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Medical Record Coding Jobs in Virginia (NOW HIRING)

U.S. Department of Defense (DOD)

$51K/yr

There are two vacancies at the Naval Medical Center Portsmouth. These positions fall under the ... with coding regulations; 2) Identifying errors, trends, and/or concerns regarding diagnosis ...

InGenesis

Medical Records Technician

Bowling Green, VA · On-site

$35K - $48K/yr

Determines coding for relevant medical record forms from appropriate references. * Files/scans laboratory, radiology, and other reports in appropriate sections of the electronic medical record within ...

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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 Aug 16, 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.

Medical Record Coding jobs near you
Infographic showing various Medical Record Coding job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $61,842 per year, or $29.7 per hour.

Senior Coding Specialist

Chesapeake Regional Healthcare

Chesapeake, VA • On-site, Remote

Full-time

Re-posted 18 days ago

Chesapeake Regional Healthcare rating

6.9

Company rating: 6.9 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

The Senior Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records.
Essential Duties and Responsibilities
  • Code diagnostic and procedural information from the record using ICD-10-CM/PCS and CPT-4/HCPCS classification systems. Utilize a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal intermediary guidelines.

  • Work cooperatively with the medical staff and other health care professionals in obtaining documentation to complete medical records and ensure quality coding.

  • Select the DRG for each inpatient discharge and APC for each outpatient visit. Ensure coding compliance based on approved coding guidelines and conventions.

  • Abstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visit. Complete and verify diagnostic and demographic information.

  • Enter patient information into computerized inpatient and outpatient medical record databases. Ensure accuracy and integrity of medical record abstract data prior to billing interface and claims submission.

  • Routinely code Emergency Department records and enter E&M charges the majority of productive time. Meet productivity and quality standards for emergency department coding routinely. Code inpatient, outpatient surgery and ancillary records as determined by Coding Operations Manager.

  • Provide compliance/documentation education sessions to physicians and hospital staff as requested.

  • Investigate, respond to, and communicate information regarding coding, documentation, and compliance questions relating infusions and injections performed in the Emergency Department and OBV. Charge capture for Observation, Emergency Department.

  • Consistently maintain established productivity requirements and maintain a 96% or greater accuracy rate.

  • Attend other continuing education functions as necessary to maintain credentials, regardless of whether the educational programs are supported by the Department budget.

Education and Experience
Education: One of the following credentials are required - CCS, CPC, COC, RHIA, RHIT. Successful completion of a coding certificate program with AHIMA approval status is preferred.
Experience: Four or more years recent experience coding in an acute hospital setting required with coding ability demonstrated via a skills assessment. Must be able to operate or utilize fax machine, copy machines, microfiche reader/printer and Windows-based computer functions.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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