Medical Billing and Coding Specialist Hourly Pay in Pasadena, TX: $14.43 (2026)

For part-time medical billing and coding specialists working 24 hours a week in Pasadena, the annual take-home can vary significantly from full-time employment, often leading to a more stabilized lifestyle without the full-time commitment. Per-diem or agency medical billing and coding specialists frequently command higher rates, ranging from $25 to $42 per hour, primarily when billed 1099. For those specialized in CCS inpatient coding, the hourly pay can escalate to between $35 and $55, while risk adjustment specialists servicing Medicare Advantage plans can see rates as high as $40 to $65 per hour. Different employer types exert considerable influence on these rates; those working in physician offices or hospital departments may encounter salary structures that include benefits but offer slightly lower hourly wages. Meanwhile, remote coding roles might present attractive pay rates but lack comprehensive health insurance benefits. It’s crucial for job seekers in Pasadena to assess these trade-offs carefully and negotiate effectively based on their value, leveraging skills in ICD-10-CM and CPT code updates, especially as the industry shifts towards increased coding responsibilities amid the growing emphasis on risk adjustment coding.