Entry-Level Medical Billing and Coding Specialist Salary in Montgomery, AL: $19,056 (2026)
Quick Answer:New medical billing and coding specialists entering the Montgomery, AL job market in 2026 can expect a starting salary around $19,056 (BLS 10th-percentile benchmark for SOC 29-2072, projected from 2025 OEWS data). Stripping out Montgomery's local price level (BEA RPP 89.7 — 10% below national), a first-year paycheck buys what $21,248 would in average-cost America. Most reach the city median ($26,807) within a few years of clinical practice.
Official BLS data · View source

For individuals stepping into the role of a medical billing and coding specialist in Montgomery, AL, a starting salary of around $19,056 is a realistic expectation in 2026. This figure is notably below the city’s median annual salary of $26,807, indicating a clear gap for new graduates. However, as one gains experience over the first few years, progression is achievable with initial positions potentially leading to earnings at the first quartile of $22,379 and reaching the median as professionals become more adept. Considering the job market in Montgomery shows a steady growth rate of 2.32%, new graduates have a favorable opportunity to establish themselves in the industry, especially within a region that has maintained a lower-than-average cost of living index.
Career Earnings Timeline in Montgomery
New Graduate
Early Career
Mid Career
Experienced
Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.
2026 Salary Percentile Distribution in Montgomery
Entry-level medical billing and coding specialists in Montgomery, AL typically start between $19,056 and $22,379 per year (2026 est.). The full salary range spans $18,658 from the 10th to 90th percentile, with the local median at $26,807 — 11.67% below the national median.
Return on Investment
The average medical billing and coding program cost in Alabama of $2,500 represents just 13.12% of the starting medical billing and coding specialist pay ($19,056/year) in Montgomery. Most graduates begin earning back their investment from day one, though actual ROI varies based on living expenses, loan interest, and the 2-year opportunity cost of schooling.
Program cost estimates based on AHIMA/CAHIIM-accredited coding and health information certificate programs plus AAPC-approved training courses. Certificates at community colleges and online training programs are the most affordable; associate degree programs cost more but broaden career options. Exam fees (CCA, CCS, CPC) are typically $299-$499 and are separate from tuition.
MBS Salary Negotiation Tips for New Graduates in Montgomery
- 1Research the Montgomery market: entry-level medical billing and coding specialist pay ranges from $19,056 to $22,379, so aim for at least the 25th percentile if you have strong credentials.
- 2Highlight any additional certifications or specialty training within the medical billing and coding field — employers in AL often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Montgomery, benefits like health insurance, continuing-education allowances, and schedule flexibility can add 20-30% to your effective compensation.
- 4Consider starting with a larger hospital system or multi-site employer in Montgomery for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Montgomery's below-average cost of living means your starting salary goes further here compared to many larger metro areas.
Medical Billing and Coding Specialist Compensation Range
The medical billing and coding specialist wage spread in Montgomery is $18,658 ( 97.91%) between entry-level and top earners. Starting at $19,056, experienced hygienists can earn up to $37,714.
Represents the current salary spread across experience levels, not projected career growth rate.
2021 BLS Actual
$27,500
2025 BLS Actual
$18,624
2026 Current Est.
$19,056
2021–2027 Growth
+-29.1%
Salary Trajectory for Medical Billing and Coding Specialists in Montgomery (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $27,500 | Actual |
| 2022 | $27,990 | Actual |
| 2023 | $29,980 | Actual |
| 2024 | $31,150 | Actual |
| 2025 | $18,624 | Actual |
| 2026(current) | $19,056 | Estimated |
| 2027 | $19,498 | Projected |
Entry-level medical billing and coding specialist compensation (10th percentile) in Montgomery, AL grew -32.3% over 5 years based on actual BLS metropolitan area surveys, rising from $27,500 in 2021 to $18,624 in 2025. By 2027, starting salaries are projected to reach $19,498. New graduates entering the Montgomery job market can expect continued year-over-year gains.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Montgomery metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.32% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Starting Your medical billing and coding Career in Montgomery
In Montgomery, entry-level positions are often filled by various types of employers, including third-party coding companies and payer coding audit teams that actively seek out apprentices and offer structured mentorship programs. Medical billing and coding specialists can also find opportunities within physician group practices and outpatient facilities, which regularly hire for entry-level roles. To boost earning potential in Alabama, aspiring coders should consider obtaining credentials such as the AAPC CPC or CPC-A for outpatient coding, while those interested in inpatient coding might pursue certification as a CCS through AHIMA. As medical coding has adapted significantly with approximately 80% of jobs transitioning to remote work since 2020, continuous education becomes essential. With a focus on ICD-10-CM and quarterly CPT updates, early-career professionals should engage in higher-growth coding areas like risk adjustment and HCC coding as they advance. This proactive approach can lead to considerable salary growth over the first few years, making the entry-level medical billing and coding specialist salary in Montgomery a strong foundation for a promising career.
More salary data for Montgomery, AL:
Frequently Asked Questions
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Written by Amina Patel, CPC
Career Analyst
Amina has 10 years of experience in medical billing. She specializes in outpatient coding for multi-specialty practices.
Methodology & Data Source
Entry-level salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The 10th percentile (entry-level) is used as the starting salary benchmark for new medical billing and coding graduates. A 2.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to project current 2026 entry-level compensation in Montgomery. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.32%, derived from historical BLS wage trends for medical billing and coding specialists (SOC 29-2072).
Compiled and verified by Amina Patel, CPC, a licensed medical billing and coding specialist with 10+ years of clinical experience. · View source data at BLS.gov