Medical Billing and Coding Specialist Hourly Pay in Florence, AL: $12.51 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Florence, AL runs $12.51 at the median for 2026 — annualizing to $26,035 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Florence's regional price level (BEA RPP 84.8, 15% below national), each hour of work buys what $14.75 nationally would. A 24-hour part-time schedule grosses $15,617 per year.
Official BLS data · View source

Medical billing and coding specialists in Florence, Alabama, earn a median hourly rate of $12.51, which is notably lower than the national median of $14.59. This rate impacts various work arrangements, such as part-time and per-diem positions commonly seen in the healthcare sector. Many professionals in this field choose part-time work, typically committing to about three days a week, which allows for a flexible lifestyle while managing workloads from typical settings like home offices or physician group coding cubicles. The hourly range for this profession in Florence spans from $7.69 at entry-level positions to as high as $17.73 for top earners, reflecting the evolving dynamics in the medical billing environment, where demand for experienced coders is growing amidst a shift toward remote work.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $7.69 | $61.56 |
| Lower Range (P25) | $10.32 | $82.59 |
| Median (P50) | $12.51 | $100.11 |
| Upper Range (P75) | $17.15 | $137.19 |
| Top Earners (P90) | $17.73 | $141.86 |
Estimated Annual Income by Work Schedule in Florence
Based on $12.51/hr median hourly rate · 2026 est.
At $12.51/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Florence, AL can expect to earn approximately $26,029 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $15,016. With a cost-of-living index of 84.82 (below the national average), these earnings stretch further in Florence.
Hourly Rate Calculator
Schedule Comparison in Florence
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $500.55 | $2,169 | $26,029 |
| Part-Time (24 hrs) | $300.33 | $1,301 | $15,617 |
| Per Diem (16 hrs) | $200.22 | $868 | $10,411 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Florence) | $12.51 |
| Medical Assistant (National Avg) | $20.77 |
| Medical Secretary (National Avg) | $20.19 |
| Medical Lab Technician (National Avg) | $28.18 |
| Billing and Posting Clerk (National Avg) | $21.86 |
Medical Billing and Coding Specialists in Florence, AL earn a median of $26,035 per year (2026 est.), which is 14.21% lower than the national median of $30,349 and 0.50% below the Alabama state average of $26,166.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $12.51/hr = $15,617/year (purchasing power: $18,413).
Working 40h/week (full-time) = $26,029/year (purchasing power: $30,688).
CoL index: 84.817 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$16.39/hr
2025 BLS Actual
$12.23/hr
2026 Current Est.
$12.51/hr
2021–2027 Growth
+-21.9%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Florence (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $16.39/hr | Actual |
| 2022 | $17.82/hr | Actual |
| 2023 | $17.81/hr | Actual |
| 2024 | $16.94/hr | Actual |
| 2025 | $12.23/hr | Actual |
| 2026(current) | $12.51/hr | Estimated |
| 2027 | $12.80/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Florence grew -25.4% from $16.39/hr (2021) to $12.23/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $12.80/hr by 2027. Part-time and per-diem medical billing and coding specialists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Florence 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.
Working as an Hourly Medical Billing and Coding Specialist in Florence
When considering part-time roles, a medical billing and coding specialist working three days a week, or approximately 24 hours, might see their annual earnings significantly less than that of a full-time counterpart. While some professionals venture into per-diem arrangements, they often find themselves commanding rates between $25 and $42 per hour, especially in specialized fields such as risk adjustment coding for Medicare Advantage plans, where 1099 coders can earn between $40 and $65 per hour. In Florence, hourly pay can vary greatly depending on the type of employer, with physician group practices and third-party coding companies offering distinct pay structures. Some specialists accept lower hourly rates for benefits, while others prefer higher pay without those perks. Negotiating pay can hinge on highlighting relevant credentials, such as CPS and CCS certifications from recognized bodies like AAPC and AHIMA, while remaining aware of local market trends and employer expectations.
More salary data for Florence, AL:
Frequently Asked Questions
What is the hourly rate for medical billing and coding specialists in Florence in 2026?
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 2.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for medical billing and coding specialists in Florence. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
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