Senior Medical Billing and Coding Specialist Salary in Oswego, NY: $43,421 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Oswego, NY — those at or above the 90th percentile — pull in $43,421/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Oswego's price premium (BEA RPP 115.9, 16% above national) and that top-decile pay carries the same buying power as $37,464 in average-cost America. The 51% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

For seasoned professionals in medical billing and coding, Oswego, NY, presents promising compensation opportunities, with the top earners projected to achieve a salary of $43,421 in 2026. This figure places experienced medical billing and coding specialist salaries in Oswego slightly behind the national average for top-tier positions, but it still offers a substantial income boost compared to the median salary of $28,709. The income disparity between median and top earners highlights the potential for advanced practitioners, emphasizing the value of continuous education and specialization. Those aiming for high earnings must cultivate expertise in areas such as inpatient coding or compliance auditing, which command a premium as the healthcare sector increasingly prioritizes accurate and efficient billing practices.
About the Oswego Market
Salary estimated from New York average ($58,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Oswego
Experienced medical billing and coding specialists at the top of the pay scale in Oswego earn between $35,774 and $43,421 per year (2026 est.). This $20,227 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Oswego median of $28,709 sits 5.4% below the US median.
Top MBS Salary Comparison
| Level | Oswego | National |
|---|---|---|
| Median (P50) | $28,709 | $30,349 |
| 75th Percentile | $35,774 | $38,468 |
| 90th Percentile (Top 10%) | $43,421 | $48,159 |
In Oswego, experienced medical billing and coding specialists (P90) earn 51.25% 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 Oswego
Advanced Certifications in New York
NY medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $28,709 median. Expanded-scope credentials are increasingly valued by Oswego employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Oswego command premium compensation, often reaching the $35,774–$43,421 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Oswego 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 Oswego 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 York 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 Oswego
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
AdvancedOswego ranks #31 of 39 New York cities for top earner medical billing and coding specialist salary (90th percentile: $43,421).
Top 10% medical billing and coding specialist compensation in Oswego ($43,421) is 23.41% below the New York average P90 ($56,689).
2021 BLS Actual
$38,802
2025 BLS Actual
$42,436
2026 Current Est.
$43,421
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in Oswego (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $38,802 | Actual |
| 2022 | $39,461 | Actual |
| 2023 | $40,689 | Actual |
| 2024 | $96,782 | Actual |
| 2025 | $42,436 | Actual |
| 2026(current) | $43,421 | Estimated |
| 2027 | $44,428 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Oswego saw their compensation grow 9.4% from $38,802 in 2021 to $42,436 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 $44,428 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Oswego 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 Oswego
The salary environment for senior medical billing and coding specialists in Oswego reflects specialized skills and employer differences, significantly influencing pay levels. Professionals with certifications like the AHIMA CCS or AAPC CPC will find that advanced coding knowledge, particularly in areas such as surgical coding or oncology coding, can result in compensation that far exceeds the standard rates. Employers such as hospital coding departments and consulting firms typically offer higher pay than those in a physician's office or insurance company settings. Furthermore, leadership roles such as coding supervisor or HIM director not only facilitate salary growth but also provide avenues for professionals to influence industry standards and practices, especially as remote work continues to dominate the field. Advanced credentialing, alongside skill stacking in compliance or risk adjustment coding, can further enhance earning potential and job stability throughout NY's evolving healthcare landscape.
More salary data for Oswego, NY:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Oswego in 2026?
What drives higher medical billing and coding specialist pay in Oswego?
What certifications boost medical billing and coding specialist salary in Oswego?
Can experienced medical billing and coding specialists make six figures in Oswego?
How much does medical billing and coding specialist salary increase over time in Oswego?
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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 $42,436 for medical billing and coding specialists in the Oswego 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 Oswego 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