to identify areas within the chart for potential gaps in physician/provider documentation.
- Formulate credible clinical documentation clarifications to improve clinical documentation of principal diagnosis, co-morbidities, present on admission (POA), quality core measures, and patient safety indicators (PSI).
- Confirms and/or assigns a working diagnostic related group (DRG) and severity level using coding rules and guidelines with follow up reviews as required by length of stay (LOS) standards.
- Extracts essential data elements for reporting and tracking, specifically for Joint Commission record reviews, CORE measures, severity of illness (SOI)/risk of mortality (ROM) assessments, patient safety indicators (PSI), and revenue optimization criteria, dedicating full attention to core measure responsibilities.
- Engages in ongoing queries with physicians and providers to clarify and enhance documentation specificity in medical records.
- Conducts post discharge reviews for comparative analysis clinical documentation integrity (CDI) and Coding assigned codes.
- Communicates with physicians, nurse practitioners, case managers, coders and other members of the care team to facilitate comprehensive medical record documentation to reflect treatment, decision-making and medical documentation.
- Identifies trends related to documentation issues, provider specific concerns, code specific needs, etc.
- Makes presentations to peer audiences on various topics, such as clinical diagnoses, regulatory changes, guidelines, new practices, etc.
- Mentors and precepts Clinical Documentation Specialist Level 1. Initiates special clinical documentation integrity (CDI) projects for process improvement.
Department Specific Responsibilities:
Teamwork/Customer Relations Responsibilities:
- Collaborates to problem solve and make decisions to achieve desired outcomes.
- Establishes effective working relationships with cross-functional team(s).
- Responds timely, effectively and appropriately to deliverables.
- Shares knowledge, time and expertise to assist other members of the team.
- Cultivates and maintains strong customer relationships and rapport with stakeholders and/or client groups.
- Ensures practices and procedures are inclusive of interpersonal and cultural diversity.
- Identifies and responds appropriately to both internal and external customer needs utilizing available resources.
- Represents the company with external constituents.
Qualifications
Education:
- High school diploma or GED required.
- Bachelor's Degree in Nursing or other advanced health care field preferred.
- Foreign trained MDs will be considered.
License/Certifications:
- Registered Nurse, LVN, Occupational Therapist, Physical Therapist, Physician Assistant, foreign MD license or certification in Health Information Management or Medical Coding, such as RHIT, RHIA, CDIP OR CPC, preferred.
- CCDS required.
Experience:
- A minimum of 3 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management preferred.
- Working knowledge of Joint Commission standards and regulatory requirements.
- 2 years performing CDI reviews within an acute care facility or bedside experience required.
- Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes preferred.
- Solid computer proficiency required.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
Req ID 17179
Working Title Clinical Documentation Specialist - 8 Hour Days
Department CSRC CDI Services
Business Entity Cedars-Sinai Medical Center
Job Category Patient Financial Services
Job Specialty Revenue Integrity
Overtime Status NONEXEMPT
Primary Shift Day
Shift Duration 8 hour
Base Pay $51.50 - $82.40
Diversity and Inclusion at Cedars-Sinai
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve Quality Care and Research—For All, By All.
Our compensation philosophy
We offer a competitive compensation package for our employees. The base pay range shown generally applies to the greater Los Angeles area and may vary based on work location. Our range takes into account the wide range of factors that are considered in making compensation decisions, including knowledge/skills: relevant experience and training, education/certifications/licensure; and other business and organizational factors. The base pay range does not include any incentive payments that may be applicable to a role. Pay Transparency Non-Discrimination Provision (PDF).
Cedars-Sinai is an Equal Employment Opportunity employer.
Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.
See all 53+ Clinical Documentation Specialist jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Clinical Documentation Specialist roles.
Get Access To All JobsTips for Finding Visa Sponsorship as a Clinical Documentation Specialist
Target large health systems over small practices
Academic medical centers and large hospital networks like HCA Healthcare and Tenet Health sponsor visas far more consistently than private practices. They have established immigration counsel and budgets dedicated to H-1B and TN filings for clinical roles.
Verify your credentials transfer to U.S. standards
AHIMA credentials like CCS or RHIA are U.S.-specific. If you hold a foreign equivalent, expect employers to require a credential evaluation from a NACES-approved agency before they'll initiate any sponsorship paperwork on your behalf.
Understand which visa fits your nationality
Canadian and Mexican nationals can pursue TN status under the USMCA for medical records technician roles, avoiding the H-1B lottery entirely. Australians may qualify for E-3. All other nationalities typically need H-1B sponsorship, which involves the annual lottery.
Lead with your clinical background in applications
Employers sponsoring this role want proof the specialty occupation threshold is met. Highlighting RN, RT, or other clinical licensure alongside your coding credentials strengthens the LCA filing and reduces the risk of an USCIS specialty occupation challenge.
Ask about sponsorship policy before the second interview
Many hospitals sponsor but don't advertise it. Raise sponsorship in the second round after demonstrating your value. Framing it as a process question rather than a demand gives hiring managers room to confirm their organization's immigration support internally.
Browse Migrate Mate for pre-screened sponsoring employers
Migrate Mate surfaces Clinical Documentation Specialist roles specifically from employers with verified sponsorship histories. This saves significant time compared to filtering through postings where sponsorship willingness is ambiguous or buried in the job description.
Clinical Documentation Specialist jobs are hiring across the US. Find yours.
Find Clinical Documentation Specialist JobsFrequently Asked Questions
Does Clinical Documentation Specialist qualify as a specialty occupation for H-1B purposes?
It can, but it's not automatic. USCIS looks for a direct relationship between the role and a specific bachelor's degree field, such as health information management, nursing, or a clinical science. Employers with a strong job description tying CDI duties to a degree-level body of knowledge have a much better success rate. Roles that accept any degree are more vulnerable to an RFE.
What degree and credentials do most sponsoring employers require?
Most postings require a bachelor's degree in health information management, nursing, or a related clinical field. Credentials like CDIP, CCS, or CCDS (from ACDIS) are frequently listed as required or strongly preferred. Some employers accept an associate degree combined with significant clinical experience, but those employers are less likely to sponsor visas given the specialty occupation bar.
Can Canadian or Mexican nationals get this role without going through the H-1B lottery?
Yes. The TN visa classification includes medical technologists and certain health information roles under the USMCA. Canadian nationals can obtain TN status at the port of entry without a visa stamp, making it one of the fastest paths to U.S. employment in this field. Mexican nationals need a TN visa issued at a consulate. Confirm the specific SOC code the employer uses before assuming TN eligibility.
How competitive is H-1B sponsorship for this role, and where should I look?
USCIS has historically approved clinical documentation and health information roles at reasonable rates when employers document the specialty occupation requirement thoroughly. The main barrier is the lottery, not approval. Migrate Mate lists CDI positions from employers with active sponsorship histories, which cuts down the time spent applying to postings where sponsorship is theoretical rather than confirmed.
Will my foreign clinical license or coding credential be accepted by U.S. employers?
Foreign clinical licenses are not directly transferable. An RN licensed outside the U.S. must pass NCLEX and obtain state licensure before practicing in a clinical capacity. Foreign academic credentials typically require evaluation through a NACES-approved service. AHIMA's CCS and RHIA exams are U.S.-based and open to international candidates, so obtaining one before applying significantly strengthens your sponsorship case.
What is the prevailing wage requirement for sponsored Clinical Documentation Specialist 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.
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