Entry-Level Medical Billing and Coding Specialist Salary in Dover, DE: $21,418 (2026)
Quick Answer:New medical billing and coding specialists entering the Dover, DE job market in 2026 can expect a starting salary around $21,418 (BLS 10th-percentile benchmark for SOC 29-2072, projected from 2025 OEWS data). Stripping out Dover's local price level (BEA RPP 97.5 — 2% below national), a first-year paycheck buys what $21,966 would in average-cost America. Most reach the city median ($32,000) within a few years of clinical practice.
Official BLS data · View source

For those entering the medical billing and coding field in Dover, Delaware, a new graduate can expect a starting medical billing and coding specialist salary of around $21,418. While this figure is noticeably lower than the city's projected median salary of $32,000, there is a clear pathway for salary growth. With experience, entry-level specialists can aim for salaries in the P25 range at approximately $23,958 after a few years. This trajectory reflects the potential for advancement in the profession, especially as individuals become acclimated to coding practices and expand their knowledge of code sets like ICD-10-CM. Given the city's current job market and the notable increase in remote opportunities, Dover represents a decent prospect for new grads seeking entry-level positions in 2026, as the field is anticipated to grow at an annual rate of 2.32%.
Career Earnings Timeline in Dover
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 Dover
Entry-level medical billing and coding specialists in Dover, DE typically start between $21,418 and $23,958 per year (2026 est.). The full salary range spans $20,130 from the 10th to 90th percentile, with the local median at $32,000 — 5.44% above the national median.
Return on Investment
The average medical billing and coding program cost in Delaware of $4,500 represents just 21.01% of the starting medical billing and coding specialist pay ($21,418/year) in Dover. 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 Dover
- 1Research the Dover market: entry-level medical billing and coding specialist pay ranges from $21,418 to $23,958, 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 DE often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Dover, 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 Dover for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Dover's moderate 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 Dover is $20,130 ( 93.99%) between entry-level and top earners. Starting at $21,418, experienced hygienists can earn up to $41,548.
Represents the current salary spread across experience levels, not projected career growth rate.
2021 BLS Actual
$29,400
2025 BLS Actual
$20,932
2026 Current Est.
$21,418
2021–2027 Growth
+-25.5%
Salary Trajectory for Medical Billing and Coding Specialists in Dover (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $29,400 | Actual |
| 2022 | $30,910 | Actual |
| 2023 | $33,980 | Actual |
| 2024 | $32,990 | Actual |
| 2025 | $20,932 | Actual |
| 2026(current) | $21,418 | Estimated |
| 2027 | $21,915 | Projected |
Entry-level medical billing and coding specialist compensation (10th percentile) in Dover, DE grew -28.8% over 5 years based on actual BLS metropolitan area surveys, rising from $29,400 in 2021 to $20,932 in 2025. By 2027, starting salaries are projected to reach $21,915. New graduates entering the Dover job market can expect continued year-over-year gains.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Dover 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 Dover
In terms of securing positions, employers in Dover frequently hire new graduates from various settings, including third-party coding companies and payer coding audit teams, which commonly seek candidates with a CPC-A credential. Additionally, roles at physician group practices and outpatient Ambulatory Surgery Centers (ASCs) are often accessible to entry-level coders. To enhance earning potential, candidates should consider pursuing credentials from recognized bodies such as AAPC and AHIMA, focusing on certifications like the CPC for outpatient roles or CCS for inpatient coding. Continuous education is vital; with coding now largely remote, staying updated on quarterly CPT changes and mastering high-growth subspecialties such as risk adjustment and HCC coding is crucial for early-career professionals. As new coders develop their skills, they can reasonably expect salary growth in their first three years as they gain experience and take on more complex responsibilities.
More salary data for Dover, DE:
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 Dover. 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