Senior Medical Billing and Coding Specialist Salary in Derry, NH: $28,098 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Derry, NH — those at or above the 90th percentile — pull in $28,098/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Derry's price premium (BEA RPP 107.3, 7% above national) and that top-decile pay carries the same buying power as $26,186 in average-cost America. The 55% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

Senior medical billing and coding specialists in Derry, New Hampshire, can expect to earn significantly more than their less experienced counterparts, with top salaries reaching up to $28,098 in 2026. This upper range illustrates the distinct difference between entry-level and senior-level roles in the field, where the median salary sits at just $18,128, creating a substantial incentive for professionals to enhance their skills and gain additional experience. Achieving top-tier pay requires a commitment to honing expertise in complex coding specialties, such as surgical coding or oncology coding. In addition, acquiring advanced credentials through recognized organizations like AAPC or AHIMA can further solidify a coder's standing and marketability, positioning them for lucrative opportunities within Derry and beyond.
About the Derry Market
Salary estimated from New Hampshire average ($54,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Derry
Experienced medical billing and coding specialists at the top of the pay scale in Derry earn between $23,161 and $28,098 per year (2026 est.). This $14,075 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Derry median of $18,128 sits 40.27% below the US median.
Top MBS Salary Comparison
| Level | Derry | National |
|---|---|---|
| Median (P50) | $18,128 | $30,349 |
| 75th Percentile | $23,161 | $38,468 |
| 90th Percentile (Top 10%) | $28,098 | $48,159 |
In Derry, 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 Derry
Advanced Certifications in New Hampshire
NH medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $18,128 median. Expanded-scope credentials are increasingly valued by Derry employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Derry command premium compensation, often reaching the $23,161–$28,098 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Derry metro area often pay above-market rates for experienced medical billing and coding specialists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured medical billing and coding specialists in Derry with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Medical Billing and Coding Specialists in New Hampshire 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 Derry
Clinical Medical Billing and Coding Specialist
0-5 yearsSenior/Lead Medical Billing and Coding Specialist
5-10 yearsMedical Billing and Coding Specialist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedDerry ranks #5 of 16 New Hampshire cities for top earner medical billing and coding specialist salary (90th percentile: $28,098).
Top 10% medical billing and coding specialist compensation in Derry ($28,098) is 24.58% below the New Hampshire average P90 ($37,255).
2021 BLS Actual
$25,109
2025 BLS Actual
$27,461
2026 Current Est.
$28,098
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in Derry (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $25,109 | Actual |
| 2022 | $25,536 | Actual |
| 2023 | $26,331 | Actual |
| 2024 | $86,199 | Actual |
| 2025 | $27,461 | Actual |
| 2026(current) | $28,098 | Estimated |
| 2027 | $28,750 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Derry saw their compensation grow 9.4% from $25,109 in 2021 to $27,461 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 $28,750 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Derry 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.
Maximizing Your Medical Billing and Coding Specialist Earnings in Derry
Compensation for top medical billing and coding specialists in Derry varies significantly based on factors such as specialization and employer type. Specialties like inpatient coding and risk adjustment coding command higher salaries due to their complexity, making them particularly appealing for experienced coders looking to maximize their earning potential. Senior roles typically include positions such as coding auditor or HIM director, with leadership opportunities leading to even greater compensation potential. Different employers, including physician group practices and health insurance companies, also influence salary, with remote work options becoming increasingly common in today’s market. Moreover, advanced credentials like the CPC or CCS can lead to salary boosts, as hiring organizations prioritize applicants with robust qualifications. Compensation packages may also include bonuses tied to productivity, particularly in high-demand specialties, allowing for a more comprehensive earning strategy in the competitive market of medical coding in NH.
More salary data for Derry, NH:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Derry in 2026?
What drives higher medical billing and coding specialist pay in Derry?
What certifications boost medical billing and coding specialist salary in Derry?
Can experienced medical billing and coding specialists make six figures in Derry?
How much does medical billing and coding specialist salary increase over time in Derry?
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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
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 $27,461 for medical billing and coding specialists in the Derry 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 Derry 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