Get medical billing and coding training. Contact a vocational school, community college or online school that offers a medical coding or degree. Sign up and complete the program so that you know all the codes for medical billing and how to perform the work of a medical coder.

Working in an office. Successful medical coding program provides the knowledge you need to start a business, you may want to work as a medical coder in a hospital or doctor's office for practical training. This allows you to learn the daily tasks of the job, you align with insurance companies and offers you the opportunity to do business with the doctor or hospital when you start your own business.

Write a business plan. Put together a formal business plan that includes goals, objectives, marketing strategies and information about the target market for your business. For example, you can set a target to land at least five doctors' offices in your first year and to $ 50 000 in business income. According to the Electronic Medical Billing Network of America, a nosologist about $ 10,000 per year per physician.

Configure your home office. Select a location in your home to establish your office. This may be a spare bedroom or a finished basement or attic. Ideally, you want a space that is quiet and closed the distractions of the rest of the house, and big enough to contain a desk, telephone, computer and medical billing and coding reference books.

Choose a business structure. Decide if you want to manage your business as a sole proprietorship, LLC, a company or a partnership.

Register business with the state. Choose a name for the company and communicate with the office of Secretary of State in the state where the home business is located. This office will provide you with the application and a list of forms you need to register the business according to the structure you choose.

Application for business license. Contact the Division of county or city business license and obtain a business license.

Obtaining a zoning permit. Many counties and cities need a home business to have a home office license. Contacting the office of zoning of the city or county where your house for information on obtaining the permit.

Contact the offices of doctors and hospitals to offer your services. Contact the office manager or human resources manager for the doctor's office or hospital you are interested in doing business will be. Find out if they have medical coders and billers on staff or if they outsource this work.