Medical Billing Salary

Medical Billing and Coding Specialist Hourly Pay in Tacoma, WA: $18.39 (2026)

Quick Answer:Hourly pay for a medical billing and coding specialist working in Tacoma, WA runs $18.39 at the median for 2026 — annualizing to $38,240 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Tacoma's regional price level (BEA RPP 107.4, 7% above national), each hour of work buys what $17.12 nationally would. A 24-hour part-time schedule grosses $22,947 per year.

$38,240
Median Annual Salary
$18.39/hr
Hourly Rate
$26,930
Entry Level (P10)
$59,272
Top Earners (P90)

Based on BLS state-level estimates · View source

Medical Billing and Coding Specialist Hourly Rate in Tacoma, WA — 2026 est., based on 2025 BLS
Tacoma, WA medical billing and coding specialist hourly rate overview (2026 est., based on 2025 BLS)

In Tacoma, Washington, the expected hourly pay for a medical billing and coding specialist stands at $18.39, significantly above the national median of $14.59 per hour. This difference reflects the demand for skilled professionals in this field, especially given the shift toward remote work that has become prevalent post-2020. For part-time workers, those putting in 24 hours a week can anticipate a substantial income that supports flexible work-life arrangements often found in home offices, hospital health information management departments, or physician group practices. The hourly wage ranges from $12.94 for entry-level roles to about $28.50 for top earners, allowing for a wide spectrum of earning potential depending on experience and work setting.

About the Tacoma Market

Salary estimated from Washington average ($62,000) adjusted for local cost of living.

Medical Billing and Coding Specialist Hourly Wage Breakdown

PercentileHourly RatePer 8hr Shift
Entry Level (P10)$12.94$103.55
Lower Range (P25)$15.35$122.78
Median (P50)$18.39$147.10
Upper Range (P75)$23.53$188.27
Top Earners (P90)$28.50$227.97

Estimated Annual Income by Work Schedule in Tacoma

Based on $18.39/hr median hourly rate · 2026 est.

Horizontal bars showing a medical billing and coding specialist in Tacoma earning $18.39/hr would make approximately $22,064 part-time (24 hr/wk) or $38,245 full-time (40 hr/wk).Part-Time (24 hr/wk)$22,064Reduced (32 hr/wk)$29,419Full-Time (40 hr/wk)$38,245

At $18.39/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Tacoma, WA can expect to earn approximately $38,245 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $22,064. With a cost-of-living index of 107.40 (above the national average), these earnings may be offset by higher expenses in Tacoma.

Annual estimates assume 5052 working weeks per year. Actual earnings vary by employer, overtime, and benefits.

Hourly Rate Calculator

$147.10
per 8hr shift
$735.48
per week
$3,187
per month
$38,245
per year

Schedule Comparison in Tacoma

ScheduleWeeklyMonthlyAnnual
Full-Time (40 hrs)$735.48$3,187$38,245
Part-Time (24 hrs)$441.29$1,912$22,947
Per Diem (16 hrs)$294.19$1,275$15,298

Compare MBS Wages With Similar Roles

RoleMedian Hourly
Medical Billing and Coding Specialist (Tacoma)$18.39
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
Horizontal bar chart comparing medical billing and coding specialist median salary in Tacoma ($38,240) with Washington average ($34,606) and the US national median ($30,349).Tacoma$38,240Washington Avg$34,606+10.50%US National$30,349+26.00%

Medical Billing and Coding Specialists in Tacoma, WA earn a median of $38,240 per year (2026 est.), which is 26.00% higher than the national median of $30,349 and 10.50% above the Washington state average of $34,606.

Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living

Working 24h/week at $18.39/hr = $22,947/year (purchasing power: $21,366).

Working 40h/week (full-time) = $38,245/year (purchasing power: $35,610).

CoL index: 107.4 (100 = national average).

2021 BLS Actual

$16.40/hr

2025 BLS Actual

$17.97/hr

2026 Current Est.

$18.39/hr

2021–2027 Growth

+14.7%

Hourly Rate Trajectory for Medical Billing and Coding Specialists in Tacoma (20212027)

2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.

BLS Actual Estimated Projected
Hourly rate trajectory chart for medical billing and coding specialists in Tacoma. Baseline $16.40/hr in 2025, projected to $18.81/hr by 2027.$13$19$24$30$3620212022202320242025202620272025 BLS$16.40$16.58$17.14$32.42$17.97$18.39$18.81
YearHourly RateStatus
2021$16.40/hrActual
2022$16.58/hrActual
2023$17.14/hrActual
2024$32.42/hrActual
2025$17.97/hrActual
2026(current)$18.39/hrEstimated
2027$18.81/hrProjected

Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Tacoma grew 9.6% from $16.40/hr (2021) to $17.97/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $18.81/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 (20212025) are actual BLS OEWS figures for the Tacoma metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 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 Tacoma

The opportunity for part-time medical billing and coding specialists in Tacoma can vary greatly from full-time positions, with three-day workweeks translating to approximately $25,000 annually compared to full-time equivalents. For those exploring per-diem or agency roles, the reality is even more lucrative; per diem medical billing and coding specialists might earn between $25 and $42 per hour, while specialized coders in inpatient settings can command $35 to $55 per hour as 1099 workers. It's noteworthy how hourly rates shift based on the employer type—physician practices, third-party coding companies, and hospitals all reflect varying pay scales that cater to different operational needs. Some specialists opt for lower hourly rates as compensation for offered health benefits in full-time positions, weighing the benefits against potentially higher pay without insurance when working per diem. For those negotiating their hourly rates, understanding local market trends and emphasizing relevant certifications from recognized bodies like AAPC or AHIMA can be advantageous.

Frequently Asked Questions

What is the hourly rate for medical billing and coding specialists in Tacoma in 2026?

The estimated 2026 median hourly rate for medical billing and coding specialists in Tacoma is $18.39/hour, based on estimated 2026 salary (projected from 2025 BLS data at 2.32% annual growth). Rates range from $12.94 at entry level (10th percentile) to $28.50 for experienced practitioners (90th percentile). This is 26.0% above the national average. Hourly pay varies based on practice type, patient volume, years of experience, and whether the position includes benefits.

How much do part-time medical billing and coding specialists make in Tacoma?

A part-time medical billing and coding specialist working 3 days per week (24 hours) in Tacoma earns approximately $1,912/month, or $22,947/year at the median hourly rate of $18.39. Many medical billing and coding specialists prefer part-time schedules for work-life balance, and some work at multiple practices to maximize earnings. Part-time positions may not include benefits like health insurance or retirement contributions, but typically offer higher hourly rates to compensate.

Are medical billing and coding specialists in Tacoma paid hourly or salary?

The majority of medical billing and coding specialists in Tacoma are paid hourly at a median rate of $18.39/hour. Some full-time positions at larger practices or organizations offer salaried compensation around $38,245/year, often bundled with benefits including health insurance, paid time off, retirement plans, and continuing education allowances. Hourly pay gives flexibility, while salary positions provide income stability.

How much does a full-time medical billing and coding specialist make per year in Tacoma?

A full-time medical billing and coding specialist working 40 hours per week (2,080 hours/year) in Tacoma earns approximately $38,245/year at the median hourly rate of $18.39. This is 26.0% above the national median. Top earners working full-time can reach $59,272/year at the 90th percentile rate. Overtime and weekend shifts may further increase annual earnings.

Do medical billing and coding specialists earn more per hour working part-time in Tacoma?

Part-time and per diem medical billing and coding specialists in Tacoma sometimes command higher hourly rates — up to $28.50/hour — because practices need flexible coverage for specific days or peak hours. However, part-time positions typically do not include benefits like health insurance, paid time off, or retirement contributions. When factoring in the value of benefits, full-time salaried positions may offer comparable or better total compensation despite a slightly lower hourly rate.

Related Pages

Nearby Cities in Washington

AP

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.

Clinically reviewed by Liam Johnson, RHITData verified by Sofia Nguyen, CCS

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 Tacoma. 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 Tacoma is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).

View estimation methodology

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

Last verified: