Medical Billing and Coding Specialist Salary in Louisville/Jefferson County, KY: $31,726 (2026)
Quick Answer:A full-time medical billing and coding specialist in Louisville/Jefferson County, KY earns a median $31,726/year (≈ $15.26/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Louisville/Jefferson County's price level (7% below national, BEA RPP 93.1), that paycheck buys what $34,087 would nationally. Nominal pay sits 17.1% above the Kentucky state average.
Official BLS data · View source

In 2026, the medical billing and coding specialist salary in Louisville/Jefferson County is projected to reach a median of $31,726, slightly above the national median of $30,349. The salary range for this occupation varies significantly from $22,937 to $44,225, illustrating the diversity of pay depending on factors such as specialization and experience. Positions in inpatient coding, particularly Certified Coding Specialists (CCS), typically command higher salaries compared to outpatient roles such as Certified Professional Coders (CPC) and risk adjustment coding specialists. This data, derived from official Bureau of Labor Statistics (BLS) surveys, indicates a dynamic job market for medical billing and coding professionals in the area, especially as healthcare providers continue to adapt to evolving coding standards and reimbursement models.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $22,937 | $11.03 |
| Lower Range (P25) | $24,984 | $12.01 |
| Median (P50)(typical) | $31,726 | $15.26 |
| Upper Range (P75) | $43,898 | $21.10 |
| Top Earners (P90) | $44,225 | $21.26 |
Median Salary Position
4.54% above the national average
2026 Salary Percentile Distribution in Louisville/Jefferson County
In Louisville/Jefferson County, KY, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $21,288 (2026 est.). At $31,726, the local median is 4.54% above the national median of $30,349.
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At 40 hours/week in Louisville/Jefferson County: You'd be in the lower-middle range
How Louisville/Jefferson County Medical Billing and Coding Specialist Pay Compares
Louisville/Jefferson County median: $31,726/year (2026)
| Compared To | Median Salary | Louisville/Jefferson County Pays |
|---|---|---|
| Kentucky Average | $27,093 | +17.10% more |
| National Average | $30,349 | +4.54% more |
Medical Billing and Coding Specialists in Louisville/Jefferson County, KY earn a median of $31,726 per year (2026 est.), which is 4.54% higher than the national median of $30,349 and 17.10% above the Kentucky state average of $27,093.
Cost-of-Living Adjusted Salary
Louisville/Jefferson County has a cost of living 6.93% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Louisville/Jefferson County, KY has a cost-of-living index of 93.074 (below the national average of 100). A medical billing and coding specialist earning $31,726 nominally has purchasing power equivalent to $34,087 in an average-cost city — an effective 7.44% boost.
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2021 BLS Actual
$47,000
2025 BLS Actual
$31,007
2026 Current Est.
$31,726
2021–2027 Growth
+-30.9%
Salary Trajectory for Medical Billing and Coding Specialists in Louisville/Jefferson County (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $47,000 | Actual |
| 2022 | $44,690 | Actual |
| 2023 | $45,930 | Actual |
| 2024 | $57,520 | Actual |
| 2025 | $31,007 | Actual |
| 2026(current) | $31,726 | Estimated |
| 2027 | $32,462 | Projected |
Based on 5 years of BLS OEWS data for the Louisville/Jefferson County metropolitan area, the median medical billing and coding specialist salary grew -34.0% from $47,000 (2021) to $31,007 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $32,462 by 2027 — a total increase of $-14,538 (-30.93%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Louisville/Jefferson County 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $22,937 – $24,984 |
| 3-5 years (Mid Career) | $24,984 – $31,726 |
| 5+ years (Experienced) | $31,726 – $43,898 |
| 10+ years (Top Earner) | $43,898 – $44,225 |
MBS salary ranges estimated from BLS percentile data. Individual medical billing and coding specialist compensation varies by employer, certifications, and specialization.
Medical Billing and Coding Specialist Job Market in Louisville/Jefferson County
In Louisville/Jefferson County, approximately 1,610 medical billing and coding specialists are employed, fostering a solid job market bolstered by a cost-of-living index of 93.074. This index suggests that salaries stretch further in the local market than they might in higher-cost regions, impacting take-home purchasing power positively. Employers in physician group practice coding offices and hospital inpatient coding departments typically offer the highest pay, while third-party coding companies are increasingly offering remote work options, which is attractive for many professionals in this field. Factors such as specialty—where inpatient CCS roles yield higher pay than outpatient or risk adjustment positions—and credential stacking with certifications like CPC, CCS, and Certified Risk Adjustment Coder (CRC) collectively drive wage differentials. To maximize pay in Louisville/Jefferson County, specialists should consider pursuing additional certifications and embracing productivity-based models, especially remote opportunities where industry demand remains strong.
More salary data for Louisville/Jefferson County, KY:
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
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $31,007 for medical billing and coding specialistsin the Louisville/Jefferson County metropolitan area. A 2.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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