Coding Specialist Jobs in USA with Visa Sponsorship
Coding Specialist roles qualify for H-1B visa and O-1 visa sponsorship when the position requires a bachelor's degree or higher in a specific technical field. Employers across healthcare IT, medical billing, and software development regularly sponsor international candidates for these roles. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsINTRODUCTION
As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
DEPARTMENT:
JOB DESCRIPTION SUMMARY:
FLORIDA RESIDENCY REQUIRED (REMOTE)
Experienced Inpatient Coding Specialist responsible for accurately coding and abstracting inpatient medical records using ICD-10-CM and ICD-10-PCS with a minimum 95% accuracy rate. Reviews clinical documentation, assigns codes, validates autosuggested codes, and completes detailed chart abstracts while meeting productivity standards of 2.5 charts per hour. Skilled in Epic and 3M 360 Encompass encoder, and proficient in writing compliant physician queries. Maintains up-to-date knowledge of Coding Clinic guidance, official coding guidelines, and internal audit requirements. Ensures timely processing of emails and EPIC work queues, while completing ongoing continuing education to support coding competency in a fully remote Florida-based role.
POSITION RESPONSIBILITIES
- Performs coding and abstracting on inpatient charts by accurately assigning ICD-10-CM and PCS codes.
- Assigns correct ICD-10CM/PCS codes and POA’s to reflect the appropriate DRG, SOI, ROM, with an accuracy rate of 95% or greater.
- Performs abstracting of coding and clinical data (i.e. discharge disposition, discharge date, patient type, etc.) with an accuracy rate of 95% or greater.
- Pay attention to detail to assure codes reflect the level of specificity supported in the source document.
- Applies knowledge of disease process, anatomy, and physiology, medical terminology and pharmacology when assigning ICD-10-CM diagnoses codes.
- Process of Emails, Smarts, CDI, Internal/External Audits daily within a 24 to 48 hour response time.
- Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definitions with a high level of coding accuracy rate.
- Continually updates knowledge of all coding and reimbursement guidelines and regulations, including but not limited to ICD-10-CM Guidelines for Coding and Reporting.
- Maintains current knowledge of the information contained in Coding Clinic and the Official Guidelines for Coding and Reporting.
- Is proficient in using Epic and 3M 360 Encompass encoder.
- Is able to write appropriate physician queries. Refers queries to physicians and questions to supervisors as appropriate, complying with all internal audit requirements (i.e. review charts for Complication/Comorbidity compliance).
- Confirms the accuracy of autosuggested codes by utilizing the evidence review buttons.
- Completes 30 hours of Continued Education annually.
QUALIFICATIONS
License/Registration/Certification
- RHIA Or RHIT Or CCS REQUIRED
Education
- Associates degree in Health Information Management or completion of Coding Specialist Program or equivalent years of work experience.
Experience
- 2 years of coding ICD10-CM/PCS
BENEFITS:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
- Health benefits
- Life insurance
- Long-term disability coverage
- Healthcare spending accounts
- Retirement plan
- Paid time off
- Pet Insurance
- Tuition reimbursement
- Employee assistance program
- Wellness program
- On-site housing for select positions and more!
DEGREE REQUIREMENTS:
Certification:
INTRODUCTION
As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
DEPARTMENT:
JOB DESCRIPTION SUMMARY:
FLORIDA RESIDENCY REQUIRED (REMOTE)
Experienced Inpatient Coding Specialist responsible for accurately coding and abstracting inpatient medical records using ICD-10-CM and ICD-10-PCS with a minimum 95% accuracy rate. Reviews clinical documentation, assigns codes, validates autosuggested codes, and completes detailed chart abstracts while meeting productivity standards of 2.5 charts per hour. Skilled in Epic and 3M 360 Encompass encoder, and proficient in writing compliant physician queries. Maintains up-to-date knowledge of Coding Clinic guidance, official coding guidelines, and internal audit requirements. Ensures timely processing of emails and EPIC work queues, while completing ongoing continuing education to support coding competency in a fully remote Florida-based role.
POSITION RESPONSIBILITIES
- Performs coding and abstracting on inpatient charts by accurately assigning ICD-10-CM and PCS codes.
- Assigns correct ICD-10CM/PCS codes and POA’s to reflect the appropriate DRG, SOI, ROM, with an accuracy rate of 95% or greater.
- Performs abstracting of coding and clinical data (i.e. discharge disposition, discharge date, patient type, etc.) with an accuracy rate of 95% or greater.
- Pay attention to detail to assure codes reflect the level of specificity supported in the source document.
- Applies knowledge of disease process, anatomy, and physiology, medical terminology and pharmacology when assigning ICD-10-CM diagnoses codes.
- Process of Emails, Smarts, CDI, Internal/External Audits daily within a 24 to 48 hour response time.
- Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definitions with a high level of coding accuracy rate.
- Continually updates knowledge of all coding and reimbursement guidelines and regulations, including but not limited to ICD-10-CM Guidelines for Coding and Reporting.
- Maintains current knowledge of the information contained in Coding Clinic and the Official Guidelines for Coding and Reporting.
- Is proficient in using Epic and 3M 360 Encompass encoder.
- Is able to write appropriate physician queries. Refers queries to physicians and questions to supervisors as appropriate, complying with all internal audit requirements (i.e. review charts for Complication/Comorbidity compliance).
- Confirms the accuracy of autosuggested codes by utilizing the evidence review buttons.
- Completes 30 hours of Continued Education annually.
QUALIFICATIONS
License/Registration/Certification
- RHIA Or RHIT Or CCS REQUIRED
Education
- Associates degree in Health Information Management or completion of Coding Specialist Program or equivalent years of work experience.
Experience
- 2 years of coding ICD10-CM/PCS
BENEFITS:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
- Health benefits
- Life insurance
- Long-term disability coverage
- Healthcare spending accounts
- Retirement plan
- Paid time off
- Pet Insurance
- Tuition reimbursement
- Employee assistance program
- Wellness program
- On-site housing for select positions and more!
DEGREE REQUIREMENTS:
Certification:
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Get Access To All JobsTips for Finding Visa Sponsorship as a Coding Specialist
Target employers already filing LCAs
Companies that have previously filed Labor Condition Applications for Coding Specialist roles are far more likely to sponsor again. Prior filings signal an established sponsorship process, reducing friction when you raise the topic during interviews.
Clarify which coding domain you work in
Medical coding and software coding attract different employers and visa pathways. Be explicit on your resume and in applications whether your specialty is ICD-10 clinical coding, CPT billing, or programming-based development work. Ambiguity delays sponsorship decisions.
Lead with your degree field, not just your title
H-1B specialty occupation approval depends heavily on your degree matching the role. Health information management, computer science, or a related technical field strengthens your petition significantly compared to a general business or unrelated degree.
Get your credentials evaluated early
If you completed your degree outside the United States, obtain a credential evaluation from a recognized service before applying. Many employers stall sponsorship decisions when foreign credentials are unclear, so removing that uncertainty speeds up the process considerably.
Ask about cap-exempt employers
Hospitals, nonprofit research institutions, and university-affiliated health systems may qualify as cap-exempt H-1B employers, meaning you can start without waiting for the annual lottery. Coding Specialist roles inside these organizations are worth prioritizing if you need faster work authorization.
Highlight certifications alongside your degree
Credentials such as CPC, CCS, or RHIA reinforce that your role is a specialty occupation requiring specialized knowledge. USCIS adjudicators respond well to industry certifications that demonstrate the position demands more than general skills or broad training.
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Find Coding Specialist JobsFrequently Asked Questions
Can a Coding Specialist role qualify as an H-1B specialty occupation?
Yes, but the determination is position-specific. USCIS requires that the role normally demands a bachelor's degree or higher in a specific field such as health information management, computer science, or a directly related discipline. Roles that accept any bachelor's degree regardless of field, or that primarily rely on on-the-job training, face higher denial risk. A well-drafted job description that ties the degree requirement to the actual duties strengthens the petition considerably.
Do employers commonly sponsor Coding Specialists for visas?
Sponsorship is more common in healthcare IT and large hospital systems than in smaller medical billing firms. Employers who regularly hire for ICD-10, CPT, or HCC coding at scale tend to have existing immigration infrastructure. You can browse Coding Specialist roles with confirmed sponsorship availability on Migrate Mate, which filters specifically for visa-sponsoring employers so you're not guessing at each company's willingness.
What degree do I need for H-1B sponsorship as a Coding Specialist?
A bachelor's degree in health information management, health informatics, computer science, or a closely related technical field is the standard requirement. Three years of qualifying work experience can substitute for one year of formal education if your degree doesn't fully align. Australian three-year bachelor's degrees are generally accepted as equivalent to U.S. four-year degrees. What matters most is that the degree field connects directly to the specific duties of the coding role.
Is the O-1 visa a realistic option for an experienced Coding Specialist?
It can be, but the bar is high. The O-1 requires demonstrating extraordinary ability through evidence such as published work, nationally recognized awards, a high salary relative to peers, or critical contributions to a distinguished organization. Most Coding Specialists pursue the H-1B instead. The O-1 becomes more viable if you've led significant projects, been recognized through industry organizations like AHIMA, or hold a senior role with documented national impact.
How does working for a cap-exempt employer affect my H-1B options as a Coding Specialist?
Cap-exempt employers, including qualifying nonprofit hospitals, university health systems, and research institutions, can file H-1B petitions outside the annual lottery. This means you can start working as soon as USCIS approves the petition rather than waiting for an October 1 start date. For Coding Specialists, this is a meaningful advantage because healthcare institutions frequently qualify. Confirm cap-exempt status directly with the employer's HR or legal team before factoring it into your timeline.
What is the prevailing wage requirement for sponsored Coding 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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