Entry-Level Medical Billing and Coding Specialist Salary in Richmond, VA: $22,801 (2026)

Employers in Richmond actively hiring entry-level medical billing and coding specialists include third-party coding companies and payer coding audit teams that prefer candidates with a CPC-A certification. Additionally, physician group practices and outpatient ambulatory surgical centers (ASCs) are known to recruit newly credentialed coders. For hospital inpatient coding positions, certifications such as CCS are typically required. To elevate their starting pay, new coders should seek credentials from recognized bodies like AAPC and AHIMA. The transition to remote work has made continuous education more accessible, with core updates to ICD-10-CM and CPT codes necessitating ongoing learning. Additionally, the high demand for risk adjustment coding, particularly in Medicare Advantage and ACA marketplaces, presents significant opportunities for those in the first few years of their careers. Within this specific market, early-career medical billing and coding specialists can reasonably expect gradual salary increases as they develop their skills and acquire further certifications over the first few years.