Medical Coding Specialist Jobs in USA with Visa Sponsorship
Medical coding specialists can find H-1B and permanent resident sponsorship with large hospital systems, physician groups, and health information management companies. Most employers require a CCS, CPC, or CCA credential alongside a degree in health information technology or a related field. For detailed occupation requirements, see the O*NET profile.
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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:
This role will be responsible for orienting, training, and mentoring new employees during the onboarding process. The Sr. Medical Coding Specialist will be knowledgeable in their respective team roles and serve as the main point of contact for new employees. The Sr. Medical Coding Specialist will be a liaison between Patient Accounting staff, management, and director to ensure effective communication.
Responsibilities:
- Willingness and desire to assist in the orientation of new hires.
- Oversees the orientation of new hires during determined orientation period.
- Monitors the orientation checklist so that outcomes are met within the appropriate time frame.
- Communicates with members of management regarding new hire progress.
- Collaborates with manager and trainer at 15, 45 and 90 day evaluations.
- Provides expertise in skills and knowledge.
- Follows and understands all policy and procedures ensuring best practice.
- Collaborates with the training team on assessed education needs to develop organized, proficient, and quality focused education program.
- Works in collaboration with all departments to ensure organizational goals are met.
- Attend training session to develop skill set for adult learning training strategies.
- Completes assigned work as Coder in addition to assigned Preceptor training responsibilities.
- Fulfills daily responsibilities as Coder when individual preceptor assignment is not required.
- Reviews work daily, completes error log detail and percentages, and provides feedback and helps with corrections of those issues identified.
- Willing to provide on-site job specific training during the full orientation period as needed.
- Supports and adheres to Mary Bird Perkins Cancer Center and OneOncology mission, vision, and values.
- Exhibits professionalism and common courtesy.
- Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.
Required Qualifications:
- Minimum of 6 months experience in current Patient Accounting role.
- Must successfully complete the preceptor training program offered.
- Must be able to frequently stand and walk.
- Must be able to lift 50 lbs.
Essential Competencies:
- Attendance is an essential job function.
- Excellent customer service skills.
- Effective interpersonal and communication skills.
- Demonstrates positive and professional behavior in the workplace.
- Ability to monitor/access performance of self, other individuals, or organization to recommend improvement regarding workflow, processes, and procedures.
- Ability to build and maintain trusting relationships.
- Ability to modify strategies for different types of learning styles and offer alternative approaches in the education process.
- Adapts to new and/or changing environments, supports innovation and change.
- Proficient in Microsoft Office Suite.
#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:
This role will be responsible for orienting, training, and mentoring new employees during the onboarding process. The Sr. Medical Coding Specialist will be knowledgeable in their respective team roles and serve as the main point of contact for new employees. The Sr. Medical Coding Specialist will be a liaison between Patient Accounting staff, management, and director to ensure effective communication.
Responsibilities:
- Willingness and desire to assist in the orientation of new hires.
- Oversees the orientation of new hires during determined orientation period.
- Monitors the orientation checklist so that outcomes are met within the appropriate time frame.
- Communicates with members of management regarding new hire progress.
- Collaborates with manager and trainer at 15, 45 and 90 day evaluations.
- Provides expertise in skills and knowledge.
- Follows and understands all policy and procedures ensuring best practice.
- Collaborates with the training team on assessed education needs to develop organized, proficient, and quality focused education program.
- Works in collaboration with all departments to ensure organizational goals are met.
- Attend training session to develop skill set for adult learning training strategies.
- Completes assigned work as Coder in addition to assigned Preceptor training responsibilities.
- Fulfills daily responsibilities as Coder when individual preceptor assignment is not required.
- Reviews work daily, completes error log detail and percentages, and provides feedback and helps with corrections of those issues identified.
- Willing to provide on-site job specific training during the full orientation period as needed.
- Supports and adheres to Mary Bird Perkins Cancer Center and OneOncology mission, vision, and values.
- Exhibits professionalism and common courtesy.
- Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.
Required Qualifications:
- Minimum of 6 months experience in current Patient Accounting role.
- Must successfully complete the preceptor training program offered.
- Must be able to frequently stand and walk.
- Must be able to lift 50 lbs.
Essential Competencies:
- Attendance is an essential job function.
- Excellent customer service skills.
- Effective interpersonal and communication skills.
- Demonstrates positive and professional behavior in the workplace.
- Ability to monitor/access performance of self, other individuals, or organization to recommend improvement regarding workflow, processes, and procedures.
- Ability to build and maintain trusting relationships.
- Ability to modify strategies for different types of learning styles and offer alternative approaches in the education process.
- Adapts to new and/or changing environments, supports innovation and change.
- Proficient in Microsoft Office Suite.
#LI-REMOTE
How to Get Visa Sponsorship as a Medical Coding Specialist
Target large hospital systems first
Hospital networks with 500+ beds file LCAs far more consistently than small physician practices. Larger systems have dedicated HR and legal teams experienced in H-1B sponsorship, making them more willing to absorb the cost and administrative burden.
Get credentialed before applying
Employers sponsoring H-1B visas for medical coders almost always require a CCS, CPC, or CCA certification. Having an active credential signals specialty occupation status to USCIS and removes a common objection employers raise when evaluating sponsorship candidates.
Emphasize your ICD-10-CM and CPT expertise
Sponsoring employers need to justify specialty occupation status to USCIS. Highlighting proficiency in complex coding systems, auditing experience, or specialty-specific coding such as oncology or cardiology strengthens the petition and differentiates you from generalist applicants.
Ask about remote coding roles specifically
Many hospital systems and revenue cycle companies hire remote medical coders nationally. Remote roles expand your employer pool significantly, and companies already operating remote workforces often have established processes for sponsoring workers regardless of location.
Disclose your visa status early in conversations
Raising sponsorship requirements late in interviews wastes time for both sides. Mentioning your work authorization needs in your initial application or first recruiter call lets sponsorship-ready employers self-select and avoids reaching offer stage with a company that cannot help you.
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Get Access To All JobsFrequently Asked Questions
Does medical coding qualify as a specialty occupation for H-1B purposes?
Medical coding can qualify as a specialty occupation, but it requires careful documentation. USCIS scrutinizes these petitions because coding roles don't always mandate a bachelor's degree industry-wide. The strongest cases pair a health information management or related bachelor's degree with a CCS or CPC credential and a job description that emphasizes complex, degree-requiring responsibilities like compliance auditing, specialty coding, or clinical documentation improvement.
Which employers are most likely to sponsor a medical coding specialist?
Large hospital systems such as HCA Healthcare, CommonSpirit, and Ascension, as well as revenue cycle management companies, are the most consistent sponsors for this role. Health information management outsourcing firms that operate nationally tend to have established legal infrastructure for H-1B and EB-3 filings. You can browse sponsoring employers currently hiring medical coding specialists on Migrate Mate.
Is a bachelor's degree required to get visa sponsorship as a medical coder?
A bachelor's degree in health information management, health informatics, or a closely related field significantly strengthens an H-1B petition for this role. Associates-level candidates face a harder case because USCIS requires the position to normally demand a bachelor's degree. Some employers pair an associate's degree with a CCS or CPC credential and substantial work experience to meet the specialty occupation threshold, but approval is less certain.
Can I transfer my H-1B to a new employer if I change coding jobs?
Yes. H-1B portability allows you to move to a new sponsoring employer once your initial petition has been approved and you've maintained valid status. Your new employer files an H-1B transfer petition, and you can begin working as soon as it's received by USCIS, without waiting for approval. The new job must still qualify as a specialty occupation under the same standards as your original petition.
What visa options exist for medical coders if they don't win the H-1B lottery?
If you don't get selected in the H-1B lottery, employer-sponsored EB-3 green card petitions are the most practical alternative for medical coders, though they involve PERM labor certification and longer timelines. Some coders on F-1 OPT continue working while reregistering for the next lottery cycle. Canadian or Mexican nationals can explore TN status if their role qualifies. Reviewing which employers sponsor multiple visa types is worth prioritizing in your job search.
What is the prevailing wage requirement for sponsored Medical 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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