Medical Billing and Coding Specialist Hourly Pay in Richmond, KY: $12.83 (2026)

Examining part-time earning potential, an individual working 24 hours a week as a medical billing and coding specialist in Richmond would take home about $26,684 annually. In contrast, full-time positions—which may offer health insurance and additional benefits—often come with a lower hourly pay rate, as specialists may opt for stability over higher wages that come with per-diem or freelance roles. For instance, it is not uncommon for independent coders to charge between $25 to $42 hourly, with CCS inpatient coders earning $35 to $55 per hour, and CRC risk adjustment specialists seeing rates between $40 to $65 when working directly with Medicare Advantage payers. When considering different employers, hourly rates can vary significantly; physician group practices and ambulatory surgery centers might pay lower compared to third-party coding firms that typically offer remote work opportunities. For many professionals, accepting a lower hourly rate with benefits becomes a trade-off when comparing job security against the volatility of agency positions. Those looking to negotiate their hourly pay in Richmond should leverage their expertise in ICD-10-CM coding and stay updated on industry trends to enhance their bargaining power.