Medical Coding Specialist Jobs in USA with Visa Sponsorship
Medical coding specialists can find H-1B visa 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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Get Access To All JobsINTRODUCTION
Could you be Main Line Health’s next Director Hospital Coding Serv?
Why work as a Director Hospital Coding Serv with Main Line Health?
Make an Impact!
The Director of Hospital Coding Services is responsible for the strategic leadership, operational oversight, regulatory compliance, and performance management of the Health System’s inpatient, outpatient, ambulatory surgery, emergency department, and ancillary hospital coding programs. This position ensures the accurate, complete, and timely assignment of ICD-10-CM, ICD-10-PCS, HCPCS, and CPT coding to support appropriate reimbursement, quality reporting, and regulatory compliance. Under the general supervision of the AVP of HIM and Patient Identity, the Director provides leadership to hospital coding managers and staff, oversees coding vendor relationships, monitors key performance indicators, and collaborates with Revenue Cycle, Compliance, Clinical Documentation Integrity (CDI), Information Technology, and clinical leadership to optimize coding accuracy and reimbursement. The position serves as a subject matter expert in hospital coding regulations, reimbursement methodologies, and coding compliance. Responsibilities for the role include:
- Provides leadership and oversight for all hospital facility coding operations, including inpatient, outpatient, observation, emergency department, ambulatory surgery, and ancillary services.
- Develops, implements, and maintains hospital coding policies, workflows, productivity standards, and quality initiatives.
- Ensures compliance with CMS, ICD-10-CM/PCS Official Coding Guidelines, APC, MS-DRG, and other hospital reimbursement methodologies.
- Collaborates with CDI leadership to support accurate severity of illness (SOI), risk of mortality (ROM), and DRG assignment.
- Oversees coding work queues and monitors coding turnaround times to support timely billing and revenue generation.
- Monitors audit outcomes, denial trends, and compliance findings and develops corrective action plans as necessary.
- Partners with Revenue Integrity, Compliance, Patient Financial Services, and Information Technology on coding optimization initiatives.
- Reviews and analyzes coding productivity, accuracy, financial performance, and reimbursement trends.
- Oversees external coding vendor relationships, contracts, quality reviews, and performance standards.
- Leads hospital coding education programs and ensures ongoing staff competency development.
- Recruits, hires, mentors, evaluates, and develops coding managers and coding staff.
- Supports system-wide coding and revenue cycle transformation initiatives.
- Participates on interdisciplinary committees related to documentation improvement, compliance, reimbursement, and technology optimization.
- Fosters a culture of accountability, collaboration, and continuous improvement.
Develop and Grow Your Career!
Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status.
Get Involved!
By participating in this experience, interns will grow their healthcare knowledge, critical thinking skills, and leadership competencies essential for addressing today’s health care challenges.
Join the Team!
Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care.
Position-Specific Benefits include:
We offer a number of employee discounts to various activities, services and vendors. Parking is always free!
Position:
Director Hospital Coding Serv
Shift:
Day
Experience:
-
Minimum five years of progressively responsible coding leadership experience.
-
Extensive experience in hospital facility coding, auditing, compliance, and reimbursement methodologies.
-
Experience managing remote coding teams and outsourced coding vendors preferred.
Education:
- Bachelor's Degree in Health Information Management, Healthcare Administration, Business Administration, or related field required.
LICENSURES/CERTIFICATIONS:
-
Certified Coding Specialist (CCS) required.
-
RHIA or RHIT preferred.
-
Additional relevant coding certifications preferred.
INTRODUCTION
Could you be Main Line Health’s next Director Hospital Coding Serv?
Why work as a Director Hospital Coding Serv with Main Line Health?
Make an Impact!
The Director of Hospital Coding Services is responsible for the strategic leadership, operational oversight, regulatory compliance, and performance management of the Health System’s inpatient, outpatient, ambulatory surgery, emergency department, and ancillary hospital coding programs. This position ensures the accurate, complete, and timely assignment of ICD-10-CM, ICD-10-PCS, HCPCS, and CPT coding to support appropriate reimbursement, quality reporting, and regulatory compliance. Under the general supervision of the AVP of HIM and Patient Identity, the Director provides leadership to hospital coding managers and staff, oversees coding vendor relationships, monitors key performance indicators, and collaborates with Revenue Cycle, Compliance, Clinical Documentation Integrity (CDI), Information Technology, and clinical leadership to optimize coding accuracy and reimbursement. The position serves as a subject matter expert in hospital coding regulations, reimbursement methodologies, and coding compliance. Responsibilities for the role include:
- Provides leadership and oversight for all hospital facility coding operations, including inpatient, outpatient, observation, emergency department, ambulatory surgery, and ancillary services.
- Develops, implements, and maintains hospital coding policies, workflows, productivity standards, and quality initiatives.
- Ensures compliance with CMS, ICD-10-CM/PCS Official Coding Guidelines, APC, MS-DRG, and other hospital reimbursement methodologies.
- Collaborates with CDI leadership to support accurate severity of illness (SOI), risk of mortality (ROM), and DRG assignment.
- Oversees coding work queues and monitors coding turnaround times to support timely billing and revenue generation.
- Monitors audit outcomes, denial trends, and compliance findings and develops corrective action plans as necessary.
- Partners with Revenue Integrity, Compliance, Patient Financial Services, and Information Technology on coding optimization initiatives.
- Reviews and analyzes coding productivity, accuracy, financial performance, and reimbursement trends.
- Oversees external coding vendor relationships, contracts, quality reviews, and performance standards.
- Leads hospital coding education programs and ensures ongoing staff competency development.
- Recruits, hires, mentors, evaluates, and develops coding managers and coding staff.
- Supports system-wide coding and revenue cycle transformation initiatives.
- Participates on interdisciplinary committees related to documentation improvement, compliance, reimbursement, and technology optimization.
- Fosters a culture of accountability, collaboration, and continuous improvement.
Develop and Grow Your Career!
Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status.
Get Involved!
By participating in this experience, interns will grow their healthcare knowledge, critical thinking skills, and leadership competencies essential for addressing today’s health care challenges.
Join the Team!
Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care.
Position-Specific Benefits include:
We offer a number of employee discounts to various activities, services and vendors. Parking is always free!
Position:
Director Hospital Coding Serv
Shift:
Day
Experience:
-
Minimum five years of progressively responsible coding leadership experience.
-
Extensive experience in hospital facility coding, auditing, compliance, and reimbursement methodologies.
-
Experience managing remote coding teams and outsourced coding vendors preferred.
Education:
- Bachelor's Degree in Health Information Management, Healthcare Administration, Business Administration, or related field required.
LICENSURES/CERTIFICATIONS:
-
Certified Coding Specialist (CCS) required.
-
RHIA or RHIT preferred.
-
Additional relevant coding certifications preferred.
See all 261+ Medical Coding Specialist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Medical Coding Specialist roles.
Get Access To All JobsTips for Finding 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.
Consider employers who sponsor EB-3 green cards
Some health information management companies offer EB-3 permanent residence sponsorship for experienced coders. Because EB-3 is employer-driven and doesn't require a lottery, it can be a more predictable path than relying solely on the H-1B annual cap.
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.
Frequently 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 visa 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 visa 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.