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1099 Medical Coding Jobs in Kentucky (NOW HIRING)

RN - L&D

Mayfield, KY · On-site

$2.2K/wk

Health Vision Dental Life insurance Client Details Address 1099 Medical Center Circle City Mayfield State KY Zip Code 42066

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1099 Medical Coding information

What are the key skills and qualifications needed to thrive as a 1099 Medical Coder, and why are they important?

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 field of medical coding pays the most?

In medical coding, specialized fields such as inpatient hospital coding, anesthesia coding, and coding for highly complex procedures tend to offer higher salaries. Certified coders with advanced skills, certifications like CPC-H or CCS, and experience in these areas typically earn more. Senior roles and those working in outpatient or specialty settings also tend to have higher pay scales.

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.

Can you be a freelance medical coder?

Yes, medical coders can work as freelancers, providing coding services to healthcare providers, billing companies, or insurance companies. Freelance medical coders typically need certification, such as CPC or CCS, and must stay current with coding guidelines and regulations. They often work remotely and set their own schedules.

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.

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.

Will AI eventually replace medical coders?

Medical coders play a crucial role in translating healthcare diagnoses and procedures into standardized codes, and AI tools are increasingly used to assist with coding tasks. However, human oversight is essential to ensure accuracy, interpret complex cases, and maintain compliance, so AI is more likely to augment rather than fully replace medical coders in the foreseeable future.

What pays more, CCS or CPC?

In medical coding, Certified Coding Specialist (CCS) credentials generally lead to higher pay compared to Certified Professional Coder (CPC) credentials, as CCS is often required for hospital coding roles and is considered more advanced. However, salaries also depend on experience, location, and employer, with CCS-certified coders typically earning a premium. Both certifications are valuable, but CCS tends to offer higher earning potential in the industry.
What cities in Kentucky are hiring for 1099 Medical Coding jobs? Cities in Kentucky with the most 1099 Medical Coding job openings:
Infographic showing various 1099 Medical Coding job openings in Kentucky as of July 2026, with employment types broken down into 73% Full Time, 10% Part Time, and 17% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Medical Records Technician (Coder - Inpatient)

SD Department of Veterans Affairs

Lexington, KY • On-site

$38K/yr

Other

Posted 17 days ago


Job description

Medical Record Technicians (MRTs) (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. MRTs apply knowledge of medical record content, terminology, anatomy, diseases processes, and official coding guidelines to assign codes to the most basic and routine inpatient facility and/or professional services.
Qualifications:Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Basic Requirements:
  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • English Language Requirement: Must be proficient in spoken and written English
  • Certification: Must meet one of the 3 required certifications listed below
    • Apprentice/Associate Level Certification through AHIMA or AAPC.
    • Mastery Level Certification through AHIMA or AAPC.
    • Clinical Documentation Improvement Certification through AHIMA or ACDIS.
  • (1) Experience - One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records; OR,
  • (2) Education - An associate degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR
  • (3) Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. The training program must have led to eligibility for coding certification/certification examination, and the sponsoring academic institution must have been accredited by a national U.S. Department of Education accreditor, or comparable international accrediting authority at the time the program was completed; OR
  • (4) Experience/Education Combination - Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. The following educational/training substitutions are appropriate for combining education and creditable experience:
    • (a) Six months of creditable experience that indicates knowledge of medical terminology, general understanding of medical coding and the health record, and one year above high school, with a minimum of 6 semester hours of health information technology courses.
    • (b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service, under close medical and professional supervision, may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and health record techniques and procedures. Also, requires six additional months of creditable experience that is paid or non-paid employment equivalent to an MRT (Coder).
May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).
Grade Determinations:
GS-4 -
  • Experience - None above the Basic Requirements
GS-5 -
  • Experience - One year of creditable experience equivalent to the next lower grade level; OR
  • Education - Successful completion of a bachelor's degree from an accredited college or university recognized by the U.S. Department of Education, with a major field of study in health information management or a related degree with a minimum of 24 semester hours in health information management or technology.
  • Demonstrate all of the following knowledge, skills, and abilities (KSA):
    • Ability to use health information technology and various office software products used in MRT (Coder) positions (e.g., the electronic health record, coding and abstracting software, etc.).
    • Ability to navigate through and abstract pertinent information from health records.
    • Knowledge of the ICD CM and PCS Official Conventions and Guidelines for Coding and Reporting.
    • Ability to apply knowledge of medical terminology, human anatomy/physiology, and disease processes to accurately assign codes to inpatient records based on health record documentation.
    • Knowledge of The Joint Commission requirements, CMS, and/or health record documentation guidelines.
    • Ability to manage priorities and coordinate work to complete duties within required timeframes and the ability to follow-up on pending issues.
GS-6 -
  • Experience - One year of creditable experience equivalent to the next lower grade level, and
  • Demonstrated Knowledge, Skills, and Abilities - In addition to the experience above, the candidate must demonstrate all of the following KSAs:
    • Ability to analyze the health record to identify all pertinent diagnoses and procedures for coding and to evaluate the adequacy of the documentation.
    • Ability to determine whether health records contain sufficient information for regulatory requirements, are acceptable as legal documents, are adequate for continuity of patient care, and support the assigned codes. This includes the ability to take appropriate actions if health record contents are not complete, accurate, timely, and/or reliable.
    • Ability to apply laws and regulations on the confidentiality of health information (e.g., Privacy Act, Freedom of Information Act, and HIPAA).
    • Ability to accurately apply the ICD CM and PCS Official Conventions and Guidelines for Coding and Reporting to various coding scenarios.
    • Comprehensive knowledge of current classification systems, such as ICD Clinical Modification (CM) and PCS, CPT, and HCPCS, and skill in applying said classifications to inpatient records based on health record documentation.
    • Knowledge of complication or comorbidity/major complication or comorbidity (CC/MCC), and POA indicators to obtain correct Medicare Severity Diagnosis Related Group (MS-DRG).
GS-7 -
  • Experience - One year of creditable experience equivalent to the next lower grade level, and
  • Demonstrated Knowledge, Skills, and Abilities - In addition to the experience above, the candidate must demonstrate all of the following KSAs:
    • Skill in applying current coding classifications to a variety of inpatient specialty care areas to accurately reflect service and care provided based on documentation in the health record.
    • Ability to communicate with clinical staff for specific coding and documentation issues, such as recording diagnoses and procedures, the correct sequencing of diagnoses and/or procedures, and the relationship between health record documentation and code assignment.
    • Ability to research and solve coding and documentation related issues.
    • Skill in reviewing and correcting system or processing errors and ensuring all assigned work is complete.
    • Ability to abstract, assign, and sequence codes, including complication or comorbidity/major complication or comorbidity (CC/MCC), and POA indicators, to obtain correct MS-DRG.

Qualifications Section continued... Please see "Education Section"Education:...Qualifications Continued...
GS-8 -
  • Experience - One year of creditable experience equivalent to the next lower grade level, and
  • Demonstrated Knowledge, Skills, and Abilities - In addition to the experience above, the candidate must demonstrate all of the following KSAs:
    • Ability to analyze the health record to identify all pertinent diagnoses and procedures for inpatient coding and to evaluate the adequacy of the documentation. This includes the ability to read and understand the content of the health record, the terminology, the significance of the comments, and the disease process/pathophysiology of the patient.
    • Ability to accurately perform the full scope of inpatient coding, including inpatient discharges, surgical cases, diagnostic studies and procedures, and inpatient professional services.
    • Skill in interpreting and adapting health information guidelines that are not completely applicable to the work or have gaps in specificity, and the ability to use judgment in completing assignments using incomplete or inadequate guidelines.

Preferred Experience: Required coding credential through either the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). Previous inpatient coding experience preferred
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-8.
Physical Requirements: The work is primarily sedentary. There is walking, bending and reaching required such as for filing or locating material, and carrying items such as reports, documents, and supplies. Entering data and word processing on a personal computer may result in physical problems from the effects of repetitive motion and eyestrain. A portion of each day is spent in the laboratory, sorting and preparing samples for testing, which involves periods of standing.
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.Employment Type: OTHER