Medical Billing and Coding Specialist Hourly Pay in Round Rock, TX: $14.08 (2026)

In Round Rock, Texas, the medical billing and coding specialist hourly pay is projected at $14.08, which is slightly below the national hourly median of $14.59. This competitive rate can be appealing for both part-time workers and those seeking per-diem positions within various healthcare settings, such as remote home offices, hospital HIM departments, and third-party coding companies. Those entering the field can expect to start at around $9.62 per hour, while seasoned professionals may earn up to $21.81 per hour at the higher end of the pay scale. It’s important to understand that these hourly rates reflect estimated figures derived from annual salary data, illustrating the evolving landscape of compensation for medical billing and coding specialists in the region.

For part-time professionals working three days a week, equating to about 24 hours, the annual income can significantly differ from full-time counterparts. Those in per-diem roles in Round Rock could witness pay ranging from $25 to $42 per hour, depending on the complexity of the coding that is required. For instance, CCS inpatient coders often command rates between $35-$55 per hour, while those specializing in risk adjustment coding can earn upwards of $40-$65 when working as independent contractors. Hourly rates can vary widely based on employer type, with physician group practices generally offering lower rates complemented by benefits, while third-party coding companies may present higher wages but with less job security. To optimize earnings, specialists can negotiate effectively by highlighting their credentials with organizations like AAPC or AHIMA and emphasizing the significant demand for expertise in ICD-10-CM and risk adjustment coding in today’s healthcare environment.