Medical Billing and Coding Specialist Hourly Pay in St. Louis, MO: $14.62 (2026)

The earning potential for part-time medical billing and coding specialists who work 24 hours a week can vary significantly compared to their full-time counterparts. While a full-time specialist might expect a stable income, part-time individuals could see annual earnings closer to approximately $22,000, depending on their hourly work. Per-diem roles add another dimension to this profession, with 1099 medical coders often billing between $25 and $42 per hour—a considerable jump compared to standard hourly rates. Specialty roles in risk adjustment coding may further elevate pay, reaching $40 to $65 for experienced coders working with Medicare Advantage. Hourly rates fluctuate depending on the employer type, from hospital departments to third-party coding companies. While some may prioritize higher pay in positions that lack benefits, others might accept lower rates for the added security of health insurance. For those in St. Louis, practical salary negotiation tips include understanding regional pay rates and asserting value through certifications from organizations like the AAPC or AHIMA, particularly relevant as health coding specialists will likely continue adapting to trends in remote work and the growing need for certified risk adjustment coders.