Senior Medical Billing and Coding Specialist Salary in Dickinson, ND: $24,545 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Dickinson, ND — those at or above the 90th percentile — pull in $24,545/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Dickinson's price premium (BEA RPP 92.0, 8% below national) and that top-decile pay carries the same buying power as $26,679 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

In Dickinson, North Dakota, experienced medical billing and coding specialists can achieve significant salaries, with the highest earners (P90) projected to make $24,545 in 2026. This figure illustrates a substantial difference compared to the median annual salary of $15,835 for this profession, highlighting the experience premium that seasoned professionals can command in the market. Compared to the national median salary of $30,349, the top medical billing and coding specialist salary in Dickinson still reflects the local economic landscape and indicates how specialized skills and certifications contribute to achieving these higher income levels. Those who aspire to reach the P90 threshold often need to focus on advanced certifications and specialized coding areas, ensuring they remain competitive amid evolving healthcare regulations.
About the Dickinson Market
Salary estimated from North Dakota average ($50,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Dickinson
Experienced medical billing and coding specialists at the top of the pay scale in Dickinson earn between $19,314 and $24,545 per year (2026 est.). This $13,134 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Dickinson median of $15,835 sits 47.82% below the US median.
Top MBS Salary Comparison
| Level | Dickinson | National |
|---|---|---|
| Median (P50) | $15,835 | $30,349 |
| 75th Percentile | $19,314 | $38,468 |
| 90th Percentile (Top 10%) | $24,545 | $48,159 |
In Dickinson, 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 Dickinson
Advanced Certifications in North Dakota
ND medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $15,835 median. Expanded-scope credentials are increasingly valued by Dickinson employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Dickinson command premium compensation, often reaching the $19,314–$24,545 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Dickinson 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 Dickinson 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 North Dakota 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 Dickinson
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
AdvancedDickinson ranks #5 of 8 North Dakota cities for top earner medical billing and coding specialist salary (90th percentile: $24,545).
Top 10% medical billing and coding specialist compensation in Dickinson ($24,545) is 46.59% below the North Dakota average P90 ($45,954).
2021 BLS Actual
$21,934
2025 BLS Actual
$23,988
2026 Current Est.
$24,545
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in Dickinson (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $21,934 | Actual |
| 2022 | $22,306 | Actual |
| 2023 | $23,001 | Actual |
| 2024 | $69,717 | Actual |
| 2025 | $23,988 | Actual |
| 2026(current) | $24,545 | Estimated |
| 2027 | $25,114 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Dickinson saw their compensation grow 9.4% from $21,934 in 2021 to $23,988 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 $25,114 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Dickinson 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 Dickinson
While the general compensation for a senior medical billing and coding specialist pay in ND appears modest, particular specializations significantly impact earning potential. Coding fields that attract higher salaries include inpatient coding (CCS), risk adjustment coding (CRC), and surgical coding, with roles in physician group practices or third-party coding companies often offering the most lucrative opportunities. Growth paths for seasoned coders include positions like lead coder or HIM director, where advanced credentials like CPC from AAPC or CCS from AHIMA can further enhance earning capabilities. Elements such as sporadic productivity bonuses, specialized knowledge in ICD-10-CM, and remote work arrangements foster additional financial advantages for coding professionals. Essentially, for those in Dickinson looking to elevate their income, credential stacking and mastery of in-demand coding areas, especially risk adjustment / HCC coding, will be critical in navigating their career trajectories.
More salary data for Dickinson, ND:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Dickinson in 2026?
What drives higher medical billing and coding specialist pay in Dickinson?
What certifications boost medical billing and coding specialist salary in Dickinson?
Can experienced medical billing and coding specialists make six figures in Dickinson?
How much does medical billing and coding specialist salary increase over time in Dickinson?
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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 $23,988 for medical billing and coding specialists in the Dickinson 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 Dickinson 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