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How much do medical billing coding specialist jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for medical billing coding specialist in the United States is $21.96, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $23.08 per hour, depending on experience, location, and employer.

What are some common challenges faced by medical billing coding specialists, and how can they be managed?

Medical Billing Coding Specialists often encounter challenges such as keeping up with frequent changes in coding regulations, managing claim denials, and ensuring accuracy under tight deadlines. Staying updated through regular training and professional development can help address regulatory changes. Developing strong attention to detail and effective communication with healthcare providers and insurance companies is crucial for resolving denials and maintaining accuracy. Many specialists also benefit from using advanced billing software and collaborating closely with their team to streamline workflows.

What are the key skills and qualifications needed to thrive as a medical billing coding specialist, and why are they important?

To thrive as a Medical Billing Coding Specialist, you need a solid understanding of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and healthcare reimbursement processes, typically backed by a certification like CPC or CCS. Familiarity with electronic health record (EHR) systems, medical billing software, and claims processing platforms is essential. Attention to detail, organizational skills, and effective communication are standout soft skills for accuracy and resolving billing issues. These competencies are crucial for ensuring correct claims submission, minimizing errors, and supporting the financial health of healthcare organizations.

How much can you make as a medical billing coding specialist?

Medical billing coding specialists typically earn a median annual salary of around $45,000 to $55,000, with experienced professionals or those with certifications earning higher. Salaries can vary based on location, experience, and whether they work in hospitals, clinics, or insurance companies. Strong knowledge of coding systems like ICD-10 and CPT can improve earning potential.

What is the difference between Medical Billing Coding Specialist vs Medical Records Technician?

AspectMedical Billing Coding SpecialistMedical Records Technician
CertificationsCertified Professional Coder (CPC), Certified Coding Associate (CCA)Registered Health Information Technician (RHIT)
Work EnvironmentHospitals, clinics, physician offices, insurance companiesHospitals, clinics, health information departments
Primary ResponsibilitiesAssigning codes for billing, submitting insurance claimsOrganizing, maintaining, and retrieving patient records

The Medical Billing Coding Specialist focuses on coding patient diagnoses and procedures for billing purposes, while the Medical Records Technician manages and maintains patient health records. Both roles require knowledge of healthcare documentation, but their core functions differ in billing versus record management.

What is a medical billing coding specialist?

Medical Billing Coding Specialists are healthcare professionals who manage patient data related to medical billing and coding. They assign standardized codes to diagnoses and procedures, which are then used for billing insurance companies and keeping accurate medical records. Their work ensures that healthcare providers are reimbursed properly and that patient records comply with regulations. These specialists typically work in hospitals, clinics, or insurance companies and must stay updated with coding standards and healthcare laws.
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Medical Billing Coding Specialist jobs near you
Infographic showing various Medical Billing Coding Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $45,672 per year, or $22 per hour.

Medical Billing and Coding Specialist ( IN PERSON )

Lumera Healthcare

Paducah, KY • On-site

$18.50 - $23.50/hr

Full-time

Posted 9 days ago

Job description

Salary: 17.50-24.00

Medical Billing & Coding Specialist

Position Summary

The Medical Billing & Coding Specialist is responsible for managing insurance billing, claims processing, coding accuracy, and collection activities. This role ensures timely reimbursement, maintains compliance with coding guidelines, identifies documentation gaps, and works collaboratively with clinical and administrative teams to support accurate billing practices.

This is an on-site position and is not remote.

Education, Experience, and Certification Requirements

  • High school diploma, GED, or equivalent required.
  • Associate degree, bachelors degree, or relevant experience in medical records, healthcare administration, billing, or claims processing preferred.
  • Experience with Kentucky Medicaid, medical billing, coding, insurance claims, or revenue cycle management preferred.
  • Certification preferred:
    • Certified Coding Associate (CCA) through AHIMA
    • Certified Coding Specialist (CCS) through AHIMA
    • Certified Professional Coder (CPC) through AAPC
    • Or equivalent coding certification.

Essential Responsibilities and Duties

Billing & Claims Management

  • Manage insurance billing and collections processes.
  • Process, submit, track, and follow up on insurance claims to ensure accuracy and timely reimbursement.
  • Review unpaid claims and resolve billing issues with insurance companies.
  • Post Electronic Remittance Advice (ERA) payments and reconcile payment discrepancies.
  • Maintain accurate records of billing and collection activities.
  • Monitor accounts receivable and identify trends or issues impacting reimbursement.
  • Generate monthly reports to track billing and collection performance.

Medical Coding & Documentation Review

  • Assign accurate medical codes for reimbursement, compliance, and reporting purposes according to current coding guidelines.
  • Review and verify documentation supporting diagnoses, procedures, and treatment outcomes.
  • Analyze medical records and identify documentation deficiencies.
  • Audit clinical documentation and coded data to ensure services rendered are supported and compliant.
  • Identify coding discrepancies, billing concerns, and potential compliance issues.
  • Research, analyze, and recommend corrective actions to prevent future coding errors.
  • Ensure proper coding conventions and regulatory requirements are followed.
  • Serve as a coding resource and subject matter expert for clinical and administrative staff.

Data & Reporting

  • Research and analyze data needs related to reimbursement and billing performance.
  • Maintain accurate billing records and documentation.
  • Utilize Excel for reporting, including:
    • Sorting and filtering data
    • Pivot tables
    • VLOOKUP functions
    • Data analysis and reporting

Training & Support

  • Provide guidance and support to other billing and coding staff.
  • Assist with orientation, training, and mentoring of team members.
  • Provide ongoing education and support related to coding standards and billing processes.
  • Participate in special projects and additional duties as assigned.

Required Skills and Qualifications

  • Strong attention to detail and excellent organizational skills.
  • Ability to analyze medical documentation and identify discrepancies.
  • Knowledge of insurance billing processes, claims management, and reimbursement practices.
  • Strong understanding of medical terminology, coding guidelines, and healthcare compliance.
  • Ability to work independently while maintaining accuracy and productivity.
  • Excellent communication and customer service skills.
  • Proficiency in Microsoft Excel and billing software systems.

Work Environment

  • This position is performed on-site and is not eligible for remote work.
  • Requires collaboration with clinical, administrative, and billing teams.
  • Must maintain confidentiality and comply with HIPAA regulations.