Medical Billing and Coding Specialist Hourly Pay in South Charleston, WV: $12.82 (2026)

Considering a three-day workweek in this field translates to approximately 24 hours of work, a part-time medical billing and coding specialist could expect to take home about $19,685 annually. This path presents a contrast to full-time positions, where dedicated coders often find themselves earning much higher income levels. Per diem medical billing and coding specialists in South Charleston, working on a contract basis, can secure higher hourly rates ranging between $25 and $42, depending on their experience and certification levels. Additionally, those specializing in risk adjustment coding for Medicare Advantage may command rates of $40 to $65 per hour. The setting also affects pay, with hospital inpatient departments, insurance coding audits, and consulting engagements offering varying compensation structures. Some specialists may choose lower hourly rates from their employer in exchange for benefits such as health insurance, while others may seek higher pay without these perks. When negotiating contracts, it is often beneficial to highlight experience with the ICD-10-CM standards or emerging specialties like HCC coding, which are crucial in today’s healthcare landscape.