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Medical Record Coding Jobs in Kentucky (NOW HIRING)

Carespring

Medical Records

Cold Spring, KY · On-site

$14 - $22/hr

Provides notification to the staff on deficiencies found in the record and does follow-up to ensure ... Assigns ICD-9 CM codes for resident diagnoses. Inputs diagnoses and codes in HCS system.

New

UC Health

Certified Medical Assistant

Florence, KY · On-site

$16.75 - $21.75/hr

Using computer applications Answering telephones Greeting patients Updating and filing patient medical records Coding and filling out insurance forms Scheduling appointments Arranging for hospital ...

UC Health

Certified Medical Assistant

Florence, KY · On-site

$16.75 - $21.75/hr

Using computer applications Answering telephones Greeting patients Updating and filing patient medical records Coding and filling out insurance forms Scheduling appointments Arranging for hospital ...

HCA Healthcare

Inpatient Coding Auditor

Frankfort, KY · On-site

... medical record to support code assignments. What you will do in this role:  * Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan ...

PACS

Medical Records

Louisville, KY · On-site

$15.50 - $18.50/hr

... coding, indexing, etc., preferred but not required. On-the-job training provided in medical record and health information system procedures. Must be knowledgeable of medical terminology. Be ...

Humana

$25.50 - $29/hr

AAPC CPC (Certified Professional Coder) Certification * 2 or more years of medical record review knowledge * Familiar with coding guidelines (i.e. ICD-9/ICD-10) * Reside in AL, TN LA or MS

Humana

$25.50 - $29/hr

AAPC CPC (Certified Professional Coder) Certification * 2 or more years of medical record review knowledge * Familiar with coding guidelines (i.e. ICD-9/ICD-10) * Reside in AL, TN LA or MS

Humana

$25.50 - $29/hr

AAPC CPC (Certified Professional Coder) Certification * 2 or more years of medical record review knowledge * Familiar with coding guidelines (i.e. ICD-9/ICD-10) * Reside in AL, TN LA or MS

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How much do medical record coding jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for medical record coding in Kentucky is $26.05, according to ZipRecruiter salary data. Most workers in this role earn between $21.49 and $29.86 per hour, depending on experience, location, and employer.

What are some common challenges faced by professionals in Medical Record Coding, and how can they be addressed?

Medical Record Coding professionals often encounter challenges such as keeping up with frequent changes in coding standards (like ICD-10 and CPT updates), ensuring accuracy under time constraints, and interpreting complex medical documentation. These challenges can be addressed by participating in ongoing training, utilizing coding resources and guidelines, and collaborating closely with healthcare providers for clarification. Many organizations also support coders with software tools and regular team meetings to discuss difficult cases and share best practices.

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

To thrive as a Medical Record Coder, you need a strong understanding of medical terminology, anatomy, and coding systems such as ICD-10-CM and CPT, typically supported by certification like CPC or CCS. Familiarity with electronic health record (EHR) systems and coding software is essential for accurate data entry and retrieval. Attention to detail, analytical thinking, and strong organizational skills are valuable soft skills in this role. These skills ensure accurate documentation, compliance, and optimal reimbursement for healthcare providers.

What is medical record coding?

Medical record coding is the process of converting healthcare diagnoses, procedures, medical services, and equipment into universal alphanumeric codes. These codes are taken from medical record documentation, such as physician's notes, lab results, and radiologic findings. The coding process is essential for billing, insurance claims, and maintaining accurate patient records. Professionals who perform this work are known as medical coders, and they play a critical role in the healthcare revenue cycle and compliance.

What is the difference between Medical Record Coding vs Medical Billing?

AspectMedical Record CodingMedical Billing
Primary FocusAssigning codes to diagnoses and proceduresSubmitting claims and managing payments
CredentialsCertified Professional Coder (CPC), CCSCertified Professional Biller (CPB), CPC
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Industry UsageHealthcare providers, insurance

Medical Record Coding involves translating patient diagnoses and procedures into standardized codes, primarily for documentation and billing purposes. Medical Billing focuses on submitting claims to insurance companies and ensuring payment collection. While both roles require similar certifications and often work in healthcare settings, coding emphasizes accurate documentation, whereas billing centers on financial transactions.

What do medical record coders do?

Medical record coders review patient records and assign standardized codes for diagnoses, procedures, and services using coding systems like ICD and CPT. They ensure accurate documentation for billing, insurance claims, and healthcare data analysis, often working with electronic health record (EHR) systems and requiring attention to detail and certification such as CPC.

Is it hard to get hired as a medical coder?

Getting hired as a medical coder can be competitive, but having relevant certifications such as CPC or CCS and strong attention to detail improves job prospects. Employers often look for familiarity with coding software and understanding of medical terminology, which can help candidates stand out. Entry-level positions are available, but experience and certification can increase hiring chances.

Are medical coders still in demand?

Medical coders are currently in demand due to ongoing healthcare industry needs for accurate medical record documentation and billing. The role requires knowledge of coding systems like ICD-10 and CPT, and employment opportunities are expected to grow as healthcare services expand and electronic health records become more widespread.

What medical coder gets paid the most?

Senior medical coders, such as Certified Professional Coders (CPC) with extensive experience or those specializing in inpatient coding, tend to earn the highest salaries in medical coding. Advanced certifications, such as Certified Coding Specialist (CCS), and expertise in specific medical areas can also lead to higher pay. Salaries vary by location, employer, and level of experience, but senior and specialized roles generally offer the highest compensation.
What cities in Kentucky are hiring for Medical Record Coding jobs? Cities in Kentucky with the most Medical Record Coding job openings:
Medical Record Coding jobs near you
Infographic showing various Medical Record Coding job openings in Kentucky as of July 2026, with employment types broken down into 83% Full Time, 13% Part Time, 1% Temporary, and 3% Contract. Highlights an 78% Physical, 4% Hybrid, and 18% Remote job distribution, with an average salary of $54,176 per year, or $26 per hour.
Medical Records Technician (Coder - Inpatient)

Medical Records Technician (Coder - Inpatient)

Veterans Health Administration

Lexington, KY • On-site, Remote

$38K - $76K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Veterans Health Administration rating

8.1

Company rating: 8.1 out of 10

Based on 997 frontline employees who took The Breakroom Quiz

67th of 890 rated healthcare providers

Job description

Summary
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.
Learn more about this agency
Duties
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Total Rewards of a Allied Health Professional
Duties of the position will vary dependent on grade for which selected, but may include:
  • Selecting and assigning codes from the current versions of the International Classification of Diseases (ICD), Clinical Modification (CM), and Procedure Coding System (PCS) for inpatient facility MS-DRG coding, Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS) for inpatient professional coding.
  • Learn to select diagnosis, operation, or procedure codes based on the accepted coding practices, guidelines, conventions, and policy
  • Reviews record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data with guidance and instruction from supervisor or senior coder to develop knowledge of the organization and structure of an electronic patient record
  • Coding and documentation questions from providers are referred to a senior coder or supervisor for resolution or guidance
  • Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database in Austin, identified errors are reviewed with a senior coder or the supervisor and corrections made as directed
  • Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; develops use of health record applications as well as the encoder product suite
  • Maintains current knowledge of regulatory and policy requirements affecting coded information
  • Uses knowledge of the organization and structure of the patient health record to capture and justify code assignment
  • works within a team environment; supporting peers in meeting goals and deadlines, coping with frequently changing projects and deadlines
  • Identifies the principal diagnosis and principal procedure for every inpatient discharge for one specialty or subspecialty and/or for short stay and/or less complex inpatient stays
  • Identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group (DRG). Upon patient admission, codes the admission diagnosis for use by unit staff utilizing the current version of the ICD coding system
  • Searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record
  • Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs, at the direction of the supervisor, on unit operations, coding, abstracting, and use of an electronic health record
  • Establishes the primary and secondary diagnosis and procedure codes for inpatient professional encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters

Work Schedule: 0600-1800 (Flexible) Monday-Friday
Recruitment Incentive (Sign-on Bonus): Not Authorized
Permanent Change of Station (Relocation Assistance): Not Authorized
Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Available - Ad Hoc
Virtual: This is not a virtual position.
Functional Statement #: 30292F | 30291F | 30290F | 30289F | 30288F
Permanent Change of Station (PCS): Not Authorized
Requirements
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Conditions of employment
  • You must be a U.S. Citizen to apply for this job.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • your performance and conduct;
  • the needs and interests of the agency;
  • whether your continued employment would advance organizational goals of the agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
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

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About Veterans Health Administration

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, serving millions of Veterans each year. Located in Phoenix, AZ, and many other parts of the US, the VHA operates under the Department of Veteran Affairs, as suggested by their official website va.gov. The VHA is dedicated to providing the highest level of comprehensive care to its veterans. The organization offers a broad spectrum of medical, surgical, and rehabilitative care, including mental health services, research, and pharmacy benefits.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Phoenix, AZ, US

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