Medical Billing and Coding Specialist Hourly Pay in Greenville, NC: $17.85 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Greenville, NC runs $17.85 at the median for 2026 — annualizing to $37,133 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Greenville's regional price level (BEA RPP 88.4, 12% below national), each hour of work buys what $20.20 nationally would. A 24-hour part-time schedule grosses $22,283 per year.
Official BLS data · View source

In Greenville, North Carolina, the medical billing and coding specialist hourly pay stands at a median of $17.85, significantly higher than the national median of $14.59. This competitive rate allows professionals in this field to thrive, even those working part-time or per diem. For a medical billing and coding specialist on a typical three-day workweek, this hourly rate translates effectively into a practical income while providing the flexibility often sought in remote positions. The hourly range in Greenville stretches from $10.67 for entry-level roles to around $22.73 for experienced coders, showcasing diverse opportunities across various settings, including remote home offices and hospital departments. These figures are based on 2025 BLS OEWS data, projected to 2026, emphasizing the robust job market for this profession in the area.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $10.67 | $85.38 |
| Lower Range (P25) | $13.41 | $107.31 |
| Median (P50) | $17.85 | $142.84 |
| Upper Range (P75) | $18.60 | $148.81 |
| Top Earners (P90) | $22.73 | $181.80 |
Estimated Annual Income by Work Schedule in Greenville
Based on $17.85/hr median hourly rate · 2026 est.
At $17.85/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Greenville, NC can expect to earn approximately $37,138 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $21,426. With a cost-of-living index of 88.40 (below the national average), these earnings stretch further in Greenville.
Hourly Rate Calculator
Schedule Comparison in Greenville
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $714.19 | $3,095 | $37,138 |
| Part-Time (24 hrs) | $428.52 | $1,857 | $22,283 |
| Per Diem (16 hrs) | $285.68 | $1,238 | $14,855 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Greenville) | $17.85 |
| 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 Greenville, NC earn a median of $37,133 per year (2026 est.), which is 22.35% higher than the national median of $30,349 and 32.10% above the North Carolina state average of $28,110.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $17.85/hr = $22,283/year (purchasing power: $25,206).
Working 40h/week (full-time) = $37,138/year (purchasing power: $42,010).
CoL index: 88.402 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$22.03/hr
2025 BLS Actual
$17.45/hr
2026 Current Est.
$17.85/hr
2021–2027 Growth
+-17.1%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Greenville (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $22.03/hr | Actual |
| 2022 | $24.01/hr | Actual |
| 2023 | $22.84/hr | Actual |
| 2024 | $23.73/hr | Actual |
| 2025 | $17.45/hr | Actual |
| 2026(current) | $17.85/hr | Estimated |
| 2027 | $18.27/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Greenville grew -20.8% from $22.03/hr (2021) to $17.45/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $18.27/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 Greenville 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 Greenville
For specialists considering part-time employment, a 24-hour work week would yield a different financial landscape than full-time positions. Though not working full-time might limit annual earnings, it offers greater work-life balance. Per diem medical billing and coding specialist pay in Greenville can be lucrative; many independent contractors bill anywhere between $25-$42 per hour, with more experienced CCS inpatient coders earning $35-$55 per hour, and CRC risk adjustment specialists reaching $40-$65 per hour. Hourly rates can vary based on employer type, such as coding offices, insurance companies, or consulting firms, which may offer lower hourly wages in exchange for health benefits. Negotiating effectively could hinge on highlighting one's credentials with AAPC or AHIMA certifications, as well as emphasizing personal coding expertise in high-demand areas like ICD-10-CM and risk adjustment. This strategic approach can provide clarity in discussions around pay and benefits in Greenville's evolving healthcare landscape.
More salary data for Greenville, NC:
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 Greenville. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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