Medical Billing and Coding Specialist Salary in Holly Springs, NC: $27,120 (2026)
Quick Answer:A full-time medical billing and coding specialist in Holly Springs, NC earns a median $27,120/year (≈ $13.04/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Holly Springs's price level (6% below national, BEA RPP 93.6), that paycheck buys what $28,974 would nationally. Nominal pay sits 3.5% below the North Carolina state average.
Based on BLS state-level estimates · View source

In 2026, those working as medical billing and coding specialists in Holly Springs, North Carolina, are projected to earn a median annual salary of $27,120. This figure falls notably below the national median of $30,349, reflecting a local salary range from $21,214 at the tenth percentile to $42,036 at the ninetieth percentile. The BLS state-level data and regional cost adjustments indicate that while the pay in Holly Springs is competitive for entry-level positions, it does not match the national standard, representing a difference of 10.64%. The job market in Holly Springs is shaped by the prevalence of remote work, allowing local coders to compete with professionals nationwide, thus widening their employment opportunities beyond traditional geographic boundaries.
About the Holly Springs Market
Salary estimated from North Carolina average ($46,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $21,214 | $10.20 |
| Lower Range (P25) | $23,336 | $11.21 |
| Median (P50)(typical) | $27,120 | $13.04 |
| Upper Range (P75) | $34,275 | $16.47 |
| Top Earners (P90) | $42,036 | $20.21 |
Median Salary Position
10.64% below the national average
2026 Salary Percentile Distribution in Holly Springs
In Holly Springs, NC, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $20,822 (2026 est.). At $27,120, the local median is 10.64% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Holly Springs: You'd be in the lower-middle range
How Holly Springs Medical Billing and Coding Specialist Pay Compares
Holly Springs median: $27,120/year (2026)
| Compared To | Median Salary | Holly Springs Pays |
|---|---|---|
| North Carolina Average | $28,104 | -3.50% less |
| National Average | $30,349 | -10.64% less |
Medical Billing and Coding Specialists in Holly Springs, NC earn a median of $27,120 per year (2026 est.), which is 10.64% lower than the national median of $30,349 and 3.50% below the North Carolina state average of $28,104.
Cost-of-Living Adjusted Salary
Holly Springs has a cost of living 6.40% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Holly Springs, NC has a cost-of-living index of 93.6 (below the national average of 100). A medical billing and coding specialist earning $27,120 nominally has purchasing power equivalent to $28,974 in an average-cost city — an effective 6.84% boost.
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2021 BLS Actual
$24,183
2025 BLS Actual
$26,505
2026 Current Est.
$27,120
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Holly Springs (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $24,183 | Actual |
| 2022 | $24,453 | Actual |
| 2023 | $25,282 | Actual |
| 2024 | $41,545 | Actual |
| 2025 | $26,505 | Actual |
| 2026(current) | $27,120 | Estimated |
| 2027 | $27,749 | Projected |
Based on 5 years of BLS OEWS data for the Holly Springs metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $24,183 (2021) to $26,505 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $27,749 by 2027 — a total increase of $3,566 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Holly Springs 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) | $21,214 – $23,336 |
| 3-5 years (Mid Career) | $23,336 – $27,120 |
| 5+ years (Experienced) | $27,120 – $34,275 |
| 10+ years (Top Earner) | $34,275 – $42,036 |
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 Holly Springs
With only 10 medical billing and coding specialists employed in Holly Springs, competition is limited, but this small workforce can directly influence local salary dynamics. The cost of living index in Holly Springs stands at 93.6, indicating that the purchasing power for residents may align favorably with local salaries relative to national trends. Among potential employers, physician group practice coding offices and third-party coding companies tend to offer higher compensation packages, particularly for specialists versed in various coding subspecialties like inpatient CCS and risk adjustment CRC. Coders can maximize their earnings by stacking credentials—such as obtaining CPC, CCS, or CRC certifications—and by focusing on compliance and audit skills, which often yield productivity bonuses. Understanding local employer preferences and pursuing specialized training can greatly enhance earning potential in Holly Springs NC.
More salary data for Holly Springs, NC:
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 $26,505 for medical billing and coding specialistsin the Holly Springs 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 Holly Springs 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