Entry-Level Medical Billing and Coding Specialist Salary in Olympia, WA: $20,563 (2026)
Quick Answer:New medical billing and coding specialists entering the Olympia, WA job market in 2026 can expect a starting salary around $20,563 (BLS 10th-percentile benchmark for SOC 29-2072, projected from 2025 OEWS data). Stripping out Olympia's local price level (BEA RPP 103.7 — 4% above national), a first-year paycheck buys what $19,835 would in average-cost America. Most reach the city median ($30,610) within a few years of clinical practice.
Official BLS data · View source

The starting medical billing and coding specialist salary in Olympia, Washington, is projected to be $20,563 in 2026 for new graduates entering the field. This figure is significantly below the city’s median salary of $30,610, indicating a notable gap that entry-level specialists may experience. However, as professionals gain experience, there is a defined growth trajectory from entry-level positions through to $26,854 at the 25th percentile, making the Olympia market relatively promising for new graduates willing to work their way up over the next few years. With a modest annual growth rate of 2.32%, those starting in medical billing and coding in Olympia can still find opportunities to increase their earning potential as they establish themselves in the workforce.
Career Earnings Timeline in Olympia
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 Olympia
Entry-level medical billing and coding specialists in Olympia, WA typically start between $20,563 and $26,854 per year (2026 est.). The full salary range spans $27,263 from the 10th to 90th percentile, with the local median at $30,610 — 0.86% above the national median.
Return on Investment
The average medical billing and coding program cost in Washington of $4,800 represents just 23.34% of the starting medical billing and coding specialist pay ($20,563/year) in Olympia. 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 Olympia
- 1Research the Olympia market: entry-level medical billing and coding specialist pay ranges from $20,563 to $26,854, 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 WA often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Olympia, 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 Olympia for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Olympia'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 Olympia is $27,263 ( 132.58%) between entry-level and top earners. Starting at $20,563, experienced hygienists can earn up to $47,826.
Represents the current salary spread across experience levels, not projected career growth rate.
2021 BLS Actual
$36,930
2025 BLS Actual
$20,097
2026 Current Est.
$20,563
2021–2027 Growth
+-43.0%
Salary Trajectory for Medical Billing and Coding Specialists in Olympia (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $36,930 | Actual |
| 2022 | $37,940 | Actual |
| 2023 | $41,120 | Actual |
| 2024 | $43,040 | Actual |
| 2025 | $20,097 | Actual |
| 2026(current) | $20,563 | Estimated |
| 2027 | $21,040 | Projected |
Entry-level medical billing and coding specialist compensation (10th percentile) in Olympia, WA grew -45.6% over 5 years based on actual BLS metropolitan area surveys, rising from $36,930 in 2021 to $20,097 in 2025. By 2027, starting salaries are projected to reach $21,040. New graduates entering the Olympia job market can expect continued year-over-year gains.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Olympia 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 Olympia
In Olympia, various employers actively recruit new medical billing and coding professionals, including third-party coding companies, payer coding audit teams, physician group practices, and outpatient Ambulatory Surgery Centers (ASCs). Entry-level positions typically require entry-level credentials like AAPC's CPC-A for outpatient coding or various AHIMA certifications for hospital coding. The demand for skilled coders in specialties like risk adjustment and HCC coding has surged, particularly post-2020 when remote work became the norm, emphasizing the importance of staying current with ICD-10-CM and CPT updates. New graduates can strategically pursue continuing education and certifications that enhance their employability and starting pay in the Washington market. By focusing on high-demand areas such as risk adjustment, recent graduates can realistically expect salary growth in their initial years, aiding their transition and financial stability within the evolving landscape of medical billing and coding.
More salary data for Olympia, WA:
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 Olympia. 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