Medical Billing and Coding Specialist Salary in Salem, NH: $18,431 (2026)
Quick Answer:A full-time medical billing and coding specialist in Salem, NH earns a median $18,431/year (≈ $8.86/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Salem's price level (7% above national, BEA RPP 107.3), that paycheck buys what $17,177 would nationally. Nominal pay sits 2.4% below the New Hampshire state average.
Based on BLS state-level estimates · View source

In Salem, New Hampshire, the projected median annual salary for medical billing and coding specialists in 2026 is $18,431, a figure considerably lower than the national median of $30,349, indicating a difference of nearly 39%. The local salary range shows significant variation, with entry-level positions starting around $13,221 and top earners reaching up to $27,881. These figures are based on estimates derived from BLS state-level data and regional price adjustments, reflecting both local demand and cost of living. Given the differences in specialty pay, those pursuing inpatient coding with credentials like CCS can typically command higher salaries compared to outpatient coding positions requiring certifications like CPC. The local job market suggests opportunities for upward mobility, particularly for specialists who invest in advanced training and credentials.
About the Salem Market
Salary estimated from New Hampshire average ($54,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $13,221 | $6.35 |
| Lower Range (P25) | $15,403 | $7.41 |
| Median (P50)(typical) | $18,431 | $8.86 |
| Upper Range (P75) | $22,834 | $10.98 |
| Top Earners (P90) | $27,881 | $13.40 |
Median Salary Position
39.27% below the national average
2026 Salary Percentile Distribution in Salem
In Salem, NH, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $14,660 (2026 est.). At $18,431, the local median is 39.27% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Salem: You'd be in the lower-middle range
How Salem Medical Billing and Coding Specialist Pay Compares
Salem median: $18,431/year (2026)
| Compared To | Median Salary | Salem Pays |
|---|---|---|
| New Hampshire Average | $18,884 | -2.40% less |
| National Average | $30,349 | -39.27% less |
Medical Billing and Coding Specialists in Salem, NH earn a median of $18,431 per year (2026 est.), which is 39.27% lower than the national median of $30,349 and 2.40% below the New Hampshire state average of $18,884.
Cost-of-Living Adjusted Salary
Salem has a cost of living 7.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Salem, NH has a cost-of-living index of 107.3 (above the national average of 100). While the nominal salary of $18,431 is competitive, the higher cost of living reduces purchasing power to an effective $17,177 — a 6.8% reduction.
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2021 BLS Actual
$16,435
2025 BLS Actual
$18,013
2026 Current Est.
$18,431
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Salem (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $16,435 | Actual |
| 2022 | $16,618 | Actual |
| 2023 | $17,182 | Actual |
| 2024 | $56,543 | Actual |
| 2025 | $18,013 | Actual |
| 2026(current) | $18,431 | Estimated |
| 2027 | $18,858 | Projected |
Based on 5 years of BLS OEWS data for the Salem metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $16,435 (2021) to $18,013 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $18,858 by 2027 — a total increase of $2,423 (14.74%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Salem 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) | $13,221 – $15,403 |
| 3-5 years (Mid Career) | $15,403 – $18,431 |
| 5+ years (Experienced) | $18,431 – $22,834 |
| 10+ years (Top Earner) | $22,834 – $27,881 |
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 Salem
The market for medical billing and coding professionals in Salem is relatively small, with only eight currently employed specialists in the area. However, the cost of living index sitting at 107.3 suggests that take-home pay may not stretch as far as in other regions. Employers with higher pay rates tend to include hospital inpatient coding departments and risk adjustment-focused payer organizations. Here, the disparity in pay can often be attributed to factors such as specialization (with inpatient coding generally paying more), credential stacking, and the demand for compliance and audit subspecialties. For those seeking to enhance their earnings, strategies like obtaining multiple certifications from AAPC or AHIMA and leveraging the growing remote work options can be effective, especially considering the ongoing evolution in risk adjustment and HCC coding specialties.
More salary data for Salem, NH:
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 $18,013 for medical billing and coding specialistsin the Salem 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 Salem 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