Entry-Level Medical Billing and Coding Specialist Salary in Missoula, MT: $22,984 (2026)
Quick Answer:New medical billing and coding specialists entering the Missoula, MT job market in 2026 can expect a starting salary around $22,984 (BLS 10th-percentile benchmark for SOC 29-2072, projected from 2025 OEWS data). Stripping out Missoula's local price level (BEA RPP 96.4 — 4% below national), a first-year paycheck buys what $23,831 would in average-cost America. Most reach the city median ($31,174) within a few years of clinical practice.
Official BLS data · View source

New graduates entering the field of medical billing and coding in Missoula, Montana can expect a starting medical billing and coding specialist salary of around $22,984 in 2026. This figure represents the entry-point for many who are just beginning their careers, significantly lower than the city’s median annual salary of $31,174. The pathway to growth within this profession is evident; new coders may progress from this initial salary to around $27,163 at the 25th percentile within just a few years, eventually moving towards the median as they gain experience and improve their skill set. With a growth rate of 2.32% projected annually for the next five years, Missoula appears to be a promising market for recent graduates eager to establish themselves in this field.
Career Earnings Timeline in Missoula
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 Missoula
Entry-level medical billing and coding specialists in Missoula, MT typically start between $22,984 and $27,163 per year (2026 est.). The full salary range spans $16,161 from the 10th to 90th percentile, with the local median at $31,174 — 2.72% above the national median.
Return on Investment
The average medical billing and coding program cost in Montana of $3,000 represents just 13.05% of the starting medical billing and coding specialist pay ($22,984/year) in Missoula. 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 Missoula
- 1Research the Missoula market: entry-level medical billing and coding specialist pay ranges from $22,984 to $27,163, 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 MT often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Missoula, 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 Missoula for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Missoula'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 Missoula is $16,161 ( 70.31%) between entry-level and top earners. Starting at $22,984, experienced hygienists can earn up to $39,145.
Represents the current salary spread across experience levels, not projected career growth rate.
2021 BLS Actual
$29,440
2025 BLS Actual
$22,463
2026 Current Est.
$22,984
2021–2027 Growth
+-20.1%
Salary Trajectory for Medical Billing and Coding Specialists in Missoula (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $29,440 | Actual |
| 2022 | $31,200 | Actual |
| 2023 | $33,260 | Actual |
| 2024 | $37,770 | Actual |
| 2025 | $22,463 | Actual |
| 2026(current) | $22,984 | Estimated |
| 2027 | $23,517 | Projected |
Entry-level medical billing and coding specialist compensation (10th percentile) in Missoula, MT grew -23.7% over 5 years based on actual BLS metropolitan area surveys, rising from $29,440 in 2021 to $22,463 in 2025. By 2027, starting salaries are projected to reach $23,517. New graduates entering the Missoula job market can expect continued year-over-year gains.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Missoula 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 Missoula
For aspiring medical coders in Missoula, understanding the local job market is crucial for securing entry-level positions. Third-party coding companies and payer coding audit teams are often open to hiring new graduates, particularly those with the AAPC CPC-A credential. These roles typically offer structured mentorship, which can be invaluable for those just starting. Entry-level positions are also available within physician group practices and outpatient ambulatory surgical centers (ASCs), although inpatient hospital coding roles generally require the CCS credential. Continuous learning is vital in this evolving field, as proficiency in ICD-10-CM and quarterly updates in CPT coding are necessary for career advancement. Earning additional certifications—such as CCS-P for outpatient coding or specialized credentials in risk adjustment, such as the CRC—can enhance starting salaries and open up further opportunities. In this context, realistic salary growth for new coders often sees an upward trajectory in their first three years, aligning well with the substantial increase in telecommuting roles that have arisen since 2020.
More salary data for Missoula, MT:
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 Missoula. 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