Medical Billing and Coding Specialist Hourly Pay in Winston-Salem, NC: $14.01 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Winston-Salem, NC runs $14.01 at the median for 2026 — annualizing to $29,128 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Winston-Salem's regional price level (BEA RPP 93.6, 6% below national), each hour of work buys what $14.97 nationally would. A 24-hour part-time schedule grosses $17,481 per year.
Based on BLS state-level estimates · View source
In Winston-Salem, North Carolina, the hourly compensation for medical billing and coding specialists averages around $14.01. This figure is slightly lower than the national hourly median of $14.59, indicating a specific regional market for this profession. For those considering part-time or per diem roles, this hourly rate translates well into flexible schedules often found in home-office settings or hospital and clinic environments. Entry-level positions start at approximately $9.30 per hour, while top earners can make up to $21.70, demonstrating a broad spectrum of earning potential in the field. As medical coding continues to lean toward remote settings, professionals can expect these estimates to reflect a changing landscape where skill level, experience, and niche specialties, like risk adjustment, earn those with more expertise higher rates.
About the Winston-Salem Market
Salary estimated from North Carolina average ($46,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $9.30 | $74.41 |
| Lower Range (P25) | $11.24 | $89.96 |
| Median (P50) | $14.01 | $112.06 |
| Upper Range (P75) | $17.93 | $143.41 |
| Top Earners (P90) | $21.70 | $173.62 |
Estimated Annual Income by Work Schedule in Winston-Salem
Based on $14.01/hr median hourly rate · 2026 est.
At $14.01/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Winston-Salem, NC can expect to earn approximately $29,136 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $16,809. With a cost-of-living index of 93.60 (below the national average), these earnings stretch further in Winston-Salem.
Hourly Rate Calculator
Schedule Comparison in Winston-Salem
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $560.30 | $2,428 | $29,136 |
| Part-Time (24 hrs) | $336.18 | $1,457 | $17,481 |
| Per Diem (16 hrs) | $224.12 | $971 | $11,654 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Winston-Salem) | $14.01 |
| 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 Winston-Salem, NC earn a median of $29,128 per year (2026 est.), which is 4.02% lower than the national median of $30,349 and 3.60% above the North Carolina state average of $28,116.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $14.01/hr = $17,481/year (purchasing power: $18,677).
Working 40h/week (full-time) = $29,136/year (purchasing power: $31,128).
CoL index: 93.6 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$12.49/hr
2025 BLS Actual
$13.69/hr
2026 Current Est.
$14.01/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Winston-Salem (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $12.49/hr | Actual |
| 2022 | $12.63/hr | Actual |
| 2023 | $13.06/hr | Actual |
| 2024 | $21.45/hr | Actual |
| 2025 | $13.69/hr | Actual |
| 2026(current) | $14.01/hr | Estimated |
| 2027 | $14.33/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Winston-Salem grew 9.6% from $12.49/hr (2021) to $13.69/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $14.33/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 Winston-Salem 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 Winston-Salem
For part-time medical billing and coding specialists in Winston-Salem, working three days per week typically yields an annual income of around $17,032 given a 24-hour work schedule. This is a significant difference compared to full-time earnings, which can soar with overtime and specialized roles. Per-diem workers, such as those engaged in 1099 contracts, often find opportunities to bill rates between $25 and $42 per hour, thus maximizing their earning potential based on demand and expertise. Hourly compensation can vary by employer, with medical coders in physician group practices earning less compared to those in third-party coding firms or insurance companies, where coding audit teams may offer more competitive rates. While accepting lower hourly pay can provide job security and health benefits, professionals should negotiate wisely and be aware of their market worth, especially in a city where medical billing and coding specialist hourly pay in Winston-Salem ranges widely based on the type of role and organization.
More salary data for Winston-Salem, NC:
Frequently Asked Questions
What is the hourly rate for medical billing and coding specialists in Winston-Salem in 2026?
How much do part-time medical billing and coding specialists make in Winston-Salem?
Are medical billing and coding specialists in Winston-Salem paid hourly or salary?
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Do medical billing and coding specialists earn more per hour working part-time in Winston-Salem?
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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 Winston-Salem. 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 Winston-Salem 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