Risk Adjustment Coding Jobs in USA with Visa Sponsorship
Risk adjustment coding roles attract strong H-1B visa and green card sponsorship from health plans, managed care organizations, and risk-bearing provider groups. Employers routinely sponsor CRC-credentialed coders, with specialty occupation status supported by healthcare administration or health information management degrees. For detailed occupation requirements, see the O*NET profile.
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Full time
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DESCRIPTION:
At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. Saint Alphonsus is looking to hire a Risk Adjustment Coding Specialist II for our SAMG Population Health. This position is fully remote. It is full time, 40 hours a week, and is benefit eligible.
The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic care team and coding/billing staff. The Risk Adjustment Coding Specialist may also conduct medical record audits for risk adjustment and core quality measures and assist with other performance improvement initiatives that promote the success of Advanced Payment Model (APM) contracts. The position is responsible to work with all applicable payer partners for varying arrangements spanning across Medicare, Medicare Advantage, Commercial, QHP and Medicaid, and will leverage data and reports to maximize clinical condition documentation (CCD), and will become familiar with risk adjustment methodologies as applicable (HCC/RAF, HHS, MARA, Johns Hopkins, etc.). The Risk Adjustment Coding Specialist will provide insights and direct contributions to the development of analytics and reporting to enhance providers' ability to document and code to the highest level of specificity and improve coding and recapture rates as is clinically appropriate. The role will maintain strict confidentiality of all data and information. The Risk Adjustment Coding Specialist will develop and maintain collaborative relationships with internal and external partners to ensure effective, results-oriented project outcomes.
GENERAL REQUIREMENTS:
- Minimum of 2 years of experience working in risk adjustment coding in a medical practice, network or payer setting using electronic health records (EHR) required. Chart auditing experience preferred.
- Minimum of 4 years coding experience required.
Education:
- High school diploma or equivalent required. Associates/Bachelor's Degree or some college preferred.
LICENSE/CERTIFICATION:
- Certified Risk Adjustment Coder (CRC) required.
- AAPC or AHIMA coding credential required.
Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.
Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
EMPLOYMENT TYPE:
Full time
SHIFT:
DESCRIPTION:
At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. Saint Alphonsus is looking to hire a Risk Adjustment Coding Specialist II for our SAMG Population Health. This position is fully remote. It is full time, 40 hours a week, and is benefit eligible.
The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic care team and coding/billing staff. The Risk Adjustment Coding Specialist may also conduct medical record audits for risk adjustment and core quality measures and assist with other performance improvement initiatives that promote the success of Advanced Payment Model (APM) contracts. The position is responsible to work with all applicable payer partners for varying arrangements spanning across Medicare, Medicare Advantage, Commercial, QHP and Medicaid, and will leverage data and reports to maximize clinical condition documentation (CCD), and will become familiar with risk adjustment methodologies as applicable (HCC/RAF, HHS, MARA, Johns Hopkins, etc.). The Risk Adjustment Coding Specialist will provide insights and direct contributions to the development of analytics and reporting to enhance providers' ability to document and code to the highest level of specificity and improve coding and recapture rates as is clinically appropriate. The role will maintain strict confidentiality of all data and information. The Risk Adjustment Coding Specialist will develop and maintain collaborative relationships with internal and external partners to ensure effective, results-oriented project outcomes.
GENERAL REQUIREMENTS:
- Minimum of 2 years of experience working in risk adjustment coding in a medical practice, network or payer setting using electronic health records (EHR) required. Chart auditing experience preferred.
- Minimum of 4 years coding experience required.
Education:
- High school diploma or equivalent required. Associates/Bachelor's Degree or some college preferred.
LICENSE/CERTIFICATION:
- Certified Risk Adjustment Coder (CRC) required.
- AAPC or AHIMA coding credential required.
Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.
Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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Get Access To All JobsTips for Finding Risk Adjustment Coding Jobs
Target managed care and health plan employers
Large health plans and Medicare Advantage organizations file the most LCAs for risk adjustment coding roles. These employers have established immigration programs and legal infrastructure, making sponsorship significantly more straightforward than smaller outpatient clinics or independent practices.
Earn your CRC or CCS credential before applying
The Certified Risk Adjustment Coder credential from AAPC signals specialty-level expertise to both employers and USCIS. Credentialed candidates face far less resistance on specialty occupation determinations because the credential reinforces that the role requires specialized knowledge beyond general coding.
Frame your degree against the specialty occupation standard
USCIS scrutinizes whether risk adjustment coding genuinely requires a bachelor's degree. Degrees in health information management, healthcare administration, or biology strengthen your petition considerably. Pair your degree with CRC certification to build the most defensible specialty occupation argument.
Ask about cap-exempt or cap-subject H-1B filing early
If your prospective employer is a nonprofit hospital system or university-affiliated health plan, you may qualify for cap-exempt H-1B filing year-round. Confirm the employer's cap status before the April lottery window closes so you're not waiting an additional year.
Negotiate an employment start date that accounts for processing
Standard H-1B processing runs three to five months. If you're changing employers or entering from outside the U.S., build that buffer into your offer negotiation. Premium processing reduces the adjudication window to roughly two weeks and is worth requesting for time-sensitive starts.
Document remote work arrangements explicitly in your petition
Risk adjustment coding is commonly performed remotely, but USCIS requires Labor Condition Applications to list all worksite locations. If you'll work from home, your employer must file an LCA covering your home address state to keep your petition in compliance.
Frequently Asked Questions
Is risk adjustment coding considered a specialty occupation for H-1B purposes?
It can qualify, but USCIS evaluates these petitions closely. The strongest cases pair a bachelor's degree in health information management, healthcare administration, or a clinical field with a CRC or CCS credential and a job description emphasizing complex ICD-10-CM hierarchical condition category analysis. Generic coding roles with broad degree requirements have faced RFEs, so specificity in the job description matters considerably.
Which employers are most likely to sponsor risk adjustment coders?
Medicare Advantage health plans, Medicaid managed care organizations, and large risk-bearing provider groups file the most LCAs for these roles. Companies running retrospective and prospective chart review programs at scale, including those serving CMS-contracted plans, tend to have active immigration programs. Browse open sponsorship roles on Migrate Mate to see which employers are currently hiring internationally.
Does a CRC certification substitute for a bachelor's degree in an H-1B petition?
No. USCIS requires a U.S. bachelor's degree or its equivalent in a specific specialty for H-1B visa classification. The CRC credential strengthens the specialty occupation argument but does not replace the degree requirement. If your degree is from outside the U.S., a credential evaluation from a NACES-member organization confirming equivalency to a U.S. bachelor's is required.
Can risk adjustment coders work remotely on an H-1B visa?
Yes, but the H-1B petition must reflect every location where work is performed. Your employer needs to file a Labor Condition Application listing your home address worksite, and you must have a copy of the LCA available at that location. Moving to a new state without updating the LCA and potentially amending the H-1B petition creates compliance risk for both you and your employer.
How long does green card sponsorship typically take for risk adjustment coding roles?
Most risk adjustment coders qualify under EB-3, which requires PERM labor certification before the I-140 immigrant visa petition. PERM itself takes roughly 18 to 24 months under current DOL processing times. For applicants born in India or China, priority date backlogs can extend total wait times considerably beyond that. EB-2 NIW is generally not applicable unless the role involves significant research or policy contributions.
What is the prevailing wage requirement for sponsored Risk Adjustment Coding 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.