Medical Billing and Coding Specialist Hourly Pay in Urban Honolulu, HI: $18.61 (2026)

For individuals considering part-time work as a medical billing and coding specialist, a three-day workweek typically translates to around 24 hours of paid work, resulting in an annual take-home that can be substantially less than full-time roles. In contrast, per-diem coders have the opportunity to command higher rates, often billing between $25 and $42 per hour, particularly those with certifications such as CCS and CRC, who might reach $35 to $65 per hour when working for companies like Medicare Advantage. Hourly variations occur across employer types in Urban Honolulu, influencing pay scales depending on whether one is employed by a hospital, a coding firm, or an insurance company. Many professionals may accept slightly lower hourly rates for the benefits that come with full-time work, weighing factors like health insurance against potential higher pay in freelance roles. For those negotiating hourly contracts, emphasizing your credentials, experience with ICD-10-CM coding, and knowledge of the latest CPT updates can lead to better compensation offers.