Medical Billing and Coding Specialist Hourly Pay in Nashville, TN: $14.63 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Nashville, TN runs $14.63 at the median for 2026 — annualizing to $30,444 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Nashville's regional price level (BEA RPP 96.3, 4% below national), each hour of work buys what $15.19 nationally would. A 24-hour part-time schedule grosses $18,260 per year.
Official BLS data · View source
With a median hourly pay of $14.63 for medical billing and coding specialists in Nashville, Tennessee, professionals in this field earn slightly more than the national hourly median of $14.59. This hourly rate translates well for part-time and per-diem workers, who often find themselves in various settings, including remote home offices, hospital health information management departments, and third-party coding companies. Entry-level coders might start around the lower end of the hourly range at $11.41, while experienced specialists can earn up to $22.82, reflecting a broad spectrum of earning potential across different employers and roles within the local healthcare ecosystem. These figures, based on 2025 BLS OEWS data projected to 2026, indicate a competitive environment for medical billing and coding professionals in Nashville.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $11.41 | $91.27 |
| Lower Range (P25) | $12.31 | $98.47 |
| Median (P50) | $14.63 | $117.05 |
| Upper Range (P75) | $18.33 | $146.60 |
| Top Earners (P90) | $22.82 | $182.54 |
Estimated Annual Income by Work Schedule in Nashville
Based on $14.63/hr median hourly rate · 2026 est.
At $14.63/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Nashville, TN can expect to earn approximately $30,434 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $17,558. With a cost-of-living index of 96.34 (below the national average), these earnings stretch further in Nashville.
Hourly Rate Calculator
Schedule Comparison in Nashville
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $585.27 | $2,536 | $30,434 |
| Part-Time (24 hrs) | $351.16 | $1,522 | $18,260 |
| Per Diem (16 hrs) | $234.11 | $1,014 | $12,174 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Nashville) | $14.63 |
| 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 Nashville, TN earn a median of $30,444 per year (2026 est.), which is 0.31% higher than the national median of $30,349 and 8.20% above the Tennessee state average of $28,137.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $14.63/hr = $18,260/year (purchasing power: $18,955).
Working 40h/week (full-time) = $30,434/year (purchasing power: $31,591).
CoL index: 96.338 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$22.43/hr
2025 BLS Actual
$14.30/hr
2026 Current Est.
$14.63/hr
2021–2027 Growth
+-33.3%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Nashville (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $22.43/hr | Actual |
| 2022 | $23.75/hr | Actual |
| 2023 | $24.14/hr | Actual |
| 2024 | $26.77/hr | Actual |
| 2025 | $14.30/hr | Actual |
| 2026(current) | $14.63/hr | Estimated |
| 2027 | $14.97/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Nashville grew -36.2% from $22.43/hr (2021) to $14.30/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $14.97/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 Nashville 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 Nashville
When considering part-time opportunities, a medical billing and coding specialist working three days a week, or 24 hours, could take home approximately $17,020 annually, a significant contrast to full-time earnings. Per-diem medical billing and coding specialists in Nashville are typically paid at a premium, commonly billing between $25 and $42 per hour for 1099 positions. Those holding advanced credentials, such as CCS or CRC, can anticipate higher rates; inpatient coders might see pay ranging from $35 to $55 per hour. Hourly rates can vary considerably depending on the employer, with physician group practices and ambulatory surgery centers often offering different compensation than hospital coding departments or consulting firms. Some professionals opt for lower hourly pay that includes health benefits, while others pursue higher rates without benefits, creating considerations for negotiation. For those navigating the Nashville market, understanding how to leverage your skills and market trends can enhance pay opportunities in this evolving field.
More salary data for Nashville, TN:
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 Nashville. 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