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Independent Contractor Medical Coder Jobs in Lexington, KY

R1 RCM

Clinical Coding Appeals Nurse

Frankfort, KY · On-site

$65K - $116K/yr

... independent, production-driven position. Here's what you will experience working as a Clinical Coding Appeals Nurse: * Review and interpret medical records to appeal denied and underpaid claims.

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Independent Contractor Medical Coder information

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How much do independent contractor medical coder jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for independent contractor medical coder in Lexington, KY is $19.75, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $21.15 per hour, depending on experience, location, and employer.

What is an independent contractor medical coder?

Independent Contractor Medical Coders are professionals who review and assign standardized codes to medical diagnoses and procedures for healthcare providers, but work on a freelance or contract basis rather than as full-time employees. They help ensure that healthcare claims are accurately coded for insurance reimbursement and compliance with regulations. As independent contractors, they typically set their own schedules, manage multiple clients, and are responsible for their own business expenses and taxes. This role requires strong knowledge of medical terminology, coding systems like ICD-10 and CPT, and attention to detail.

What are the key skills and qualifications needed to thrive as an independent contractor medical coder?

To thrive as an Independent Contractor Medical Coder, you need a thorough understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and compliance regulations, typically supported by certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, medical billing software, and secure file transfer tools is essential. Strong attention to detail, time management, and effective communication are crucial soft skills for remote collaboration and accurate coding. These competencies ensure precise medical record documentation, regulatory compliance, and reliable revenue cycle management for healthcare providers.

What are some common challenges faced by independent contractor medical coders, and how can they be addressed?

Independent contractor medical coders often face challenges such as managing fluctuating workloads, staying updated with changing coding regulations, and ensuring secure handling of sensitive patient data without the support of an in-house IT team. To address these, it’s essential to maintain strong organizational skills, invest in regular professional development, and use secure, HIPAA-compliant software. Building strong relationships with clients and networking with other coders can also help in navigating changes and finding new opportunities.

What is the difference between Independent Contractor Medical Coder vs Medical Coder?

AspectIndependent Contractor Medical CoderMedical Coder
CredentialsCertification (e.g., CPC, CCS)Certification (e.g., CPC, CCS)
Work EnvironmentRemote or freelanceHospital, clinic, or remote
EmployerSelf-employed or contractedEmployed by healthcare facility or organization

The main difference is that an Independent Contractor Medical Coder works independently, often on a freelance basis, providing coding services to multiple clients. In contrast, a Medical Coder is typically employed directly by a healthcare facility. Both roles require similar certifications and skills, but their work arrangements and employment status differ significantly.

Can independent contractor medical coders be independent contractors?

Yes, independent contractor medical coders typically work as independent contractors, providing coding services on a freelance basis rather than as employees. They often set their own schedules, use coding software, and may need certifications like CPC or CCS. This arrangement allows flexibility but also requires managing taxes and client relationships independently.

How to be an independent contractor medical coder?

To become an independent contractor medical coder, you typically need to complete medical coding training and obtain relevant certifications such as CPC or CCS. You should also develop strong knowledge of medical terminology, coding guidelines, and billing software, and establish a professional network or client base to secure freelance work. Flexibility and self-management skills are essential for working independently in this role.

What are the most commonly searched types of Medical Coder jobs in Lexington, KY?

The most popular types of Medical Coder jobs in Lexington, KY are:

What cities near Lexington, KY are hiring for Independent Contractor Medical Coder jobs?

Cities near Lexington, KY with the most Independent Contractor Medical Coder job openings:

Independent Contractor Medical Coder jobs near you

Clinical Coding Appeals Nurse

Frankfort, KY • On-site

R1 RCM
Health Care and Social Assistance • 10K+ employees
Learn more about R1 RCMexternal

$65K - $116K/yr

Other

Posted 5 days ago

R1 RCM rating

6.8

Company rating: 6.8 out of 10

Based on 189 frontline employees who took The Breakroom Quiz

138th of 154 rated financial services

Job description

Remote, USA

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Remote, KY

Remote, IN

Full time

R260000006282

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As our Clinical Coding Appeals Nurse , you will help review and interpret medical records to draft appeals of denied and underpaid claims. Every day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes. Then you will draft appeal letters based on clinical judgment and knowledge and make coding change suggestions to our clients based on ICD-9/10 CM & PCS, CPT, HCPCS, and NCCI guidance. To thrive in this role, you must have experience identifying different types of hospital documentation including, but not limited to, medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters. Proficiency in basic computer skills (proficiency in MS office tools - Adobe, Excel) is essential for excelling in this remote, independent, production-driven position.

Here’s what you will experience working as a Clinical Coding Appeals Nurse:

  • Review and interpret medical records to appeal denied and underpaid claims.

  • Apply clinical judgment and knowledge for DRG downgrades performed because of a Clinical Validation Review by an insurer or third-party auditor.

  • Draft appeal letters that are well-written, logically structured, and persuasive, utilizing ICD-9/10 CM & PCS, CPT, HCPCS, NCCI guidance.

  • Ensure that all appeals are completed promptly to ensure internal and external compliance deadlines are met.

Required Skills:

  • Bachelor's Degree in Nursing is required.

  • 5 years of inpatient clinical experience

  • Certified Coding Specialist (CCS - AHIMA) or Certified Professional Coder (CPC - AAPC)

  • Active Registered Nurse is strongly preferred. (LPNs with acute, inpatient care clinical experience will be considered in place of an RN, based on clinical experience and certifications).

For this US-based position, the base pay range is $65,000.00 - $116,747.20 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

This job is eligible to participate in our annual bonus plan at a target of 10.00%

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package. (http://go.r1rcm.com/benefits)

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)

To learn more, visit: R1RCM.com

Visit us on Facebook (https://www.facebook.com/R1RCM)

R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com .

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About R1 RCM

Sourced by ZipRecruiter

R1 RCM, Inc., based in Salt Lake City, UT, US, is a leading provider of technology-enabled revenue cycle management services which transform and solve revenue cycle performance challenges across hospitals, health systems, and physician groups. R1’s proven, scalable operational model seamlessly complements a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows. Founded in 2003, the company was initially named Accretive Health. It became R1 RCM in 2017 following a significant commitment by Ascension, the largest non-profit health system in the U.S., to long-term partnerships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Murray, UT, US

Year founded

2003

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