Medical Billing and Coding Specialist Hourly Pay in Pullman, WA: $15.97 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Pullman, WA runs $15.97 at the median for 2026 — annualizing to $33,221 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Pullman's regional price level (BEA RPP 107.4, 7% above national), each hour of work buys what $14.87 nationally would. A 24-hour part-time schedule grosses $19,933 per year.
Based on BLS state-level estimates · View source

In Pullman, Washington, a medical billing and coding specialist can expect an hourly rate of $15.97, which exceeds the national median of $14.59 for similar roles in 2026. This hourly pay not only reflects the local labor market conditions but also indicates that positions in Pullman offer more favorable compensation in comparison to many other regions across the country. This pay structure is particularly relevant for part-time workers, such as those seeking three-day work weeks, as well as individuals pursuing per-diem opportunities. Typical work environments include remote home offices, hospital health information management departments, and third-party coding companies. Specialist roles can see hourly earnings ranging from $12.35 at entry-level positions up to $24.75 for those in higher-paying roles, providing a wide spectrum of potential earnings depending on experience and specialization.
About the Pullman 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) | $12.35 | $98.80 |
| Lower Range (P25) | $14.00 | $111.98 |
| Median (P50) | $15.97 | $127.78 |
| Upper Range (P75) | $20.40 | $163.22 |
| Top Earners (P90) | $24.75 | $198.01 |
Estimated Annual Income by Work Schedule in Pullman
Based on $15.97/hr median hourly rate · 2026 est.
At $15.97/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Pullman, WA can expect to earn approximately $33,222 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $19,167. With a cost-of-living index of 107.40 (above the national average), these earnings may be offset by higher expenses in Pullman.
Hourly Rate Calculator
Schedule Comparison in Pullman
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $638.89 | $2,769 | $33,222 |
| Part-Time (24 hrs) | $383.33 | $1,661 | $19,933 |
| Per Diem (16 hrs) | $255.55 | $1,107 | $13,289 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Pullman) | $15.97 |
| 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 Pullman, WA earn a median of $33,221 per year (2026 est.), which is 9.46% higher than the national median of $30,349 and 4.00% below the Washington state average of $34,605.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $15.97/hr = $19,933/year (purchasing power: $18,560).
Working 40h/week (full-time) = $33,222/year (purchasing power: $30,933).
CoL index: 107.4 (100 = national average).
2021 BLS Actual
$14.24/hr
2025 BLS Actual
$15.61/hr
2026 Current Est.
$15.97/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Pullman (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $14.24/hr | Actual |
| 2022 | $14.40/hr | Actual |
| 2023 | $14.89/hr | Actual |
| 2024 | $30.72/hr | Actual |
| 2025 | $15.61/hr | Actual |
| 2026(current) | $15.97/hr | Estimated |
| 2027 | $16.34/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Pullman grew 9.6% from $14.24/hr (2021) to $15.61/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $16.34/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 Pullman 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 Pullman
Examining the earnings potential for a part-time medical billing and coding specialist working three days a week reveals interesting trends in income. Working approximately 24 hours weekly yields about $19,974 annually, significantly less than a full-time position but still appealing for those seeking work-life balance. Per diem medical billing and coding specialists can bill anywhere from $25 to $42 per hour for their services, with more experienced coders such as CCS inpatient coders earning rates between $35 to $55, and risk adjustment specialists for Medicare Advantage reaching $40 to $65. In Pullman, hourly rates may also differ based on the employer type, with physician group practices, insurance companies, and consulting firms each offering unique pay structures. Those valuing benefits like health insurance may opt for lower hourly rates, while others prefer the flexibility and higher earnings of contract or per diem work. Medical billing and coding specialists in Pullman can negotiate hourly pay based on both their technical proficiency and the local demand for specialized skills, particularly as the field continues to evolve with advancements in coding technologies and practices.
More salary data for Pullman, 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 Pullman. 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 Pullman 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