Medical Billing Salary

Entry-Level Medical Billing and Coding Specialist Salary in Little Rock, AR: $20,699 (2026)

Quick Answer:New medical billing and coding specialists entering the Little Rock, AR job market in 2026 can expect a starting salary around $20,699 (BLS 10th-percentile benchmark for SOC 29-2072, projected from 2025 OEWS data). Stripping out Little Rock's local price level (BEA RPP 89.411% below national), a first-year paycheck buys what $23,163 would in average-cost America. Most reach the city median ($24,794) within a few years of clinical practice.

$20,699
Starting Salary
$9.96/hr
Starting Hourly
$20,699
Entry Level
$24,794
Career Median Target

Official BLS data · View source

Medical Billing and Coding Specialist Entry Level Salary in Little Rock, AR — 2026 est., based on 2025 BLS
Little Rock, AR medical billing and coding specialist entry level salary overview (2026 est., based on 2025 BLS)

In 2026, those entering the medical billing and coding field in Little Rock, Arkansas, can expect an entry-level salary starting at around $20,699, which is lower than the median annual salary for the city of $24,794. This initial pay reflects the beginning phase of a potentially rewarding career, with gradual growth anticipated as professionals gain experience. Within the first three to five years, it’s realistic for entry-level specialists to advance to the 25th percentile, earning approximately $21,708, and eventually reaching the median as they develop their skills and credentials. Given Little Rock's current job market, which is seeing a 2.32% annual growth rate, new graduates can find opportunities that may offer competitive compensation compared to their peers in similar roles across the nation, where the median salary stands at $30,349.

Career Earnings Timeline in Little Rock

Year 0-2

New Graduate

$20,699/yr
Year 2-5

Early Career

$21,708/yr
Year 5-10

Mid Career

$24,794/yr
Year 10+

Experienced

$29,507/yr

Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.

2026 Salary Percentile Distribution in Little Rock

Vertical bar chart of 10th through 90th percentile salaries for medical billing and coding specialists in Little Rock. The median salary is $24,794, compared to the national median of $30,349.$18.6K$24.3K$30.0K$35.7K$41.4K$20.7K10th Pctl$21.7K25th Pctl$24.8KMedian$29.5K75th Pctl$39.4K90th PctlUS Median$30.3K

Entry-level medical billing and coding specialists in Little Rock, AR typically start between $20,699 and $21,708 per year (2026 est.). The full salary range spans $18,694 from the 10th to 90th percentile, with the local median at $24,79418.3% below the national median.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of medical billing and coding specialist pay in the Little Rock metro area.

Return on Investment

$2,200
Avg AR Program Cost
$20,699
Starting Salary
10.63%
Cost-to-Salary Ratio
<1 yr
Payback Estimate

The average medical billing and coding program cost in Arkansas of $2,200 represents just 10.63% of the starting medical billing and coding specialist pay ($20,699/year) in Little Rock. 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 Little Rock

  • 1Research the Little Rock market: entry-level medical billing and coding specialist pay ranges from $20,699 to $21,708, 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 AR often pay a premium for expanded scope of work.
  • 3Evaluate the full compensation package — in Little Rock, 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 Little Rock for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
  • 5Little Rock'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 Little Rock is $18,694 ( 90.31%) between entry-level and top earners. Starting at $20,699, experienced hygienists can earn up to $39,393.

Represents the current salary spread across experience levels, not projected career growth rate.

2021 BLS Actual

$29,310

2025 BLS Actual

$20,230

2026 Current Est.

$20,699

2021–2027 Growth

+-27.7%

Salary Trajectory for Medical Billing and Coding Specialists in Little Rock (20212027)

2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.

BLS Actual Estimated Projected
Salary trajectory chart for medical billing and coding specialists in Little Rock. Baseline $29,310 in 2025, projected to $21,180 by 2027.$17.6K$22.2K$26.8K$31.4K$36.0K20212022202320242025202620272025 BLS$29.3K$31.5K$32.6K$33.4K$20.2K$20.7K$21.2K
YearAnnual SalaryStatus
2021$29,310Actual
2022$31,460Actual
2023$32,610Actual
2024$33,370Actual
2025$20,230Actual
2026(current)$20,699Estimated
2027$21,180Projected

Entry-level medical billing and coding specialist compensation (10th percentile) in Little Rock, AR grew -31.0% over 5 years based on actual BLS metropolitan area surveys, rising from $29,310 in 2021 to $20,230 in 2025. By 2027, starting salaries are projected to reach $21,180. New graduates entering the Little Rock job market can expect continued year-over-year gains.

Note: Historical values (20212025) are actual BLS OEWS figures for the Little Rock metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 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 Little Rock

Employers in Little Rock are actively seeking new graduates from medical billing and coding programs to fill various entry-level positions. Organizations such as third-party coding companies and payer coding audit teams regularly hire CPC-A coders, providing essential mentorship for those just starting. Physician group practices and outpatient ambulatory surgical centers also create entry-level roles, while hospital inpatient coding positions typically require CCS certification. To enhance starting pay in Arkansas, candidates can pursue credentials from recognized bodies like AAPC or AHIMA, focusing on outpatient CPC or inpatient CCS certifications. Given the shift toward remote work—approximately 80% since 2020—staying current with coding updates, particularly in risk adjustment and HCC coding for Medicare Advantage, is vital. As new professionals develop their expertise over the first one to three years, they can expect tangible salary growth and opportunities through continued education and specialization.

Frequently Asked Questions

What is the starting salary for medical billing and coding specialists in Little Rock in 2026?

Entry-level medical billing and coding specialists in Little Rock start at approximately $20,699/year (10th percentile), based on estimated 2026 salary (projected from 2025 BLS data at 2.32% annual growth). This is the typical range for new graduates with less than 1 year of clinical experience. The starting hourly equivalent is approximately $9.95/hour for full-time work. Starting pay depends on the practice type (private vs. large organization), patient volume, location within the metro area, and whether the position includes benefits.

How fast do medical billing and coding specialist salaries grow in Little Rock?

Most medical billing and coding specialists in Little Rock progress from the entry-level salary of $20,699 to the area median of $24,794 within 3–5 years of clinical experience. Top earners with specializations and certifications reach $39,393 (90th percentile). The biggest salary jumps typically come in years 2–5 as clinical skills develop, and again when obtaining advanced certifications or expanded-function credentials. Salary growth after 10 years tends to plateau unless moving into management or education roles.

Is medical billing and coding school worth it in Little Rock?

With a starting salary of $20,699/year in Little Rock and typical program costs ranging from $20,000–$80,000 for the required degree, graduates can expect a strong return on investment. Most new medical billing and coding specialists recoup their tuition within 1–3 years of working full-time. The profession also offers excellent work-life balance, flexible scheduling, low unemployment rates, and growing demand driven by an aging population's care needs.

What do new medical billing and coding specialists make right out of school in Little Rock?

New medical billing and coding graduates in Little Rock typically start near the 10th percentile at $20,699/year, or approximately $9.95/hour. Starting pay varies based on the practice type, patient volume, geographic location within the metro area, and whether the compensation package includes benefits like health insurance and retirement contributions. Graduates with internships at high-production practices often secure higher starting offers.

How do I become a medical billing and coding specialist in Arkansas?

To become a licensed medical billing and coding specialist in Arkansas, you typically need postsecondary certificate or associate degree in medical billing and coding from an accredited program, plus optional professional certification, then pass the required national and state licensing examinations. Most states, including Arkansas, also require a clinical licensing exam. After obtaining licensure, you must maintain it through continuing education credits. Some medical billing and coding specialists pursue advanced degrees for career advancement into education, research, or public health roles.

Related Pages

Nearby Cities in Arkansas

AP

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.

Clinically reviewed by Liam Johnson, RHITData verified by Sofia Nguyen, CCS

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 Little Rock. 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

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