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1099 Medical Coding Jobs in Baltimore, MD (NOW HIRING)

Experience with inpatient coding and DRG validation, including accuracy review, compliance monitoring, and reimbursement optimization. * 5+ years of direct medical coding or medical billing ...

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1099 Medical Coding information

See Baltimore, MD salary details

$15

$26

$37

How much do 1099 medical coding jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for 1099 medical coding in Baltimore, MD is $26.19, according to ZipRecruiter salary data. Most workers in this role earn between $21.49 and $29.38 per hour, depending on experience, location, and employer.

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 near Baltimore, MD are hiring for 1099 Medical Coding jobs?

Cities near Baltimore, MD with the most 1099 Medical Coding job openings:

Infographic showing various 1099 Medical Coding job openings in Baltimore, MD as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $54,470 per year, or $26.2 per hour.

Medical Coding Specialist

Middle River, MD • Remote

$26 - $30/hr

Full-time

Re-posted 24 days ago


Job description

Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Our employees are the strength of our service. Intrastaff is unique because it's one of the very few agencies where a person has the benefit of being a temporary employee and also feels like a member of a large organization. Working at Hopkins means joining a culturally diverse team that includes some of the best nurses, physicians and allied health professionals in the world. Directly or indirectly, you'll have exposure to cutting-edge technology and groundbreaking medical research.

Schedule:

  • Monday- Friday
  • 8:00am-4:30pm or 8:30am-5:00pm

Location:

  • 100% remote
  • Equipment will be provided by department
  • In-home internet is required
  • Candidates are required to hold permanent residence in one of the following states:
    • Maryland, Pennsylvania, Virginia, Delaware, Washington D.C., or Florida

Pay Range:

  • $26-30 per hour

Note: This is a single position that may be listed under different titles to reflect common industry search terms, including Medical Coding Specialist, Physician Coding Specialist, Clinical Coding Specialist, Medical Coder, or Coding Specialist. The responsibilities and requirements for this role are identical regardless of title used.


  • Assigns diagnosis and procedure codes to professional billing encounters based on medical record documentation and applicable coding guidelines.
  • Reviews and codes moderately complex cases, including encounters involving multiple diagnoses, comorbid conditions, or complex documentation scenarios.
  • Utilizes revenue cycle and coding systems to review assigned work queues, identify coding-related claim issues, and independently resolve routine and moderately complex discrepancies.
  • Collaborates with providers and clinical staff to clarify documentation and improve the quality and completeness of clinical documentation to support accurate coding and billing.
  • Participates in coding quality assurance activities and ensures compliance with federal, state, payer, and organizational coding guidelines while maintaining productivity and quality standards.
  • Core Coding Focus: This role involves professional fee coding in a physician-based environment and includes work with CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation & Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement. 

  • Minimum of an Bachelors Degree in HIM, Medical Coding, or related field; or a minimum of high school diploma or GED and 2 years work experience in medical coding can be substituted for Bachelors Degree
  • CPC (AAPC Certified Professional Coder), CCA (Certified Coding Associate), or CCS-P (Certified Coding Specialist – Physician) certification is required.

  • Knowledge of Medicare, Medicaid, and commercial payer policies, including coding compliance standards and regulatory requirements

  • Demonstrated knowledge of CPT and HCPCS coding systems, medical terminology, anatomy and physiology, and professional billing coding guidelines
  • Demonstrated knowledge of ICD10 is required
  • Experience utilizing coding and revenue cycle systems to review work queues, resolve coding edits, and support accurate claim submission

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.