Medical Billing and Coding Specialist Hourly Pay in Fresno, CA: $16.67 (2026)

Exploring the earning potential for part-time medical billing and coding specialists reveals an interesting dynamic. A specialist working three days a week (approximately 24 hours) could realistically bring home around $25,000 annually, which is competitive but still lower than full-time earnings. For those pursuing per-diem opportunities, the landscape widens significantly. Many 1099 medical coders in Fresno can charge between $25 and $42 per hour, while certified CCS inpatient coders often command between $35 and $55 per hour. Coding varies notably depending on the employer type, with physician group practices and hospital departments typically offering benefits that might justify lower pay scales compared to higher freelance rates but without attached perks. Negotiating effectively in Fresno means weighing hourly rates against job security and benefits like health insurance, which can be pivotal in decision-making. With the rise of high-demand specialties such as risk adjustment and HCC coding, staying current with training from bodies like AAPC or AHIMA can significantly influence a specialist's salary potential.