Entry-Level Medical Billing and Coding Specialist Salary in Knoxville, TN: $22,397 (2026)
Quick Answer:New medical billing and coding specialists entering the Knoxville, TN job market in 2026 can expect a starting salary around $22,397 (BLS 10th-percentile benchmark for SOC 29-2072, projected from 2025 OEWS data). Stripping out Knoxville's local price level (BEA RPP 92.6 — 7% below national), a first-year paycheck buys what $24,195 would in average-cost America. Most reach the city median ($28,284) within a few years of clinical practice.
Official BLS data · View source

For those launching their careers as medical billing and coding specialists in Knoxville, Tennessee, the landscape offers a starting annual pay at around $22,397. This figure reflects the low end of the salary range for entry-level roles, which presents a notable gap when compared to the city's median annual salary of $28,284. In the early years of a career, many new graduates can expect a gradual increase in earnings, beginning from the initial amount and possibly reaching the first quarter (P25) figure of $23,020 within the first few years. With a projected annual growth rate of 2.32%, Knoxville remains a viable market for new entrants, providing opportunities for those ready to step into this essential healthcare role, especially considering the shifting dynamics toward remote work.
Career Earnings Timeline in Knoxville
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 Knoxville
Entry-level medical billing and coding specialists in Knoxville, TN typically start between $22,397 and $23,020 per year (2026 est.). The full salary range spans $21,566 from the 10th to 90th percentile, with the local median at $28,284 — 6.8% below the national median.
Return on Investment
The average medical billing and coding program cost in Tennessee of $3,200 represents just 14.29% of the starting medical billing and coding specialist pay ($22,397/year) in Knoxville. 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 Knoxville
- 1Research the Knoxville market: entry-level medical billing and coding specialist pay ranges from $22,397 to $23,020, 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 TN often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Knoxville, 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 Knoxville for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Knoxville'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 Knoxville is $21,566 ( 96.29%) between entry-level and top earners. Starting at $22,397, experienced hygienists can earn up to $43,963.
Represents the current salary spread across experience levels, not projected career growth rate.
2021 BLS Actual
$28,440
2025 BLS Actual
$21,889
2026 Current Est.
$22,397
2021–2027 Growth
+-19.4%
Salary Trajectory for Medical Billing and Coding Specialists in Knoxville (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $28,440 | Actual |
| 2022 | $30,990 | Actual |
| 2023 | $33,450 | Actual |
| 2024 | $35,950 | Actual |
| 2025 | $21,889 | Actual |
| 2026(current) | $22,397 | Estimated |
| 2027 | $22,916 | Projected |
Entry-level medical billing and coding specialist compensation (10th percentile) in Knoxville, TN grew -23.0% over 5 years based on actual BLS metropolitan area surveys, rising from $28,440 in 2021 to $21,889 in 2025. By 2027, starting salaries are projected to reach $22,916. New graduates entering the Knoxville job market can expect continued year-over-year gains.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Knoxville 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 Knoxville
Job prospects for new graduates in Knoxville are particularly strong, as various employers actively recruit entry-level medical billing and coding specialists. Positions can be found with third-party coding companies and payer coding audit teams that offer structured mentorship for CPC-A (apprentice) coders. Additionally, physician group practices and outpatient Ambulatory Surgical Centers (ASCs) are known to start new graduates in entry-level CPC roles. To enhance starting pay in Tennessee, obtaining credentials such as the AAPC CPC or AHIMA CCS can be beneficial; these credentials indicate readiness for both outpatient and inpatient coding roles. Given the shift to around 80% remote work since 2020, early-career professionals should prioritize ongoing education to keep pace with updates in ICD-10-CM and quarterly CPT codes. With a focus on emerging subspecialties like risk adjustment and HCC coding, professionals can expect to see their salary grow positively over their first few years in the field, capitalizing on the expanding need for skilled coders in the healthcare industry.
More salary data for Knoxville, TN:
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 Knoxville. 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