Medical Billing and Coding Specialist Hourly Pay in Bellevue, WA: $18.88 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Bellevue, WA runs $18.88 at the median for 2026 — annualizing to $39,269 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Bellevue's regional price level (BEA RPP 107.4, 7% above national), each hour of work buys what $17.58 nationally would. A 24-hour part-time schedule grosses $23,560 per year.
Based on BLS state-level estimates · View source
In Bellevue, Washington, a medical billing and coding specialist can expect to earn a median hourly rate of $18.88, considerably higher than the national hourly median of $14.59. This advantageous pay scale reflects the increasing demand for these roles in various healthcare settings, including remote home offices, hospital HIM departments, and busy third-party coding companies, especially since the remote work trend surged in the post-2020 landscape. For specialists working part-time—say three days a week—this hourly rate translates into substantial earnings, while also allowing flexibility for personal commitments. As entry-level coders start around $12.93, top earners in the Bellevue area can make as much as $29.26 per hour, highlighting the potential for growth and advancement in this occupation.
About the Bellevue Market
Salary estimated from Washington average ($62,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $12.93 | $103.47 |
| Lower Range (P25) | $15.47 | $123.77 |
| Median (P50) | $18.88 | $151.02 |
| Upper Range (P75) | $24.06 | $192.44 |
| Top Earners (P90) | $29.26 | $234.11 |
Estimated Annual Income by Work Schedule in Bellevue
Based on $18.88/hr median hourly rate · 2026 est.
At $18.88/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Bellevue, WA can expect to earn approximately $39,266 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $22,654. With a cost-of-living index of 107.40 (above the national average), these earnings may be offset by higher expenses in Bellevue.
Hourly Rate Calculator
Schedule Comparison in Bellevue
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $755.12 | $3,272 | $39,266 |
| Part-Time (24 hrs) | $453.07 | $1,963 | $23,560 |
| Per Diem (16 hrs) | $302.05 | $1,309 | $15,707 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Bellevue) | $18.88 |
| 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 Bellevue, WA earn a median of $39,269 per year (2026 est.), which is 29.39% higher than the national median of $30,349 and 13.40% above the Washington state average of $34,629.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $18.88/hr = $23,560/year (purchasing power: $21,936).
Working 40h/week (full-time) = $39,266/year (purchasing power: $36,561).
CoL index: 107.4 (100 = national average).
2021 BLS Actual
$16.83/hr
2025 BLS Actual
$18.45/hr
2026 Current Est.
$18.88/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Bellevue (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $16.83/hr | Actual |
| 2022 | $17.02/hr | Actual |
| 2023 | $17.60/hr | Actual |
| 2024 | $32.65/hr | Actual |
| 2025 | $18.45/hr | Actual |
| 2026(current) | $18.88/hr | Estimated |
| 2027 | $19.32/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Bellevue grew 9.6% from $16.83/hr (2021) to $18.45/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $19.32/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 Bellevue 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 Bellevue
Looking deeper into earning potential, a medical billing and coding specialist working part-time for 24 hours a week would earn about $27,040 annually, which is a significant income given the flexible schedule; this contrasts with full-time roles that may afford benefits and stability but often require a more demanding commitment. For those interested in per diem work, billing rates can range from $25 to $42 per hour, comparable to CCS inpatient coders earning between $35 and $55 per hour, particularly at places like consulting firms or Medicare Advantage organizations that prioritize risk adjustment and HCC coding expertise. Moreover, hourly rates can differ significantly across various employer types in Bellevue, such as physician group practices versus third-party coding firms, influencing career choices. Specialists must weigh the trade-offs between higher hourly rates without benefits and the security that comes with traditional employment. For effective negotiations in this vibrant job market, specialists should reference local pay rates and stay current with coding updates to advocate successfully for their worth in this thriving field.
More salary data for Bellevue, WA:
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 Bellevue. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Bellevue is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
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