Medical Billing Salary

Senior Medical Billing and Coding Specialist Salary in Rochester, MN: $27,053 (2026)

Quick Answer:The top tier of medical billing and coding specialists working in Rochester, MN — those at or above the 90th percentile — pull in $27,053/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Rochester's price premium (BEA RPP 98.5, 1% below national) and that top-decile pay carries the same buying power as $27,465 in average-cost America. The 55% spread above city median typically rewards 7+ years of practice or specialty credentials.

$27,053
Top 10% Earn
$13.00/hr
Top Hourly Rate
$22,341
75th Percentile
$27,053
90th Percentile

Based on BLS state-level estimates · View source

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

Top medical billing and coding specialists in Rochester can expect a compelling earnings potential in 2026, with the highest earners (P90) making $27,053 annually, and those in the P75 tier earning $22,341. This significant gap from the median salary of $17,454 reflects the experience premium one gains after seven or more years in the field. To achieve this level of compensation, advanced specializations such as inpatient coding (CCS), outpatient coding (CPC), and risk adjustment (CRC) are essential. Gaining these certifications and consistently improving technical skills in ICD-10-CM and CPT coding will significantly contribute to elevating one's career and salary expectations in the Rochester, MN market.

About the Rochester Market

Salary estimated from Minnesota average ($54,000) adjusted for local cost of living.

2026 Salary Percentile Distribution in Rochester

Vertical bar chart of 10th through 90th percentile salaries for medical billing and coding specialists in Rochester. The median salary is $17,454, compared to the national median of $30,349.$11.7K$16.8K$21.8K$26.8K$31.9K$13.0K10th Pctl$15.1K25th Pctl$17.5KMedian$22.3K75th Pctl$27.1K90th PctlUS Median$30.3K

Experienced medical billing and coding specialists at the top of the pay scale in Rochester earn between $22,341 and $27,053 per year (2026 est.). This $14,016 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Rochester median of $17,454 sits 42.49% below the US median.

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

Top MBS Salary Comparison

LevelRochesterNational
Median (P50)$17,454$30,349
75th Percentile$22,341$38,468
90th Percentile (Top 10%)$27,053$48,159

In Rochester, experienced medical billing and coding specialists (P90) earn 55.00% 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 Rochester

1

Advanced Certifications in Minnesota

MN medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $17,454 median. Expanded-scope credentials are increasingly valued by Rochester employers.

2

Specialty Focus

Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Rochester command premium compensation, often reaching the $22,341–$27,053 range.

3

Large Health-System & Multi-Site Experience

Large hospital systems and multi-site employers in the Rochester 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 Rochester 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 Minnesota 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 Rochester

Clinical Medical Billing and Coding Specialist

0-5 years
$13,037 – $17,454

Senior/Lead Medical Billing and Coding Specialist

5-10 years
$17,454 – $22,341

Medical Billing and Coding Specialist Department Manager

10+ years
$22,341+

Educator / Specialty Leadership

Advanced
Varies by role

Rochester ranks #10 of 44 Minnesota cities for top earner medical billing and coding specialist salary (90th percentile: $27,053).

Top 10% medical billing and coding specialist compensation in Rochester ($27,053) is 48.32% below the Minnesota average P90 ($52,344).

2021 BLS Actual

$62,730

2025 BLS Actual

$26,440

2026 Current Est.

$27,053

2021–2027 Growth

+-55.9%

Salary Trajectory for Medical Billing and Coding Specialists in Rochester (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 Rochester. Baseline $62,730 in 2025, projected to $27,681 by 2027.$15.1K$34.9K$54.7K$74.5K$94.3K20212022202320242025202620272025 BLS$62.7K$64.9K$74.2K$83.0K$26.4K$27.1K$27.7K
YearAnnual SalaryStatus
2021$62,730Actual
2022$64,890Actual
2023$74,210Actual
2024$82,993Actual
2025$26,440Actual
2026(current)$27,053Estimated
2027$27,681Projected

Top-earning medical billing and coding specialists (90th percentile) in Rochester saw their compensation grow -57.9% from $62,730 in 2021 to $26,440 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 $27,681 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.

Note: Historical values (20212025) are actual BLS OEWS figures for the Rochester 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 Rochester

Various specialized areas within medical billing and coding can command higher pay in Rochester, showcasing the diversity of income potential based on skill specificities. In particular, roles focusing on inpatient coding (CCS), surgical coding, and coding auditing (CPMA) tend to attract premium salaries compared to more general outpatient coding positions. Moreover, compensation also fluctuates depending on the employer type; for instance, coding specialist roles in hospital inpatient departments may pay differently than those in third-party coding companies or consulting firms. Leadership roles such as coding supervisor, HIM director, or compliance auditor further enhance salary prospects, particularly for professionals with stacked credentials like CPC, CCS, and CRC. Additionally, productivity bonuses and flexible work structures—whether remote or in-office—can also substantially impact overall compensation, reflecting the evolving standards of work-life balance in the industry.

Frequently Asked Questions

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

Top-earning medical billing and coding specialists in Rochester (90th percentile) make $27,053/year, based on estimated 2026 salary (projected from 2025 BLS data at 2.32% annual growth). This is $9,599 more than the area median of $17,454 — 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 Rochester?

Higher medical billing and coding specialist pay in Rochester 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 Rochester?

The most impactful salary-boosting certifications for medical billing and coding specialists in Rochester include specialty certifications, advanced treatment certifications, and expanded-function credentials. These certifications can increase earnings well above the median of $17,454, especially when combined with experience at specialty practices.

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

The 90th percentile in Rochester is $27,053. 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 Rochester?

In Rochester, the gap between entry level ($13,037) and top earners ($27,053) is $14,016, 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 Minnesota

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 $26,440 for medical billing and coding specialists in the Rochester 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

Salary data for Rochester is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).

View estimation methodology

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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