Senior Medical Billing and Coding Specialist Salary in Williston, ND: $23,658 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Williston, ND — those at or above the 90th percentile — pull in $23,658/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Williston's price premium (BEA RPP 92.0, 8% below national) and that top-decile pay carries the same buying power as $25,715 in average-cost America. The 53% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

Reaching the upper echelons of the experienced medical billing and coding specialist salary in Williston, ND, can offer substantial rewards, with top earners poised to achieve a 2026 projected annual salary of $23,658. This figure represents a significant variance from the median annual income of $15,452, highlighting the pronounced potential for career advancement in this field. The market in Williston illustrates that, while well-compensated, the opportunities for senior professionals extend beyond mere numbers; they often require strategic career moves, such as acquiring additional certifications or specializations. Achieving top-tier pay in this market often necessitates over seven years of experience along with proficiency in high-demand coding niches, placing them in comparative alignment with national top earners.
About the Williston Market
Salary estimated from North Dakota average ($50,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Williston
Experienced medical billing and coding specialists at the top of the pay scale in Williston earn between $19,327 and $23,658 per year (2026 est.). This $11,852 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Williston median of $15,452 sits 49.09% below the US median.
Top MBS Salary Comparison
| Level | Williston | National |
|---|---|---|
| Median (P50) | $15,452 | $30,349 |
| 75th Percentile | $19,327 | $38,468 |
| 90th Percentile (Top 10%) | $23,658 | $48,159 |
In Williston, experienced medical billing and coding specialists (P90) earn 53.11% 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 Williston
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 $15,452 median. Expanded-scope credentials are increasingly valued by Williston employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Williston command premium compensation, often reaching the $19,327–$23,658 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Williston 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 Williston 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 Williston
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
AdvancedWilliston ranks #7 of 8 North Dakota cities for top earner medical billing and coding specialist salary (90th percentile: $23,658).
Top 10% medical billing and coding specialist compensation in Williston ($23,658) is 48.52% below the North Dakota average P90 ($45,954).
2021 BLS Actual
$21,142
2025 BLS Actual
$23,122
2026 Current Est.
$23,658
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in Williston (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $21,142 | Actual |
| 2022 | $21,501 | Actual |
| 2023 | $22,170 | Actual |
| 2024 | $68,036 | Actual |
| 2025 | $23,122 | Actual |
| 2026(current) | $23,658 | Estimated |
| 2027 | $24,207 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Williston saw their compensation grow 9.4% from $21,142 in 2021 to $23,122 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 $24,207 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Williston 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 Williston
Various specializations play a critical role in commanding premium compensation for senior medical billing and coding specialists in Williston. For instance, expertise in inpatient coding (CCS), outpatient coding (CPC), or surgical coding can significantly influence earning potential. Different employer types, such as hospital inpatient settings or third-party coding companies, also yield varied pay structures, with remote work options increasingly on the rise. Leadership roles like coding supervisor or HIM director often incorporate advanced credentials, with certifications from AAPC or AHIMA greatly enhancing earning capacity. Additionally, factors like productivity bonuses and credential stacking—such as combining CPC, CCS, and CRC—further boost annual income for those well-versed in coding audits or compliance. Ultimately, as the healthcare landscape evolves, so too does the opportunity for experienced professionals in Williston to enhance their compensation through targeted skills and positions within this growing field.
More salary data for Williston, ND:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Williston in 2026?
What drives higher medical billing and coding specialist pay in Williston?
What certifications boost medical billing and coding specialist salary in Williston?
Can experienced medical billing and coding specialists make six figures in Williston?
How much does medical billing and coding specialist salary increase over time in Williston?
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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 $23,122 for medical billing and coding specialists in the Williston 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 Williston 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