Medical Billing and Coding Specialist Salary in San Juan, PR: $17,062 (2026)
Quick Answer:A full-time medical billing and coding specialist in San Juan, PR earns a median $17,062/year (≈ $8.21/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Puerto Rico's price level (25% below national, BEA RPP 75.0), that paycheck buys what $22,749 would nationally. Nominal pay sits 1.5% above the Puerto Rico state average.
Official BLS data · View source
The projected median annual salary for medical billing and coding specialists in San Juan, Puerto Rico, is $17,062 in 2026, which highlights a stark contrast to the national median of $30,349, reflecting a difference of approximately 43.78%. Salary ranges here span from $12,997 at the 10th percentile to $34,385 at the 90th percentile, showcasing the potential for earning based on experience and specific credentials. Those who hold multiple certifications such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and Certified Risk Adjustment Coder (CRC) may find opportunities to enhance their lifetime earnings significantly. As the demand for professionals adept in coding frameworks like ICD-10-CM and the recently updated CPT codes evolves, the specific pathways in San Juan encourage a focused approach to career advancement and can lead to improved compensation.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $12,997 | $6.25 |
| Lower Range (P25) | $14,012 | $6.73 |
| Median (P50)(typical) | $17,062 | $8.21 |
| Upper Range (P75) | $26,718 | $12.84 |
| Top Earners (P90) | $34,385 | $16.53 |
Median Salary Position
43.78% below the national average
2026 Salary Percentile Distribution in San Juan
In San Juan, PR, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $21,388 (2026 est.). At $17,062, the local median is 43.78% below the national median of $30,349.
Salary Calculator
At 40 hours/week in San Juan: You'd be in the entry-level range
How San Juan Medical Billing and Coding Specialist Pay Compares
San Juan median: $17,062/year (2026)
| Compared To | Median Salary | San Juan Pays |
|---|---|---|
| Puerto Rico Average | $16,810 | +1.50% more |
| National Average | $30,349 | -43.78% less |
Medical Billing and Coding Specialists in San Juan, PR earn a median of $17,062 per year (2026 est.), which is 43.78% lower than the national median of $30,349 and 1.50% above the Puerto Rico state average of $16,810.
2021 BLS Actual
$22,400
2025 BLS Actual
$16,675
2026 Current Est.
$17,062
2021–2027 Growth
+-22.1%
Salary Trajectory for Medical Billing and Coding Specialists in San Juan (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $22,400 | Actual |
| 2022 | $23,280 | Actual |
| 2023 | $22,610 | Actual |
| 2024 | $23,740 | Actual |
| 2025 | $16,675 | Actual |
| 2026(current) | $17,062 | Estimated |
| 2027 | $17,458 | Projected |
Based on 5 years of BLS OEWS data for the San Juan metropolitan area, the median medical billing and coding specialist salary grew -25.6% from $22,400 (2021) to $16,675 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $17,458 by 2027 — a total increase of $-4,942 (-22.06%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the San Juan 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) | $12,997 – $14,012 |
| 3-5 years (Mid Career) | $14,012 – $17,062 |
| 5+ years (Experienced) | $17,062 – $26,718 |
| 10+ years (Top Earner) | $26,718 – $34,385 |
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 San Juan
In San Juan, the employment landscape includes approximately 1,380 medical billing and coding specialists, ensuring a steady demand for skilled professionals. However, local living costs must be factored into the evaluation of real earnings power, as they can affect financial stability even at moderate salaries. Employers in areas such as physician group practice coding offices and hospital inpatient coding departments often offer higher compensation, with remote work options becoming increasingly popular in this sector. Factors that drive the variance in salaries include the specialty of coding—where inpatient CCS is typically more lucrative than outpatient CPC—and the premium associated with compliance and audit-related roles. To maximize pay in the San Juan market, professionals are advised to pursue further education, acquire multiple credentials, focus on in-demand specialties like risk adjustment coding, and consider remote positions, which can offer flexibility alongside competitive pay.
More salary data for San Juan, PR:
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 $16,675 for medical billing and coding specialistsin the San Juan 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