Entry-Level Medical Billing and Coding Specialist Salary in Jacksonville, NC: $21,288 (2026)
Quick Answer:New medical billing and coding specialists entering the Jacksonville, NC job market in 2026 can expect a starting salary around $21,288 (BLS 10th-percentile benchmark for SOC 29-2072, projected from 2025 OEWS data). Stripping out Jacksonville's local price level (BEA RPP 92.1 — 8% below national), a first-year paycheck buys what $23,118 would in average-cost America. Most reach the city median ($30,818) within a few years of clinical practice.
Official BLS data · View source

Graduates entering the field of medical billing and coding can expect a starting salary of around $21,288 in Jacksonville, North Carolina, as of 2026. This entry-level pay is significantly below the city’s median annual salary of $30,818, highlighting a transitional gap that new professionals should be prepared for. However, prospective coders can expect upward mobility as they gain experience; within just a few years, salaries can rise to $25,525 at the 25th percentile and approach the median by year three or four. With a growth rate of 2.32% annually projected for this profession, Jacksonville is poised to be a favorable market for new graduates seeking to establish their careers in medical billing and coding.
Career Earnings Timeline in Jacksonville
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 Jacksonville
Entry-level medical billing and coding specialists in Jacksonville, NC typically start between $21,288 and $25,525 per year (2026 est.). The full salary range spans $19,803 from the 10th to 90th percentile, with the local median at $30,818 — 1.55% above the national median.
Return on Investment
The average medical billing and coding program cost in North Carolina of $3,200 represents just 15.03% of the starting medical billing and coding specialist pay ($21,288/year) in Jacksonville. 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 Jacksonville
- 1Research the Jacksonville market: entry-level medical billing and coding specialist pay ranges from $21,288 to $25,525, 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 NC often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Jacksonville, 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 Jacksonville for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Jacksonville'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 Jacksonville is $19,803 ( 93.02%) between entry-level and top earners. Starting at $21,288, experienced hygienists can earn up to $41,091.
Represents the current salary spread across experience levels, not projected career growth rate.
2021 BLS Actual
$29,400
2025 BLS Actual
$20,805
2026 Current Est.
$21,288
2021–2027 Growth
+-25.9%
Salary Trajectory for Medical Billing and Coding Specialists in Jacksonville (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 | $35,300 | Actual |
| 2023 | $35,030 | Actual |
| 2024 | $33,220 | Actual |
| 2025 | $20,805 | Actual |
| 2026(current) | $21,288 | Estimated |
| 2027 | $21,782 | Projected |
Entry-level medical billing and coding specialist compensation (10th percentile) in Jacksonville, NC grew -29.2% over 5 years based on actual BLS metropolitan area surveys, rising from $29,400 in 2021 to $20,805 in 2025. By 2027, starting salaries are projected to reach $21,782. New graduates entering the Jacksonville job market can expect continued year-over-year gains.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Jacksonville 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 Jacksonville
In Jacksonville, some of the primary employers for newly qualified medical billing and coding specialists include third-party coding companies and payer coding audit teams that value the AAPC CPC-A certification for their structured mentorship programs. Opportunities also exist at physician group practices and outpatient ambulatory surgical centers, which typically hire entry-level coders holding relevant credentials. To start strong, graduates may want to obtain certifications such as AAPC CPC or AHIMA CCS, which can enhance their marketability and starting salaries. As a significant shift towards remote work continues—approximately 80% of coding positions have transitioned to this model—new professionals must stay current by engaging in ongoing training to navigate updates to the ICD-10-CM and CPT coding standards effectively. By focusing on high-demand areas like risk adjustment and HCC coding, new entrants can realistically anticipate salary growth during the first few years of their careers in Jacksonville, enhancing both their professional skills and earning potential.
More salary data for Jacksonville, NC:
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 Jacksonville. 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