Medical Billing and Coding Specialist Salary in Puyallup, WA: $33,147 (2026)
Quick Answer:A full-time medical billing and coding specialist in Puyallup, WA earns a median $33,147/year (≈ $15.93/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Puyallup's price level (7% above national, BEA RPP 107.4), that paycheck buys what $30,863 would nationally. Nominal pay sits 4.2% below the Washington state average.
Based on BLS state-level estimates · View source
In Puyallup, Washington, the projected 2026 median annual salary for medical billing and coding specialists is $33,147, reflecting a notable increase compared to the national median of $30,349. This salary range varies significantly, from a lower threshold of $25,513 to an upper limit of $51,054. These figures, derived from 2025 BLS state-level data and adjusted for regional cost variations, mark Puyallup's market as competitive, particularly for specialists in inpatient coding (CCS) who typically earn more than those focused on outpatient coding (CPC) or those engaged in HCC and risk adjustment specialties. With the growing prominence of remote work options, many local practitioners may find favorable opportunities within various coding environments.
About the Puyallup Market
Salary estimated from Washington average ($62,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $25,513 | $12.27 |
| Lower Range (P25) | $28,951 | $13.92 |
| Median (P50)(typical) | $33,147 | $15.93 |
| Upper Range (P75) | $42,258 | $20.32 |
| Top Earners (P90) | $51,054 | $24.55 |
Median Salary Position
9.22% above the national average
2026 Salary Percentile Distribution in Puyallup
In Puyallup, WA, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $25,541 (2026 est.). At $33,147, the local median is 9.22% above the national median of $30,349.
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At 40 hours/week in Puyallup: You'd be in the lower-middle range
How Puyallup Medical Billing and Coding Specialist Pay Compares
Puyallup median: $33,147/year (2026)
| Compared To | Median Salary | Puyallup Pays |
|---|---|---|
| Washington Average | $34,600 | -4.20% less |
| National Average | $30,349 | +9.22% more |
Medical Billing and Coding Specialists in Puyallup, WA earn a median of $33,147 per year (2026 est.), which is 9.22% higher than the national median of $30,349 and 4.20% below the Washington state average of $34,600.
Cost-of-Living Adjusted Salary
Puyallup has a cost of living 7.40% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Puyallup, WA has a cost-of-living index of 107.4 (above the national average of 100). While the nominal salary of $33,147 is competitive, the higher cost of living reduces purchasing power to an effective $30,863 — a 6.89% reduction.
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2021 BLS Actual
$29,557
2025 BLS Actual
$32,395
2026 Current Est.
$33,147
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in Puyallup (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $29,557 | Actual |
| 2022 | $29,887 | Actual |
| 2023 | $30,900 | Actual |
| 2024 | $63,761 | Actual |
| 2025 | $32,395 | Actual |
| 2026(current) | $33,147 | Estimated |
| 2027 | $33,916 | Projected |
Based on 5 years of BLS OEWS data for the Puyallup metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $29,557 (2021) to $32,395 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $33,916 by 2027 — a total increase of $4,359 (14.75%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Puyallup 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) | $25,513 – $28,951 |
| 3-5 years (Mid Career) | $28,951 – $33,147 |
| 5+ years (Experienced) | $33,147 – $42,258 |
| 10+ years (Top Earner) | $42,258 – $51,054 |
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 Puyallup
The local job market for medical billing and coding specialists in Puyallup is modest, with only 10 professionals currently employed in this field. The cost of living index stands at 107.4, indicating that living expenses are slightly higher than the national average. This factor affects take-home pay and purchasing power after accounting for local expenses. Notably, physician group practices and hospital inpatient coding departments tend to offer the highest salaries, while third-party coding companies provide remote work opportunities that are attractive. The variation in salaries can be driven by factors such as specialty focus—where inpatient coding commands a premium over outpatient—and credential stacking, including certifications from AAPC or AHIMA, which can enhance earning potential. For those looking to boost their medical billing and coding specialist pay in Puyallup, pursuing additional certifications such as the CPC or CCS, along with seeking positions that offer productivity bonuses, is advisable for maximizing compensation in this evolving market.
More salary data for Puyallup, WA:
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 $32,395 for medical billing and coding specialistsin the Puyallup 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 Puyallup 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