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1099 Medical Coding Jobs in Iowa (NOW HIRING)

Medical coder

Des Moines, IA · On-site

$18.25 - $24.50/hr

The Medical Coder will review clinical documentation and accurately assign ICD, CPT, HCPCS Level ... Re-review coding questioned because of billing edits, denials, audits, or retrospective reviews.

Medical coder

Des Moines, IA · On-site

$18.25 - $24.50/hr

The Medical Coder will review clinical documentation and accurately assign ICD, CPT, HCPCS Level ... Re-review coding questioned because of billing edits, denials, audits, or retrospective reviews.

Medical Coder - Spencer Hospital

Spencer, IA · On-site

$18 - $24/hr

Coding assignments are made for the purposes of reimbursement, research, compliance with federal ... Validates abstracted data against the medical record and enters additional data elements as ...

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Medical Coder - Des Moines, IA

Des Moines, IA · On-site

$18.25 - $24.50/hr

Medical Coder No of Positions/Candidates Required: 4 FTE (3.0 FTE Outpatient/Ancillary/Surgical + 1 ... Inpatient Facility Coding, Inpatient Professional Fee Coding, Outpatient Coding, Surgery/Anesthesia ...

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Showing results 1-20

1099 Medical Coding information

What is 1099 medical coding?

1099 medical coding refers to performing medical coding work as an independent contractor rather than as a traditional employee. '1099' refers to the IRS tax form used to report income for freelancers and contractors. As a 1099 medical coder, you are responsible for accurately translating healthcare services into standardized codes, but you handle your own taxes and may work for one or multiple clients. This arrangement offers flexibility but requires you to manage your own benefits and business expenses.

What are the key skills and qualifications needed to thrive as a 1099 medical coder?

To thrive as a 1099 Medical Coder, you need a deep understanding of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and typically a certification like CPC or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure data transfer tools is essential for remote contract work. Strong attention to detail, time management, and effective communication are standout soft skills for this independent role. These skills and qualifications ensure accurate code assignment, compliance, and timely reimbursement in a flexible, self-managed work environment.

What are some common challenges faced by 1099 medical coders working remotely, and how can they be addressed?

1099 medical coders often work independently and remotely, which can present challenges such as staying updated with frequently changing coding regulations, managing multiple client expectations, and ensuring data security. To address these, it’s important to participate in ongoing education, use secure coding software, and maintain strong organizational skills to manage client deadlines effectively. Additionally, joining professional networks or online forums can help with staying connected to industry trends and troubleshooting complex cases.

What is the difference between 1099 Medical Coding vs Medical Coding?

Aspect1099 Medical CodingMedical Coding
Work ArrangementIndependent contractor, 1099 basisEmployee or contractor, W-2 or 1099 basis
CertificationsCertifications like CPC, CCS often requiredSame certifications as 1099 Medical Coding
Work EnvironmentRemote or freelance, varied clientsHealthcare facilities, clinics, or remote
Employer UsageHired by multiple clients or agenciesEmployed directly by healthcare providers

1099 Medical Coding involves working as an independent contractor, often remotely, with multiple clients, and handling tax responsibilities independently. Medical Coding can be employed directly by healthcare organizations or work freelance, with similar certification requirements. The key difference lies in employment status and work setup, but both roles require comparable skills and credentials.

Can 1099 medical coders be independent contractors?

Yes, 1099 medical coders are typically classified as independent contractors, meaning they work on a freelance basis rather than as employees. They often handle their own taxes, use coding software, and set their own schedules, depending on client arrangements and contractual terms.

What are popular job titles related to 1099 Medical Coding jobs in Iowa?

For 1099 Medical Coding jobs in Iowa, the most frequently searched job titles are:

Infographic showing various 1099 Medical Coding job openings in Iowa as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Medical coder

GDR Defense

Des Moines, IA • On-site

$18.25 - $24.50/hr

Full-time

Posted 17 days ago


Job description

GD Resources LLC is seeking an experienced, professionally certified Medical Coder to provide remote health information coding services in support of the Department of Veterans Affairs.

The Medical Coder will review clinical documentation and accurately assign ICD, CPT, HCPCS Level II, and related codes for inpatient, outpatient, professional-fee, ancillary, surgical, anesthesia, and pathology services. The successful candidate must consistently maintain at least 95% coding accuracy while meeting VA productivity and timeliness standards.

Candidates must reside within 50 miles of the nearest VA Medical Center. Protected health information must remain within U.S. jurisdiction.

Responsibilities
  • Review medical records and assign accurate ICD-CM, ICD-PCS, CPT, and HCPCS Level II codes.
  • Code inpatient episodes, outpatient encounters, professional services, ancillary services, and surgical cases.
  • Code anesthesia and pathology services associated with surgical procedures.
  • Apply appropriate modifiers, NCCI edits, E/M guidelines, and official coding requirements.
  • Assign Present on Admission indicators when required.
  • Abstract information into VA encoder and electronic health record systems.
  • Evaluate documentation to determine whether services are billable.
  • Identify insufficient documentation, duplicate encounters, coding errors, and unsupported services.
  • Re-review coding questioned because of billing edits, denials, audits, or retrospective reviews.
  • Submit daily reports identifying completed cases and assignment dates.
  • Maintain open and professional communication with VA personnel.
  • Participate in weekly meetings and additional meetings when required.
  • Address reported performance or turnaround issues within 24-48 hours.
  • Protect patient information and safeguard government equipment.
Performance Standards
  • Maintain a minimum coding accuracy rate of 95%.
  • Complete outpatient and ancillary encounters within three business days.
  • Complete inpatient professional-fee coding within three business days.
  • Complete inpatient facility episodes within five business days.
  • Complete surgical, anesthesia, and pathology coding within five business days of surgery.
  • Complete priority corrections and billing-support cases within one business day.
  • Meet applicable VA daily productivity requirements.
  • Minimize data-acceptance errors and promptly correct rejected records.
Schedule and Onboarding

During onboarding, the required schedule is 8:00 a.m.-4:30 p.m. Central Time, Monday-Friday, including eight working hours and a 30-minute unpaid lunch.

After maintaining the required accuracy and productivity standards for the applicable evaluation period, the coder may be approved to work an eight-hour shift between 6:00 a.m. and 5:00 p.m. Central Time.

Coders must remain available through Microsoft Teams during their approved shifts. Work outside the approved schedule or on federal holidays is not permitted.

Training Requirements
  • Complete approximately eight hours of government-provided annual training.
  • Attend training covering compliance, patient safety, performance improvement, risk management, infection control, fire protection, security, patient sensitivity, automated processing, HIPAA, and workplace safety.
  • Complete VA Security Awareness and Privacy Awareness training annually.
  • Provide signed training-completion certifications when required.
  • Maintain all continuing education units required for professional coding certification.
  • Complete any additional VA, facility, privacy, or information-security training assigned during the contract.
Required Qualifications
  • Current professional medical coding certification acceptable under the contract.
  • Demonstrated inpatient, outpatient, professional-fee, ancillary, and surgical coding experience.
  • Proficiency with ICD-CM, ICD-PCS, CPT, HCPCS Level II, modifiers, and NCCI edits.
  • Knowledge of surgical, anesthesia, pathology, and E/M coding.
  • Ability to maintain at least 95% coding accuracy.
  • Experience with encoders and electronic health record systems.
  • Strong knowledge of medical terminology, anatomy, physiology, and clinical documentation.
  • Ability to work independently while meeting strict productivity requirements.
  • Ability to safeguard PHI and comply with HIPAA, VA privacy, and security requirements.
  • Ability to pass applicable background and system-access requirements.
Conduct and Compliance
  • Maintain professional communication with VA personnel.
  • Cooperate with scheduled and unscheduled quality, compliance, patient-safety, and performance reviews.
  • Follow approved coding guidelines and established VA procedures.
  • Do not bill patients or accept compensation from patients for services performed under the contract.
  • Do not direct VA patients to outside providers or use government resources for personal business.
  • Maintain documentation supporting certification, experience, education, competency, and completed training.
  • Provide required personnel documentation securely before beginning work. Sensitive information should not be submitted through unsecured recruiting channels.
Equal Employment Opportunity

GD Resources LLC is an equal opportunity employer. We consider qualified applicants without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable law.