Medical Billing and Coding Specialist Salary in Roanoke, VA: $27,875 (2026)
Quick Answer:A full-time medical billing and coding specialist in Roanoke, VA earns a median $27,875/year (≈ $13.40/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Roanoke's price level (6% below national, BEA RPP 93.6), that paycheck buys what $29,775 would nationally. Nominal pay sits 1.6% below the Virginia state average.
Official BLS data · View source
In 2026, a medical billing and coding specialist in Roanoke, VA, can expect to earn a median annual salary of $27,875, a figure that is approximately 8.15% less than the national median of $30,349 for this profession. The salary range for this role in the city varies significantly, from a lower 10th percentile at $18,783 to an upper 90th percentile at $40,486. This data, derived from official Bureau of Labor Statistics (BLS) OEWS surveys, reflects the diverse earning potential influenced by professional credentials and experience level. Credentials such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and Certified Risk Adjustment Coder (CRC) can significantly enhance earning potential over a career. Given this competitive scenario, Roanoke's job market for medical billing and coding specialists provides a solid foundation for those looking to grow in the profession.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $18,783 | $9.02 |
| Lower Range (P25) | $22,153 | $10.65 |
| Median (P50)(typical) | $27,875 | $13.40 |
| Upper Range (P75) | $34,106 | $16.40 |
| Top Earners (P90) | $40,486 | $19.46 |
Median Salary Position
8.15% below the national average
2026 Salary Percentile Distribution in Roanoke
In Roanoke, VA, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $21,703 (2026 est.). At $27,875, the local median is 8.15% below the national median of $30,349.
Salary Calculator
At 40 hours/week in Roanoke: You'd be in the lower-middle range
How Roanoke Medical Billing and Coding Specialist Pay Compares
Roanoke median: $27,875/year (2026)
| Compared To | Median Salary | Roanoke Pays |
|---|---|---|
| Virginia Average | $28,328 | -1.60% less |
| National Average | $30,349 | -8.15% less |
Medical Billing and Coding Specialists in Roanoke, VA earn a median of $27,875 per year (2026 est.), which is 8.15% lower than the national median of $30,349 and 1.60% below the Virginia state average of $28,328.
Cost-of-Living Adjusted Salary
Roanoke has a cost of living 6.38% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Roanoke, VA has a cost-of-living index of 93.618 (below the national average of 100). A medical billing and coding specialist earning $27,875 nominally has purchasing power equivalent to $29,775 in an average-cost city — an effective 6.82% boost.
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2021 BLS Actual
$46,000
2025 BLS Actual
$27,243
2026 Current Est.
$27,875
2021–2027 Growth
+-38.0%
Salary Trajectory for Medical Billing and Coding Specialists in Roanoke (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $46,000 | Actual |
| 2022 | $48,340 | Actual |
| 2023 | $48,050 | Actual |
| 2024 | $46,150 | Actual |
| 2025 | $27,243 | Actual |
| 2026(current) | $27,875 | Estimated |
| 2027 | $28,522 | Projected |
Based on 5 years of BLS OEWS data for the Roanoke metropolitan area, the median medical billing and coding specialist salary grew -40.8% from $46,000 (2021) to $27,243 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $28,522 by 2027 — a total increase of $-17,478 (-38.00%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Roanoke 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) | $18,783 – $22,153 |
| 3-5 years (Mid Career) | $22,153 – $27,875 |
| 5+ years (Experienced) | $27,875 – $34,106 |
| 10+ years (Top Earner) | $34,106 – $40,486 |
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 Roanoke
The job market for medical billing and coding specialists in Roanoke is robust, with around 180 professionals currently employed in the area. While this figure indicates a healthy employment landscape, workers must also consider the cost of living index in Roanoke, which stands at 93.618, below the national average. This suggests that while pay may be lower than average nationally, the purchasing power remains relatively stable. Among the highest-paying job options are roles within hospital inpatient coding departments and consulting firms, which tend to value proficiency and certification levels more highly. The diversity in salary stems from various factors, including the focus on specialized coding areas such as inpatient and risk adjustment coding, as well as the benefits of credential stacking. To maximize pay in this local market, upskilling through relevant certifications and seeking positions that incorporate productivity bonuses through remote work opportunities can significantly enhance overall compensation for medical billing and coding specialists in Roanoke, VA.
More salary data for Roanoke, VA:
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 $27,243 for medical billing and coding specialistsin the Roanoke 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