Senior Medical Billing and Coding Specialist Salary in Mayaguez, PR: $27,708 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Mayaguez, PR — those at or above the 90th percentile — pull in $27,708/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Puerto Rico's price premium (BEA RPP 75.0, 25% below national) and that top-decile pay carries the same buying power as $36,944 in average-cost America. The 89% spread above city median typically rewards 7+ years of practice or specialty credentials.
Official BLS data · View source

For seasoned medical billing and coding specialists in Mayaguez, PR, the financial landscape offers significant potential for top earners, with a projected P90 salary of $27,708 in 2026. This figure highlights the earnings gap that exists in the profession, especially when considering the median annual salary of $14,694. Experienced professionals, particularly those with specialized skill sets, can command salaries well above average. To reach the upper echelons of this pay scale, a combination of extensive experience—generally over seven years—and advanced certifications, such as the CCS or CPC, is essential. Achieving top-tier pay requires not only proficiency in coding but also a strategic focus on high-demand coding areas.
2026 Salary Percentile Distribution in Mayaguez
Experienced medical billing and coding specialists at the top of the pay scale in Mayaguez earn between $18,107 and $27,708 per year (2026 est.). This $14,747 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Mayaguez median of $14,694 sits 51.58% below the US median.
Top MBS Salary Comparison
| Level | Mayaguez | National |
|---|---|---|
| Median (P50) | $14,694 | $30,349 |
| 75th Percentile | $18,107 | $38,468 |
| 90th Percentile (Top 10%) | $27,708 | $48,159 |
In Mayaguez, experienced medical billing and coding specialists (P90) earn 88.57% 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 Mayaguez
Advanced Certifications in Puerto Rico
PR medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $14,694 median. Expanded-scope credentials are increasingly valued by Mayaguez employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Mayaguez command premium compensation, often reaching the $18,107–$27,708 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Mayaguez 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 Mayaguez 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 Puerto Rico 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 Mayaguez
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
AdvancedMayaguez ranks #5 of 5 Puerto Rico cities for top earner medical billing and coding specialist salary (90th percentile: $27,708).
Top 10% medical billing and coding specialist compensation in Mayaguez ($27,708) is 16.49% below the Puerto Rico average P90 ($33,180).
2021 BLS Actual
$29,210
2025 BLS Actual
$27,080
2026 Current Est.
$27,708
2021–2027 Growth
+-2.9%
Salary Trajectory for Medical Billing and Coding Specialists in Mayaguez (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $29,210 | Actual |
| 2022 | $30,910 | Actual |
| 2023 | $33,790 | Actual |
| 2024 | $34,370 | Actual |
| 2025 | $27,080 | Actual |
| 2026(current) | $27,708 | Estimated |
| 2027 | $28,351 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Mayaguez saw their compensation grow -7.3% from $29,210 in 2021 to $27,080 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 $28,351 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Mayaguez 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 Mayaguez
Compensation for senior medical billing and coding specialists can vary considerably based on the specific employer type, presenting unique opportunities in Mayaguez. Those specializing in areas like inpatient coding, surgical coding, or risk adjustment often find themselves at the forefront of earning potential. Physician offices, third-party coding companies, and insurer coding audit teams are notable venues where advanced positions, such as coding supervisor or HIM director, are commonly found. Adding to this, holding advanced credentials like the AHIMA CCS or AAPC CPC boosts an individual’s marketability and salary potential significantly. Non-salary factors, such as the nature of the work environment—whether remote or in-office—and the potential for productivity bonuses further influence overall compensation. Emphasizing continued education, especially in the evolving ICD-10-CM coding standards, is vital to maintaining a competitive edge in this rapidly changing field, making continuous professional development a key component for achieving senior medical billing and coding specialist pay in PR.
More salary data for Mayaguez, PR:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Mayaguez in 2026?
What drives higher medical billing and coding specialist pay in Mayaguez?
What certifications boost medical billing and coding specialist salary in Mayaguez?
Can experienced medical billing and coding specialists make six figures in Mayaguez?
How much does medical billing and coding specialist salary increase over time in Mayaguez?
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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 $27,080 for medical billing and coding specialists in the Mayaguez 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