It's difficult, but rewarding!
I often try to tell new comers to keep being persisitant. I graduated in 2006, and it took me nine months to find my first coding job. My first job was working in the hospital. When they laid me off due to downsizing, I was crushed. I thought I would never get back into the field again! Then 3 months later, I found a job that honored my CPC-A, and brought me into the new income bracket.
The moral of the story: It takes persistance! I had been on hundreds of interviews and sent out thousands of resumes. I also drive more than an hour commute, but I know it will be worth the experience I'm getting. From what I've witnessed through other indiviuals, when you are credentialed and have a minimum of three years, you can go anywhere and will always have a job!
It's terrible what these associations and schools do to people. They make it seem automatically you are destined for a job, making 35,000 plus a year!!! That's not true in any field of study! I've learned education and credentials help alot, but experience is the most important.
When you get into the door, start pursing your education and credentials. This will make you an even more valuable asset. However, I only suggest getting your credentials through AHIMA and the AAPC. The other organizations are schemes to make money, and no employer really recognize them. At least the greater majority, anyways.
So keep persistant....it will come! I'm living proof! Continue to make sacrifices to get experience, and from there broaden your horizons. Maintain your CPC, get that CCS, and go to school for your RHIT and/or RHIA. From there you'll be a coding powerhouse! Best wishes!
Check this site out
www.him-coding.com