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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 Specialist

Pain Treatment Centers of America

Little Rock, AR • On-site

$15 - $19.25/hr

Full-time

Re-posted 9 days ago

Pain Treatment Centers Of America rating

7.6

Company rating: 7.6 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Description:

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement.

This position may offer the opportunity to work from home, depending on experience and performance.

Key Responsibilities:

Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations.

  • Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses.
  • Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements.
  • Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission.
  • Utilize EHR/EMR platforms (such as Epic, Meditech, PrognoCis) for documentation, coding, and billing workflows.
  • Research and resolve billing discrepancies or claim denials.
  • Prepare and submit insurance appeals, ensuring compliance with payer guidelines.
  • Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage.
  • Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.).
  • Collaborate with clinical staff and providers to ensure accurate coding and documentation within electronic systems.
  • Track accounts receivable and follow up on outstanding claims to maximize revenue.
Requirements:

Qualifications:

  • High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Billing & Coding, or related field preferred.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification strongly preferred.
  • Minimum of 2 years of experience in medical billing, coding, insurance follow-up, and working within EHR/EMR systems.
  • Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
  • Hands-on experience with electronic health record (EHR) and electronic medical record (EMR) systems, including Epic, Meditech, and/or PrognoCis.
  • Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations.
  • Experience creating cost estimates for medical procedures.
  • Skilled in preparing and submitting appeals for denied claims.
  • Proficiency with medical billing software and electronic health record (EHR) systems.
  • Strong attention to detail, problem-solving, and organizational skills.
  • Excellent written and verbal communication skills.

Preferred Skills:

  • Experience with Medicare/Medicaid billing and commercial insurance.
  • Advanced knowledge of EHR/EMR workflows and system navigation.
  • Ability to work independently and manage multiple tasks in a fast-paced environment.
  • Customer service experience in a healthcare setting.

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