Medical Billing and Coding Specialist Hourly Pay in Grand Forks, ND: $13.09 (2026)

Specialists in the Grand Forks area who consider per-diem positions often see significantly higher pay rates, ranging between $25 and $42 per hour for 1099 coding work. Unique positions, such as CCS inpatient coders, can command between $35 and $55 per hour, while CRC risk adjustment specialists can achieve rates up to $40 to $65. Variability in hourly pay also exists across different employer types; for instance, coding positions within physician practices and third-party coding companies may offer lower rates than roles in ambulatory surgery centers or insurance company audit teams. While some professionals may accept lower hourly wages in exchange for health benefits, others prioritize higher hourly earnings and the flexibility of freelance work. Those in roles where negotiation is key should focus on proving their expertise in ICD-10-CM and CPT updates, leveraging certification credentials from AAPC or AHIMA, and demonstrating the value they add to organizations, especially in high-growth areas like risk adjustment coding.