Some Ideas...Help! No job yet..
Being a CPC-A is a big challenge because its very hard to gain the experience you need to have that A removed from your title. Look for contract jobs at Xerox and HP. I know that HP has many Medicaid accounts from various states. You can get exposure to your state medicaid that will apply towards your experience. Create a profile on dice.com and indeed.com.
If you have some technical experience, try to get into electronic health record application support, ambulatory, revenue capture etc.
Some of these agencies will require that you have some experience in using EPIC, Mc Kesson, Optum, Allscripts, etc in order to be considered as a candidate. Bonus points if you have go-live experience.
As for knowledge, its hard to maintain knowledge of the coding and billing guidelines, however you do get the magazine from AAPC that does provide updates to the guidelines and you can use this to maintain a foundation of coding and billing until you get that job. Check out other web sites for coding and billing guidelines
Look for on call jobs at your local hospitals and clinics. Even as an Admin Clerk you will get your foot in the door for opportunities.
You will have a lot of challenges and work ahead of you to get that opportunity in coding but keep your eyes open and find the best approach to land your next job (contract or full-time).
Buena Suerte, Jeff