Entry-Level Medical Billing and Coding Specialist Salary in Waco, TX: $16,611 (2026)
Quick Answer:New medical billing and coding specialists entering the Waco, TX job market in 2026 can expect a starting salary around $16,611 (BLS 10th-percentile benchmark for SOC 29-2072, projected from 2025 OEWS data). Stripping out Waco's local price level (BEA RPP 92.5 — 7% below national), a first-year paycheck buys what $17,948 would in average-cost America. Most reach the city median ($25,595) within a few years of clinical practice.
Official BLS data · View source

For new graduates entering the medical billing and coding field in Waco, Texas, the entry-level pay can range significantly, starting at approximately $16,611 for those just beginning their careers in 2026. This starting medical billing and coding specialist salary Waco is notably lower than the city's median of $25,595, revealing a gap that entry-level workers need to navigate as they gain experience. However, prospects look promising; within the first few years in the role, individuals can expect upward movement toward roughly $21,246, and eventually toward the median salary as they enhance their skills. With medical coding shifting to predominantly remote work post-2020, Waco's job market remains viable for new coders, particularly as demand for certified professionals continues to rise and the local cost of living remains below average, making it a suitable starting point for recent graduates.
Career Earnings Timeline in Waco
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 Waco
Entry-level medical billing and coding specialists in Waco, TX typically start between $16,611 and $21,246 per year (2026 est.). The full salary range spans $18,201 from the 10th to 90th percentile, with the local median at $25,595 — 15.66% below the national median.
Return on Investment
The average medical billing and coding program cost in Texas of $3,200 represents just 19.26% of the starting medical billing and coding specialist pay ($16,611/year) in Waco. 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 Waco
- 1Research the Waco market: entry-level medical billing and coding specialist pay ranges from $16,611 to $21,246, 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 TX often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Waco, 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 Waco for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Waco'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 Waco is $18,201 ( 109.57%) between entry-level and top earners. Starting at $16,611, experienced hygienists can earn up to $34,812.
Represents the current salary spread across experience levels, not projected career growth rate.
2021 BLS Actual
$26,680
2025 BLS Actual
$16,234
2026 Current Est.
$16,611
2021–2027 Growth
+-36.3%
Salary Trajectory for Medical Billing and Coding Specialists in Waco (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $26,680 | Actual |
| 2022 | $28,430 | Actual |
| 2023 | $27,680 | Actual |
| 2024 | $29,440 | Actual |
| 2025 | $16,234 | Actual |
| 2026(current) | $16,611 | Estimated |
| 2027 | $16,996 | Projected |
Entry-level medical billing and coding specialist compensation (10th percentile) in Waco, TX grew -39.2% over 5 years based on actual BLS metropolitan area surveys, rising from $26,680 in 2021 to $16,234 in 2025. By 2027, starting salaries are projected to reach $16,996. New graduates entering the Waco job market can expect continued year-over-year gains.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Waco 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 Waco
Employers in Waco that actively recruit entry-level medical billing and coding specialists include third-party coding companies and outpatient surgical centers, often providing structured mentorship for apprentice coders holding the CPC-A credential. Physician group practices and payer coding audit teams look for candidates with basic certification like CPC and experience with ICD-10-CM, while inpatient hospital coding generally requires more advanced certifications such as CCS. To significantly boost their new grad medical billing and coding specialist pay TX, aspiring coders should consider acquiring certifications from recognized entities like AAPC or AHIMA. Continuous education in new coding guidelines and specialties, particularly in risk adjustment and HCC coding, which have seen tremendous growth, is essential in the first few years on the job. Realistically, new coders in Waco can anticipate a steady career growth trajectory within their initial years as they invest time in learning and credential acquisition, positioning themselves for higher pay and more specialized roles in the future.
More salary data for Waco, TX:
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 Waco. 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