Medical Billing Salary

Senior Medical Billing and Coding Specialist Salary in Dubuque, IA: $36,177 (2026)

Quick Answer:The top tier of medical billing and coding specialists working in Dubuque, IA — those at or above the 90th percentile — pull in $36,177/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Dubuque's price premium (BEA RPP 87.3, 13% below national) and that top-decile pay carries the same buying power as $41,427 in average-cost America. The 23% spread above city median typically rewards 7+ years of practice or specialty credentials.

$36,177
Top 10% Earn
$17.39/hr
Top Hourly Rate
$36,177
75th Percentile
$36,177
90th Percentile

Official BLS data · View source

Medical Billing and Coding Specialist Senior Salary in Dubuque, IA — 2026 est., based on 2025 BLS
Dubuque, IA medical billing and coding specialist senior salary overview (2026 est., based on 2025 BLS)

Earning a top-tier salary as an experienced medical billing and coding specialist in Dubuque, IA, presents a promising opportunity for professionals with seven or more years in the field. The highest earners in this city can expect a salary of up to $36,177, significantly elevating their compensation above the median annual salary of $29,507. This gap reflects the considerable experience premium that comes with advanced roles, driving professionals to pursue specializations and additional certifications that enhance their value in the workforce. Achieving such a salary often necessitates a combination of technical proficiency and continuous education, particularly in high-demand areas such as inpatient coding and risk adjustment coding, enabling specialists to unlock their full earning potential.

2026 Salary Percentile Distribution in Dubuque

Vertical bar chart of 10th through 90th percentile salaries for medical billing and coding specialists in Dubuque. The median salary is $29,507, compared to the national median of $30,349.$21.3K$25.5K$29.7K$33.8K$38.0K$23.7K10th Pctl$25.6K25th Pctl$29.5KMedian$36.2K75th Pctl$36.2K90th PctlUS Median$30.3K

Experienced medical billing and coding specialists at the top of the pay scale in Dubuque earn between $36,177 and $36,177 per year (2026 est.). This $12,486 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Dubuque median of $29,507 sits 2.77% below the US median.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of medical billing and coding specialist pay in the Dubuque metro area.

Top MBS Salary Comparison

LevelDubuqueNational
Median (P50)$29,507$30,349
75th Percentile$36,177$38,468
90th Percentile (Top 10%)$36,177$48,159

In Dubuque, experienced medical billing and coding specialists (P90) earn 22.60% more than the local median — reflecting the significant value of specialization and tenure in this market.

What Drives Top Medical Billing and Coding Specialist Pay in Dubuque

1

Advanced Certifications in Iowa

IA medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $29,507 median. Expanded-scope credentials are increasingly valued by Dubuque employers.

2

Specialty Focus

Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Dubuque command premium compensation, often reaching the $36,177–$36,177 range.

3

Large Health-System & Multi-Site Experience

Large hospital systems and multi-site employers in the Dubuque metro area often pay above-market rates for experienced medical billing and coding specialists who demonstrate efficiency and leadership.

4

Employer Loyalty & Patient Relationships

Long-tenured medical billing and coding specialists in Dubuque with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.

5

Continuing Education & Leadership

Medical Billing and Coding Specialists in Iowa who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.

Medical Billing and Coding Specialist Career & Wage Growth Path in Dubuque

Clinical Medical Billing and Coding Specialist

0-5 years
$23,691 – $29,507

Senior/Lead Medical Billing and Coding Specialist

5-10 years
$29,507 – $36,177

Medical Billing and Coding Specialist Department Manager

10+ years
$36,177+

Educator / Specialty Leadership

Advanced
Varies by role

Dubuque ranks #26 of 26 Iowa cities for top earner medical billing and coding specialist salary (90th percentile: $36,177).

Top 10% medical billing and coding specialist compensation in Dubuque ($36,177) is 14.36% below the Iowa average P90 ($42,242).

2021 BLS Actual

$58,750

2025 BLS Actual

$35,357

2026 Current Est.

$36,177

2021–2027 Growth

+-37.0%

Salary Trajectory for Medical Billing and Coding Specialists in Dubuque (20212027)

2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.

BLS Actual Estimated Projected
Salary trajectory chart for medical billing and coding specialists in Dubuque. Baseline $58,750 in 2025, projected to $37,017 by 2027.$29.7K$39.6K$49.5K$59.3K$69.2K20212022202320242025202620272025 BLS$58.8K$57.5K$61.1K$63.6K$35.4K$36.2K$37.0K
YearAnnual SalaryStatus
2021$58,750Actual
2022$57,490Actual
2023$61,120Actual
2024$63,580Actual
2025$35,357Actual
2026(current)$36,177Estimated
2027$37,017Projected

Top-earning medical billing and coding specialists (90th percentile) in Dubuque saw their compensation grow -39.8% from $58,750 in 2021 to $35,357 in 2025, based on 5 years of BLS OEWS data for this metropolitan area. At a 2.32% annual growth rate, senior-level pay is projected to reach $37,017 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.

Note: Historical values (20212025) are actual BLS OEWS figures for the Dubuque metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 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.

Maximizing Your Medical Billing and Coding Specialist Earnings in Dubuque

Within Dubuque's job market, several prominent specializations contribute notably to elevated salaries for senior medical billing and coding professionals. Coding disciplines such as inpatient (CCS) and surgical coding command higher pay, particularly in settings like hospitals or outpatient clinics. Furthermore, the type of employer can significantly influence compensation structures; for instance, individuals working in physician group practice coding offices or consulting firms may find more lucrative packages compared to those in third-party coding companies. Leadership roles such as coding supervisor or HIM director can also pave the way for increased earnings, especially for those who stack advanced credentials like the AAPC CPC or AHIMA CCS. Understanding these dynamics not only prepares experienced professionals for higher pay but also underscores the critical importance of continuous education and specialization in the evolving landscape of medical billing and coding in Dubuque.

Frequently Asked Questions

How much do experienced medical billing and coding specialists make in Dubuque in 2026?

Top-earning medical billing and coding specialists in Dubuque (90th percentile) make $36,177/year, based on estimated 2026 salary (projected from 2025 BLS data at 2.32% annual growth). This is $6,670 more than the area median of $29,507 — representing a significant experience premium. Senior medical billing and coding specialists typically reach this level after 10+ years of clinical experience combined with specialty certifications, strong patient relationships, and working at high-production or specialty practices.

What drives higher medical billing and coding specialist pay in Dubuque?

Higher medical billing and coding specialist pay in Dubuque is driven by several key factors: years of clinical experience (10+ years for top tier), specializations, expanded-function certifications that allow additional procedures, and employment at high-production practices or large organizations. Geographic factors within the metro area also matter — practices in affluent neighborhoods or underserved areas often pay premium rates. Building a loyal patient base and strong clinical reputation further supports salary negotiation.

What certifications boost medical billing and coding specialist salary in Dubuque?

The most impactful salary-boosting certifications for medical billing and coding specialists in Dubuque include specialty certifications, advanced treatment certifications, and expanded-function credentials. These certifications can increase earnings well above the median of $29,507, especially when combined with experience at specialty practices.

Can experienced medical billing and coding specialists make six figures in Dubuque?

The 90th percentile in Dubuque is $36,177. Reaching six figures in this market may require combining clinical work at multiple practices with additional income from education, consulting, product sales, or relocating to a higher-paying metro area. Advanced certifications and specializations can help close the gap.

How much does medical billing and coding specialist salary increase over time in Dubuque?

In Dubuque, the gap between entry level ($23,691) and top earners ($36,177) is $12,486, reflecting significant earning potential over a career. Most salary growth occurs in the first 5–10 years through accumulated clinical experience and additional credentials. After year 10, growth slows unless you pursue management roles, teaching positions, or transition into consulting. Continuous professional development is essential for maximizing long-term earnings.

Related Pages

Nearby Cities in Iowa

AP

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.

Clinically reviewed by Liam Johnson, RHITData verified by Sofia Nguyen, CCS

Methodology & Data Source

Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $35,357 for medical billing and coding specialists in the Dubuque metro area. A 2.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.

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

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