Senior Medical Billing and Coding Specialist Salary in Cleveland, OH: $55,897 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Cleveland, OH — those at or above the 90th percentile — pull in $55,897/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Cleveland's price premium (BEA RPP 93.9, 6% below national) and that top-decile pay carries the same buying power as $59,514 in average-cost America. The 52% spread above city median typically rewards 7+ years of practice or specialty credentials.
Official BLS data · View source

Cleveland stands out for experienced medical billing and coding specialists, especially those who have honed their skills over several years. In 2026, the top tier of earners can expect to pocket as much as $55,897 annually, significantly surpassing the median annual salary of $36,765. This gap illustrates the financial rewards for those who invest in further education and certifications, like CCS or CPC, and gain experience in specialized coding areas. To reach top-tier pay in this market, professionals often need to demonstrate mastery in complex coding practices, embrace continuous learning, and take on leadership roles.
2026 Salary Percentile Distribution in Cleveland
Experienced medical billing and coding specialists at the top of the pay scale in Cleveland earn between $45,234 and $55,897 per year (2026 est.). This $32,449 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Cleveland median of $36,765 sits 21.14% above the US median.
Top MBS Salary Comparison
| Level | Cleveland | National |
|---|---|---|
| Median (P50) | $36,765 | $30,349 |
| 75th Percentile | $45,234 | $38,468 |
| 90th Percentile (Top 10%) | $55,897 | $48,159 |
In Cleveland, experienced medical billing and coding specialists (P90) earn 52.04% 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 Cleveland
Advanced Certifications in Ohio
OH medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $36,765 median. Expanded-scope credentials are increasingly valued by Cleveland employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Cleveland command premium compensation, often reaching the $45,234–$55,897 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Cleveland metro area, which is a large MBS employment market, 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 Cleveland with established relationships have strong negotiating leverage. In this competitive market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Medical Billing and Coding Specialists in Ohio 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 Cleveland
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
AdvancedCleveland ranks #1 of 67 Ohio cities for top earner medical billing and coding specialist salary (90th percentile: $55,897).
Top 10% medical billing and coding specialist compensation in Cleveland ($55,897) is 17.13% above the Ohio average P90 ($47,724).
2021 BLS Actual
$65,520
2025 BLS Actual
$54,630
2026 Current Est.
$55,897
2021–2027 Growth
+-12.7%
Salary Trajectory for Medical Billing and Coding Specialists in Cleveland (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $65,520 | Actual |
| 2022 | $70,530 | Actual |
| 2023 | $74,230 | Actual |
| 2024 | $103,650 | Actual |
| 2025 | $54,630 | Actual |
| 2026(current) | $55,897 | Estimated |
| 2027 | $57,194 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Cleveland saw their compensation grow -16.6% from $65,520 in 2021 to $54,630 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 $57,194 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Cleveland 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 Cleveland
Compensation strategies for senior medical billing and coding specialists in Cleveland vary considerably based on employer type and specialization. For instance, those working in hospital inpatient coding departments may earn different salaries compared to their peers in outpatient coding offices or third-party coding companies, with talent in surgical coding, oncology coding, or risk adjustment commanding higher pay. Senior roles such as coding supervisor or HIM director open up additional advancement opportunities. Credential stacking, such as combining a CPC with an AHIMA CCS, not only boosts earning potential but also prepares professionals for the evolving landscape of remote work, where proficiency in coding standards like ICD-10-CM remains crucial. Overall, the compensation landscape reflects both the demand for skilled professionals in specific coding niches and the nuances of employer expectations in Cleveland, OH.
More salary data for Cleveland, OH:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Cleveland in 2026?
What drives higher medical billing and coding specialist pay in Cleveland?
What certifications boost medical billing and coding specialist salary in Cleveland?
Can experienced medical billing and coding specialists make six figures in Cleveland?
How much does medical billing and coding specialist salary increase over time in Cleveland?
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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 $54,630 for medical billing and coding specialists in the Cleveland 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
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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