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Medical Record Coding Jobs in Virginia (NOW HIRING)

The US Oncology Network

Medical Records Tech

Wytheville, VA · On-site

$13.27 - $20.41/hr

Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and ... Keeps a record of new patients for weekly physicians OCM meetings Follows policies and procedures ...

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Medical Record Coding information

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$5

$29

$46

How much do medical record coding jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for medical record coding in Virginia is $29.73, according to ZipRecruiter salary data. Most workers in this role earn between $24.57 and $34.09 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.
Medical Record Coding jobs near you
Infographic showing various Medical Record Coding job openings in Virginia as of July 2026, with employment types broken down into 1% Internship, 1% As Needed, 85% Full Time, 10% Part Time, 1% Temporary, and 2% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution, with an average salary of $61,842 per year, or $29.7 per hour.
Medical Records Coder 4 - Inpatient

Medical Records Coder 4 - Inpatient

Inova Health System

Fairfax, VA • On-site

$18.50 - $24.75/hr

Other

Medical, Dental, Vision, PTO

Posted 4 days ago

Job description

Inova Systems Operations is looking for a dedicated Medical Records Coder 4 for Inpatient. This role will be full-time day shift with a negotiable schedule.

This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

  • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.

  • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.

  • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.

  • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.

  • Work/Life Balance: offering paid time off and paid parental leave.

Medical Records Coder 4 - Inpatient - Job Responsibilities:

The Medical Records Coder 4 Inpatient will assign ICD-10-CM/PCS codes for appropriate Diagnosis Related Group assignments. This role will assign appropriate discharge dispositions/destinations, admission sources, procedure dates and performing providers. Assigning accurate and complete Present on Admission status indicators is of vital importance. Ensuring that Coding records are in line with productivity standards and quality expectations is required.

* Assigns Diagnosis Related Groups that are supported by medical record documentation for Inpatient records.

* Assigns Discharge Disposition that is supported by medical record documentation for Inpatient records.

* Ensures that coded records align with productivity standards and quality expectations.

* Assigns accurate/complete ICD-10-CM/PCS codes and Present on Admission status indicators that are supported by medical record documentation for Inpatient records.

Minimum Qualifications:

  • Education: High School Diploma or GED
  • Experience: Two years of experience directly related to facility inpatient coding in ICD-10-CM/PCS.
  • Certification: Registered Health Information Administrator; RHIA, RHIT or CCS certification.

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