Outpatient Registered Nurse Jobs in USA with Visa Sponsorship
Outpatient registered nurses are in high demand for H-1B visa sponsorship, especially with specialized certifications in oncology, dialysis, or ambulatory surgery. Hospitals and large healthcare systems routinely sponsor nursing roles, and the bachelor's degree requirement for RN licensure typically satisfies USCIS specialty occupation standards. For detailed occupation requirements, see the O*NET profile.
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Primary City/State
Virtual - Arizona
Category
Health Information
Shift
Day
Department
Coding Outpatient Coder I
Great care starts with great people. (Like you.)
At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities
JOB SUMMARY
Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes through review of inpatient or outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance.
Essential Functions
Inpatient:
- Assigns and sequences ICD-10-CM and ICD-10-PCS diagnostic and procedural codes for inpatient accounts within HonorHealth.
- Reviews physician documentation & coding for appropriateness & accuracy and makes corrections following Medicare & AMA coding guidelines.
- Utilizes electronic medical record and computer-assisted coding (CAC) software.
- Addresses applicable coding edits.
- Assigns DRGs as applicable.
Outpatient:
- Assigns and sequences ICD-10-CM, CPT and HCPCs diagnostic and procedural codes for outpatient accounts within HonorHealth.
- Reviews physician documentation & coding for appropriateness & accuracy and makes corrections following Medicare & AMA coding guidelines.
- Utilizes electronic medical record and computer-assisted coding (CAC) software.
- Addresses NCCI, OCE, LCD, and other applicable coding edits.
Inpatient:
- Complies with system-wide coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments.
- Reviews and analyzes medical records for accurate ICD code selection.
Outpatient:
- Complies with system-wide coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments.
- Reviews and analyzes medical records for accurate ICD and CPT code selection.
Inpatient/Outpatient:
- Communicates and assists in education with an audience that may include physicians and clinical staff.
Inpatient:
- Assists Patient Financial Services with interpretation and selection of appropriate ICD codes and/or other information requested for accurate billing and reimbursement.
- Possesses knowledge and understanding of failed bill parameters.
Outpatient:
- Assists Patient Financial Services with interpretation and selection of appropriate ICD, CPT, and HCPCs codes and/or other information requested for accurate billing and reimbursement.
- Possesses knowledge and understanding of failed bill parameters.
Inpatient/Outpatient:
- Performs outpatient charge validation/reconciliation for outpatient coding to ensure all submitted charges are posted timely and balance with total submitted charges.
- Assigns charges as applicable.
Inpatient/Outpatient:
- Resolves routine coding issues/problems and appropriately seeks assistance from supervisor.
- Performs other duties as assigned.
Education
- High School Diploma or GED Required
- Associates in health related field Preferred
Experience
- Other Inpatient: Knowledge of medical terminology, anatomy and physiology, knowledge of medical record requirements, HIPAA privacy rules, and assigning and sequencing ICD-10-CM and ICD-10-PCS codes. Required
- Other Outpatient: Knowledge of medical terminology, anatomy and physiology, knowledge of medical record requirements, HIPAA privacy rules, and assigning and sequencing ICD-10-CM, CPT, and HCPCs codes. Required
- 2 years Inpatient: Hospital inpatient coding. Preferred
- 2 years Outpatient: Coding outpatient accounts which may include Emergency department, newborn, obstetrics, day surgery, observation, wound care, radiology, laboratory, series, infusion, oncology, and rehab therapy. Preferred
- Other Inpatient: Knowledge of pathology, pharmacology, microbiology, radiology, and other clinical specialties. Preferred
- Other Outpatient: Working knowledge of charging and billing processes. Working knowledge of Medicare, NCCI, OCE, LCD, NCD, and other claim edit guidelines and protocol. Preferred
LICENSE AND CERTIFICATIONS
- CCA (Certified Coding Apprentice) with successful certification of CCS in 6 months Required
- Inpatient: CCS (Certified Coding Specialist), or CIC (Certified Inpatient Coder), or RHIT () or RHIA (Registered Health Information Administrator) Required
- Outpatient: CPC-H (Certified Professional Coder-Hospital Outpatient), or CPC (Certified Professional Coder), or COC (Certified Outpatient Coder), or CCS (Certified Coding Specialist), or RHIT () or RHIA (Registered Health Information Administrator) Required
- CPC-H/COC, CIC, RHIT, or RHIA Preferred
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Get Access To All JobsTips for Finding Visa Sponsorship as an Outpatient Registered Nurse
Target large hospital systems and healthcare networks
Major healthcare employers like Kaiser Permanente, HCA Healthcare, and Cleveland Clinic have established H-1B sponsorship programs. They understand nursing visa requirements and have legal teams experienced with healthcare worker petitions.
Highlight your nursing specialty certifications
Certifications in oncology (OCN), nephrology (CNN), or ambulatory care (RN-BC) strengthen your H-1B case. USCIS views specialized nursing roles more favorably than general medical-surgical positions for specialty occupation requirements.
Ensure your nursing degree matches U.S. requirements
Your foreign nursing degree needs credential evaluation showing U.S. bachelor's equivalency. Use CGFNS or other approved agencies. Associate degrees typically don't meet H-1B requirements even with extensive experience.
Consider starting with TN status if you're Canadian or Mexican
The TN visa covers registered nurses and doesn't require employer sponsorship fees. You can work immediately while your employer prepares an H-1B petition for the following year's lottery.
Apply to states with nursing shortages
States like California, Texas, and Florida have critical nursing shortages, making employers more willing to sponsor visas. Rural hospitals and specialized outpatient centers often have less competition for positions.
Get your NCLEX-RN license before applying
Most employers won't sponsor visa petitions until you've passed the NCLEX and obtained state nursing licensure. Some states allow foreign nurses to take the exam before immigrating, streamlining the process.
Frequently Asked Questions
Do outpatient registered nurses qualify for H-1B visas?
Yes, but USCIS scrutinizes nursing H-1B visa petitions more than other healthcare roles. You need a bachelor's degree in nursing, specialized duties beyond basic patient care, and an employer willing to argue that your specific position requires specialty occupation knowledge. Success rates are lower than for physicians or nurse practitioners.
What nursing specialties have the best H-1B approval rates?
Oncology, dialysis, ambulatory surgery, and transplant nursing have higher approval rates because they require specialized training beyond general nursing education. Case management and clinical research coordinator roles also fare better than bedside nursing positions due to their specialized nature and degree requirements.
Can I get H-1B sponsorship with an associate degree in nursing?
No, an associate degree typically doesn't meet H-1B requirements even with years of experience. You need a bachelor's degree in nursing or equivalent. Some foreign three-year nursing degrees may qualify with proper credential evaluation, but two-year programs generally don't satisfy specialty occupation standards.
How to find Outpatient Registered Nurse jobs with visa sponsorship?
To find Outpatient Registered Nurse positions with visa sponsorship, use Migrate Mate, which specializes in connecting healthcare professionals with sponsoring employers. Focus your search on hospitals, outpatient clinics, and healthcare systems that commonly sponsor H-1B or EB-3 visas for nursing roles. These employers often have ongoing staffing needs and established sponsorship programs for qualified international nurses.
Which healthcare employers are most likely to sponsor nursing visas?
Large hospital systems, academic medical centers, and specialty outpatient clinics sponsor more nursing visas than smaller practices. Employers like Mayo Clinic, Johns Hopkins, and large state university hospitals have experience with immigration petitions and budgets for legal fees and government filing costs.
How long does H-1B processing take for nursing positions?
Standard processing takes 3-6 months after USCIS receives your petition. Premium processing ($2,805 extra) guarantees a decision within 15 business days. However, nursing petitions face higher RFE rates than other specialties, which can add 2-4 months to the timeline if USCIS requests additional evidence.
What is the prevailing wage requirement for sponsored Outpatient Registered Nurse 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.