Medical Billing and Coding

Is there a local hospital in the small town? If so, certtification plus your CPA license may be a fine advantage for you.

Where I live you cannot get a job in medical billing and coding without education/certification. Some places will hire if you have the education and will be taking the test for certification soon. However, I live in a big city and it's a very competitive field here. It might be different in smaller towns.

You have a CPA, so you should be looking for a job in HR and administration at any company. You could also open up a tax prep business. Or, move to a bigger town if a small town will run out of options more quickly due to economy fluctuations. You could also try to get freelance accounting jobs that are online through Elance.com. The medical billing/coding job will look kind of odd with your background. You could be making so much more if you focused on pure accounting jobs. I believe medical field is being digitized so that info flows directly now, so medical billing, coding and transcription jobs are dying.