Medical Billing and Coding Specialist Hourly Pay in Rocky Mount, NC: $11.51 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Rocky Mount, NC runs $11.51 at the median for 2026 — annualizing to $23,952 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Rocky Mount's regional price level (BEA RPP 88.0, 12% below national), each hour of work buys what $13.08 nationally would. A 24-hour part-time schedule grosses $14,366 per year.
Official BLS data · View source
In Rocky Mount, North Carolina, the medical billing and coding specialist hourly pay is projected to average $11.51 in 2026, notably lower than the national median of $14.59. This discrepancy highlights regional salary variances that can affect those entering the field. For individuals seeking part-time roles or per-diem opportunities, this hourly rate translates into varying levels of income based on work schedules. A worker engaged three days a week can anticipate earnings around $11,000 annually, which may suit some lifestyles while others prefer full-time positions for greater financial stability. The hourly income in Rocky Mount spans from $10.45 at entry-level positions to about $19.11 for the most experienced specialists, reflecting the diversity of roles across settings like hospital HIM departments, remote workplaces, and outpatient practices.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $10.45 | $83.57 |
| Lower Range (P25) | $11.17 | $89.39 |
| Median (P50) | $11.51 | $92.09 |
| Upper Range (P75) | $14.84 | $118.69 |
| Top Earners (P90) | $19.11 | $152.91 |
Estimated Annual Income by Work Schedule in Rocky Mount
Based on $11.51/hr median hourly rate · 2026 est.
At $11.51/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Rocky Mount, NC can expect to earn approximately $23,943 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $13,813. With a cost-of-living index of 88.01 (below the national average), these earnings stretch further in Rocky Mount.
Hourly Rate Calculator
Schedule Comparison in Rocky Mount
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $460.44 | $1,995 | $23,943 |
| Part-Time (24 hrs) | $276.26 | $1,197 | $14,366 |
| Per Diem (16 hrs) | $184.18 | $798 | $9,577 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Rocky Mount) | $11.51 |
| 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 Rocky Mount, NC earn a median of $23,952 per year (2026 est.), which is 21.08% lower than the national median of $30,349 and 14.80% below the North Carolina state average of $28,113.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $11.51/hr = $14,366/year (purchasing power: $16,322).
Working 40h/week (full-time) = $23,943/year (purchasing power: $27,204).
CoL index: 88.012 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$17.68/hr
2025 BLS Actual
$11.25/hr
2026 Current Est.
$11.51/hr
2021–2027 Growth
+-33.4%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Rocky Mount (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $17.68/hr | Actual |
| 2022 | $22.27/hr | Actual |
| 2023 | $22.49/hr | Actual |
| 2024 | $22.89/hr | Actual |
| 2025 | $11.25/hr | Actual |
| 2026(current) | $11.51/hr | Estimated |
| 2027 | $11.78/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Rocky Mount grew -36.4% from $17.68/hr (2021) to $11.25/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $11.78/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 Rocky Mount 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 Rocky Mount
When considering the financial landscape, part-time medical billing and coding specialists can find themselves at a crossroads. For those committed to 24-hour workweeks, their annual earnings would be significantly lower compared to full-time counterparts, making the prospect of utilizing per-diem opportunities appealing. Per diem medical billing and coding specialist pay in Rocky Mount allows for potential hourly earnings between $25 and $42, especially for certified individuals with specialized skills such as CCS or CRC designations. Various employer types play into this mix. Physicians’ offices and consulting firms often offer stable salaries, while hospital settings can provide health benefits that might justify accepting a lower rate. The decision to pursue higher hourly wages without benefits versus a slightly lower pay for those additional perks is common. Prospective coders in Rocky Mount can gain an advantage by emphasizing skills in high-demand subspecialties like risk adjustment coding during salary negotiations, ensuring they secure the best possible compensation for their expertise.
More salary data for Rocky Mount, 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 Rocky Mount. 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