Medical Billing and Coding Specialist Hourly Pay in Herndon, VA: $12.76 (2026)

Looking at earning potential, part-time medical billing and coding specialists who work in Herndon can face a stark difference when compared to full-time counterparts, especially since many are also drawn to per-diem work. Per-diem medical billing and coding specialist pay in Herndon can be substantially higher, with rates typically ranging between $25 and $42 an hour for 1099 contractors. For instance, CCS inpatient coders may charge between $35 and $55 per hour, while specialized CRC risk adjustment specialists at Medicare Advantage payers can bill $40 to $65 an hour. Varying employer types significantly affect hourly wages; positions in physician group practices or insurance companies generally offer lower pay than roles in consulting firms or agency settings. While higher hourly rates may seem appealing, often without benefits, many specialists choose stability and health insurance over maximum pay rates. In negotiating hourly wages, it’s vital to consider not just salary but also the full value of benefits offered, allowing flexibility in discussions with potential employers in the competitive Herndon market.