Medical Billing and Coding Specialist Hourly Pay in Des Moines, IA: $15.48 (2026)

When analyzing the financial landscape for medical billing and coding specialists in Des Moines, part-time employment can yield significantly different annual incomes compared to full-time work. A professional working full-time might generate a stable annual income, but those who choose to work three days a week can expect earnings reflective of 24 hours weekly, which translates to around $32,000 per year at a median hourly rate. Additionally, per diem medical billing and coding specialist pay in Des Moines is often more lucrative; 1099 coders may earn between $25 and $42 per hour, with specialized roles like CCS inpatient coders commanding even higher rates from $35 to $55 per hour. Variability in hourly rates occurs across different types of employers, including physician practices, hospitals, and third-party coding companies. Some specialists may forgo higher hourly earning potential for the stability of benefits associated with full-time positions, making it crucial to weigh these factors during negotiations. For those looking to optimize their earning potential, it’s vital to familiarize oneself with the local job market, understand the value of certifications like those from AAPC or AHIMA, and consider the advantages of various employer types in Des Moines.