Senior Medical Billing and Coding Specialist Salary in Gresham, OR: $53,658 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Gresham, OR — those at or above the 90th percentile — pull in $53,658/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Gresham's price premium (BEA RPP 102.6, 3% above national) and that top-decile pay carries the same buying power as $52,298 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 Gresham, Oregon, the compensation landscape for experienced medical billing and coding specialists reflects significant opportunities for those with 7 or more years of expertise. The top earners in this field can command a salary reaching $53,658, which places them well above the local median annual salary of $34,618. The range of salaries highlights a considerable experience premium, particularly for senior professionals who have honed their skills and possibly expanded their certifications. Achieving this top-tier pay not only requires a wealth of experience but may also involve specialization in in-demand areas like inpatient coding or risk adjustment, making such specialists highly sought after in the healthcare market.
About the Gresham Market
Salary estimated from Oregon average ($56,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Gresham
Experienced medical billing and coding specialists at the top of the pay scale in Gresham earn between $43,509 and $53,658 per year (2026 est.). This $29,661 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Gresham median of $34,618 sits 14.07% above the US median.
Top MBS Salary Comparison
| Level | Gresham | National |
|---|---|---|
| Median (P50) | $34,618 | $30,349 |
| 75th Percentile | $43,509 | $38,468 |
| 90th Percentile (Top 10%) | $53,658 | $48,159 |
In Gresham, 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 Gresham
Advanced Certifications in Oregon
OR medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $34,618 median. Expanded-scope credentials are increasingly valued by Gresham employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Gresham command premium compensation, often reaching the $43,509–$53,658 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Gresham 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 Gresham 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 Oregon 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 Gresham
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
AdvancedGresham ranks #2 of 36 Oregon cities for top earner medical billing and coding specialist salary (90th percentile: $53,658).
Top 10% medical billing and coding specialist compensation in Gresham ($53,658) is 9.64% above the Oregon average P90 ($48,942).
2021 BLS Actual
$47,950
2025 BLS Actual
$52,441
2026 Current Est.
$53,658
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in Gresham (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $47,950 | Actual |
| 2022 | $48,764 | Actual |
| 2023 | $50,283 | Actual |
| 2024 | $91,125 | Actual |
| 2025 | $52,441 | Actual |
| 2026(current) | $53,658 | Estimated |
| 2027 | $54,902 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Gresham saw their compensation grow 9.4% from $47,950 in 2021 to $52,441 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 $54,902 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Gresham 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 Gresham
At the senior level, experienced medical billing and coding specialists in Gresham can expect a rich variety of compensation dynamics influenced by their specializations and the types of employers they engage with. Notably, those proficient in inpatient coding (CCS), risk adjustment (CRC), and surgical coding are commanding the highest salaries. Compensation may vary based on whether one works in physician group practices, hospital inpatient departments, or as part of remote third-party coding companies, with each environment offering different pay scales. Leadership roles, such as coding supervisor or HIM director, present additional opportunities for salary growth, often enhanced by advanced certifications like AAPC CPC or AHIMA CCS. Factors beyond base salary—such as productivity bonuses from coding audits, credential stacking, and flexibility with remote work—also contribute to the overall senior medical billing and coding specialist pay in OR, making the market quite competitive for top talent.
More salary data for Gresham, OR:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Gresham in 2026?
What drives higher medical billing and coding specialist pay in Gresham?
What certifications boost medical billing and coding specialist salary in Gresham?
Can experienced medical billing and coding specialists make six figures in Gresham?
How much does medical billing and coding specialist salary increase over time in Gresham?
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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 $52,441 for medical billing and coding specialists in the Gresham 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 Gresham 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