Medical Billing and Coding Specialist Salary in Richmond, KY: $26,684 (2026)
Quick Answer:A full-time medical billing and coding specialist in Richmond, KY earns a median $26,684/year (≈ $12.83/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Richmond's price level (11% below national, BEA RPP 89.3), that paycheck buys what $29,881 would nationally. Nominal pay sits 1.5% below the Kentucky state average.
Based on BLS state-level estimates · View source
The anticipated median annual salary for medical billing and coding specialists in Richmond, Kentucky, is projected to be $26,684 in 2026. This figure falls significantly below the national median of $30,349, reflecting a local market that may not offer the same financial incentives as larger urban areas. Specialists can expect a salary range that spans from $19,454 at the 10th percentile to $39,957 at the 90th percentile, illuminating the potential for variance based on experience and credentials. With continuous education and credential stacking—such as obtaining the Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and Certified Risk Adjustment Coder (CRC)—professionals can enhance their earning potential throughout their careers. Richmond’s medical billing and coding job market, while modest, may still provide promising opportunities for those willing to invest in their professional development.
About the Richmond Market
Salary estimated from Kentucky average ($44,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $19,454 | $9.35 |
| Lower Range (P25) | $22,589 | $10.86 |
| Median (P50)(typical) | $26,684 | $12.83 |
| Upper Range (P75) | $33,323 | $16.02 |
| Top Earners (P90) | $39,957 | $19.21 |
Median Salary Position
12.08% below the national average
2026 Salary Percentile Distribution in Richmond
In Richmond, KY, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $20,503 (2026 est.). At $26,684, the local median is 12.08% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Richmond: You'd be in the lower-middle range
How Richmond Medical Billing and Coding Specialist Pay Compares
Richmond median: $26,684/year (2026)
| Compared To | Median Salary | Richmond Pays |
|---|---|---|
| Kentucky Average | $27,090 | -1.50% less |
| National Average | $30,349 | -12.08% less |
Medical Billing and Coding Specialists in Richmond, KY earn a median of $26,684 per year (2026 est.), which is 12.08% lower than the national median of $30,349 and 1.50% below the Kentucky state average of $27,090.
Cost-of-Living Adjusted Salary
Richmond has a cost of living 10.70% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Richmond, KY has a cost-of-living index of 89.3 (below the national average of 100). A medical billing and coding specialist earning $26,684 nominally has purchasing power equivalent to $29,881 in an average-cost city — an effective 11.98% boost.
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2021 BLS Actual
$23,794
2025 BLS Actual
$26,079
2026 Current Est.
$26,684
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Richmond (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $23,794 | Actual |
| 2022 | $24,060 | Actual |
| 2023 | $24,876 | Actual |
| 2024 | $38,688 | Actual |
| 2025 | $26,079 | Actual |
| 2026(current) | $26,684 | Estimated |
| 2027 | $27,303 | Projected |
Based on 5 years of BLS OEWS data for the Richmond metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $23,794 (2021) to $26,079 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $27,303 by 2027 — a total increase of $3,509 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Richmond 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) | $19,454 – $22,589 |
| 3-5 years (Mid Career) | $22,589 – $26,684 |
| 5+ years (Experienced) | $26,684 – $33,323 |
| 10+ years (Top Earner) | $33,323 – $39,957 |
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 Richmond
In Richmond, the medical billing and coding job market presently comprises five employed specialists, highlighting a niche but stable environment for this line of work. With a cost of living index sitting at 89.3, Richmond offers a more affordable lifestyle, which can enhance purchasing power despite lower salaries compared to national averages. While key employers include physician group practice coding offices and hospital inpatient coding departments, opportunities in remote coding roles and consulting firms are emerging as appealing options. The disparity between lower and higher compensation often correlates with credential levels and specialization, particularly in areas like inpatient coding and risk adjustment. To optimize earnings, professionals should focus on ascending the credential ladder while pursuing specialized training in high-demand areas such as HCC coding. Networking within local industry groups and seeking remote positions can further amplify earning potential in Richmond, KY.
More salary data for Richmond, KY:
Frequently Asked Questions
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Career Resources
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 $26,079 for medical billing and coding specialistsin the Richmond 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
Salary data for Richmond 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