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1099 Medical Coding Jobs in Texas (NOW HIRING)

Medical Coding Instructor - PT

Victoria, TX · On-site

$8.50 - $11.25/hr

Allied Health Opening Date: 07/10/2026 Position Summary The Allied Health Continuing Education Department is recruiting for a part time Medical Coding Instructor to teach online classes. For more ...

Medical Coding Instructor - PT

Victoria, TX · On-site

$10.75 - $14.25/hr

Allied Health Opening Date: 07/10/2026 Position Summary The Allied Health Continuing Education Department is recruiting for a part time Medical Coding Instructor to teach online classes. For more ...

Services provided include medical coding, auditing, due diligence coding reviews, education and training, general compliance and research. This is an excellent opportunity for the right professional ...

Medical Coding Auditing Specialist 1 1

Austin, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical Coding Auditing consists of a systematic, unbiased, independent examination of medical documentation and coding to validate that all codes entered into the Military Health System (MHS ...

Medical Coding Auditing Specialist 1 1

San Antonio, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical Coding Auditing consists of a systematic, unbiased, independent examination of medical documentation and coding to validate that all codes entered into the Military Health System (MHS ...

Medical Coding and Billing

Houston, TX

$18 - $23/hr

Responsible for entering and coding patient services into our electronic medical record system. Sorts and files paperwork, handles insurance claims, and performs collections duties. Primary ...

Medical Coding and Billing

Houston, TX · On-site

$18 - $23/hr

Responsible for entering and coding patient services into our electronic medical record system. Sorts and files paperwork, handles insurance claims, and performs collections duties. Primary ...

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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 cities in Texas are hiring for 1099 Medical Coding jobs?

Cities in Texas with the most 1099 Medical Coding job openings:

Infographic showing various 1099 Medical Coding job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Medical Coding Specialist

University Health

San Antonio, TX

Full-time

Medical, PTO

Re-posted 23 days ago


University Of Nevada (Reno) rating

8.5

Company rating: 8.5 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

80th of 620 rated colleges and universities


Job description

Exciting Opportunity For Medical Coding Specialist at University Health in San Antonio!

Are you ready to make an impact in healthcare and be part of a nationally recognized, top-tier health system? University Health in San Antonio, Texas, is seeking a dynamic Coding Specialist to join our outstanding team. This position offers an exciting chance to work at one of the most innovative and award-winning hospitals in the region.

Why University Health?

  • Top 10% in the Nation for clinical excellence, recognized by U.S. News & World Report.
  • Magnet® Recognized Hospital – the highest national honor for nursing excellence.
  • A Leader in Patient Care – providing exceptional healthcare to our community with compassionate service.
  • Top-Tier Benefits – comprehensive health plans, generous paid time off, tuition reimbursement, and more!
  • Cutting-Edge Technology – work with the Epic EHR system and collaborate with experts across clinical, IT, and financial departments.
  • A Culture of Collaboration – join a team committed to high-quality service and patient care.

What You’ll Do:

As a Coding Specialist, you'll be the crucial link between clinical, financial, and IT teams. Your expertise will help maintain the highest standards for charge capture across all clinical services, ensuring accurate and timely charge entry. You’ll provide invaluable support to various clinical departments, leading training, identifying issues, and delivering actionable solutions.

Key Responsibilities:

  • Medical Coding:
    • Code inpatient, outpatient surgery, and observation visits accurately using ICD-9-CM and CPT coding systems.
  • Training:
    • Assist in training new coding technicians, providing guidance and support where needed.
  • Compliance & Quality Assurance:
    • Ensure coding meets regulatory requirements and health system standards.
  • Guest Relations:
    • Promote and adhere to the Health System's guest relations policy, maintaining professionalism and respect in all interactions.

Educational Requirements:

  • High school diploma or equivalent required.
  • Formalized education and training through an accredited coding program is mandatory.

Experience Requirements:

  • Minimum of three years of inpatient coding experience required.

Certifications:

  • Must possess one of the following certifications:
    • Registered Health Information Technician (RHIT)
    • Registered Health Information Administrator (RHIA)
    • Certified Coding Specialist (CCS)

Technical Skills:

  • Proficient in Microsoft Office products.
  • Knowledge of 3M Encoding and Grouping software.
  • Understanding of regulatory requirements related to coding.

Why Join Us? At University Health, you’ll be part of an organization that is dedicated to excellence, innovation, and collaboration. We believe in empowering our employees to succeed and grow—whether that’s advancing your career or enhancing your professional skills. Working at University Health means making a real difference in the lives of our patients and community.

Ready to take the next step in your career? Apply today and become part of the University Health family, where exceptional care and a supportive team environment are at the heart of everything we do!

University Health – Excellence in Patient Care, Excellence in Your Career.


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