Medical Billing and Coding Specialist Hourly Pay in Merrimack, NH: $8.85 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Merrimack, NH runs $8.85 at the median for 2026 — annualizing to $18,407 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Merrimack's regional price level (BEA RPP 107.3, 7% above national), each hour of work buys what $8.25 nationally would. A 24-hour part-time schedule grosses $11,046 per year.
Based on BLS state-level estimates · View source

In Merrimack, New Hampshire, the medical billing and coding specialist hourly pay stands at $8.85, which is significantly lower than the national hourly median of $14.59. This discrepancy highlights the local economic landscape and may influence those considering careers in this field. For professionals in part-time roles, such as those who work three days a week, the pay translates to monthly earnings that can fluctuate based on the number of hours worked. Common employment settings for these specialists range from remote home offices, prevalent since the increase in telecommuting, to the more traditional environments like hospital health information management departments and coding cubicles in physician group practices. Hourly compensation varies widely in Merrimack—entry-level positions might start near $6.33, while top earners can make up to $13.36, emphasizing the potential for upward mobility within the profession.
About the Merrimack Market
Salary estimated from New Hampshire average ($54,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $6.33 | $50.67 |
| Lower Range (P25) | $7.38 | $59.02 |
| Median (P50) | $8.85 | $70.81 |
| Upper Range (P75) | $10.95 | $87.59 |
| Top Earners (P90) | $13.36 | $106.90 |
Estimated Annual Income by Work Schedule in Merrimack
Based on $8.85/hr median hourly rate · 2026 est.
At $8.85/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Merrimack, NH can expect to earn approximately $18,409 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $10,621. With a cost-of-living index of 107.30 (above the national average), these earnings may be offset by higher expenses in Merrimack.
Hourly Rate Calculator
Schedule Comparison in Merrimack
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $354.03 | $1,534 | $18,409 |
| Part-Time (24 hrs) | $212.42 | $920 | $11,046 |
| Per Diem (16 hrs) | $141.61 | $614 | $7,364 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Merrimack) | $8.85 |
| Medical Assistant (National Avg) | $20.77 |
| Medical Secretary (National Avg) | $20.19 |
| Medical Lab Technician (National Avg) | $28.18 |
| Billing and Posting Clerk (National Avg) | $21.86 |
Medical Billing and Coding Specialists in Merrimack, NH earn a median of $18,407 per year (2026 est.), which is 39.35% lower than the national median of $30,349 and 2.50% below the New Hampshire state average of $18,879.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $8.85/hr = $11,046/year (purchasing power: $10,294).
Working 40h/week (full-time) = $18,409/year (purchasing power: $17,157).
CoL index: 107.3 (100 = national average).
2021 BLS Actual
$7.89/hr
2025 BLS Actual
$8.65/hr
2026 Current Est.
$8.85/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Merrimack (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $7.89/hr | Actual |
| 2022 | $7.98/hr | Actual |
| 2023 | $8.25/hr | Actual |
| 2024 | $27.15/hr | Actual |
| 2025 | $8.65/hr | Actual |
| 2026(current) | $8.85/hr | Estimated |
| 2027 | $9.06/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Merrimack grew 9.6% from $7.89/hr (2021) to $8.65/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $9.06/hr by 2027. Part-time and per-diem medical billing and coding specialists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Merrimack metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.32% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Medical Billing and Coding Specialist in Merrimack
Considering the part-time earning potential, a medical billing and coding specialist working 24 hours a week can expect an annual income considerably lower than full-time staff, reflecting the difference in hours logged. Those in per-diem or agency roles often have higher earning opportunities, billing anywhere from $25 to $42 an hour, which can be a compelling option for coders seeking flexibility. Specialized roles, such as CCS inpatient coders or CRC risk adjustment specialists, often command even higher rates, indicating a lucrative area of growth within the sector. In Merrimack, hourly rates also vary based on employer types; practices, hospitals, and third-party coding companies may offer different packages that can include lower hourly rates with benefits or higher rates without them. For job seekers, negotiating effectively is key—understanding local market conditions and potential employer offerings can be crucial in securing desirable hourly pay in the evolving field of medical billing and coding.
More salary data for Merrimack, NH:
Frequently Asked Questions
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Written by Amina Patel, CPC
Career Analyst
Amina has 10 years of experience in medical billing. She specializes in outpatient coding for multi-specialty practices.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 2.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for medical billing and coding specialists in Merrimack. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Merrimack is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.32%, derived from historical BLS wage trends for medical billing and coding specialists (SOC 29-2072).
Compiled and verified by Amina Patel, CPC, a licensed medical billing and coding specialist with 10+ years of clinical experience. · View source data at BLS.gov