Medical Billing and Coding Specialist Hourly Pay in Winston, NC: $17.85 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Winston, NC runs $17.85 at the median for 2026 — annualizing to $37,144 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Winston's regional price level (BEA RPP 92.0, 8% below national), each hour of work buys what $19.40 nationally would. A 24-hour part-time schedule grosses $22,283 per year.
Official BLS data · View source
In Winston, North Carolina, the medical billing and coding specialist hourly pay averages around $17.85, significantly higher than the national hourly median of $14.59. This favorable compensation reflects the area's demand for skilled professionals in this field. For those opting for part-time work, such as three-day weeks, this translates into a viable income while maintaining a flexible schedule, perfect for remote home offices or various healthcare settings. The official Bureau of Labor Statistics (BLS) data shows that entry-level positions can earn approximately $10.47 hourly, while more experienced specialists may earn up to $22.26 per hour. This range allows for a diverse workforce in Winston, accommodating those entering the industry as well as seasoned experts.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $10.47 | $83.74 |
| Lower Range (P25) | $12.09 | $96.75 |
| Median (P50) | $17.85 | $142.84 |
| Upper Range (P75) | $17.85 | $142.84 |
| Top Earners (P90) | $22.26 | $178.12 |
Estimated Annual Income by Work Schedule in Winston
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 Winston, 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 92.04 (below the national average), these earnings stretch further in Winston.
Hourly Rate Calculator
Schedule Comparison in Winston
| 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 (Winston) | $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 Winston, NC earn a median of $37,144 per year (2026 est.), which is 22.39% higher than the national median of $30,349 and 32.20% above the North Carolina state average of $28,097.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $17.85/hr = $22,283/year (purchasing power: $24,209).
Working 40h/week (full-time) = $37,138/year (purchasing power: $40,349).
CoL index: 92.043 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$22.93/hr
2025 BLS Actual
$17.45/hr
2026 Current Est.
$17.85/hr
2021–2027 Growth
+-20.3%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Winston (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $22.93/hr | Actual |
| 2022 | $26.65/hr | Actual |
| 2023 | $26.78/hr | Actual |
| 2024 | $26.20/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 Winston grew -23.9% from $22.93/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 Winston 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
The financial landscape for part-time medical billing and coding specialists in Winston is promising, offering the potential for substantial take-home incomes even outside of full-time commitments. Working a 24-hour week could net roughly $20,000 annually, providing a supportive income for those balancing other responsibilities. Meanwhile, per diem medical billing and coding specialists enjoy the flexibility of choosing when and how much to work, with reported hourly rates significantly higher for specialized coders; roles such as in inpatient coding or risk adjustment coding can yield between $35-$65 per hour in 1099 arrangements. Rates can vary widely across employer types, with physician group practices, hospital coding departments, and third-party coding firms offering different pay scales. Specialists often weigh lower hourly pay against benefits; those employed full-time with health insurance may have to accept a different pay rate than their per diem counterparts who work at a premium. Negotiating a fair hourly rate often requires keeping local demand and the cost-of-living index in mind, especially with Winston's index sitting at 92.043; this presents a unique opportunity for informed negotiation.
More salary data for Winston, 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 Winston. 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