Senior Medical Billing and Coding Specialist Salary in Franklin, TN: $46,621 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Franklin, TN — those at or above the 90th percentile — pull in $46,621/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Franklin's price premium (BEA RPP 91.8, 8% below national) and that top-decile pay carries the same buying power as $50,785 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
Salaries for senior medical billing and coding specialists in Franklin, Tennessee, can reach impressive heights, with top earners in the area situated at around $46,621 in 2026. This figure reflects not only the deep expertise garnered through years of experience—typically involving over seven years in the field—but also the value these professionals bring to healthcare institutions in optimizing revenue cycles. When comparing Franklin's top medical billing and coding specialist salary to the national standard of $30,349, the local market showcases a significant premium, especially for those individuals who have pursued advanced certifications and specializations. The gap between the median annual salary of $30,078 and those at the higher end of the pay spectrum highlights the lucrative opportunities available for skilled coders who focus their careers and invest in continuous education.
About the Franklin Market
Salary estimated from Tennessee average ($44,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Franklin
Experienced medical billing and coding specialists at the top of the pay scale in Franklin earn between $38,352 and $46,621 per year (2026 est.). This $24,126 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Franklin median of $30,078 sits 0.89% below the US median.
Top MBS Salary Comparison
| Level | Franklin | National |
|---|---|---|
| Median (P50) | $30,078 | $30,349 |
| 75th Percentile | $38,352 | $38,468 |
| 90th Percentile (Top 10%) | $46,621 | $48,159 |
In Franklin, 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 Franklin
Advanced Certifications in Tennessee
TN medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $30,078 median. Expanded-scope credentials are increasingly valued by Franklin employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Franklin command premium compensation, often reaching the $38,352–$46,621 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Franklin 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 Franklin 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 Tennessee 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 Franklin
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
AdvancedFranklin ranks #5 of 30 Tennessee cities for top earner medical billing and coding specialist salary (90th percentile: $46,621).
Top 10% medical billing and coding specialist compensation in Franklin ($46,621) is 4.17% below the Tennessee average P90 ($48,652).
2021 BLS Actual
$41,662
2025 BLS Actual
$45,564
2026 Current Est.
$46,621
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in Franklin (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $41,662 | Actual |
| 2022 | $42,369 | Actual |
| 2023 | $43,689 | Actual |
| 2024 | $61,236 | Actual |
| 2025 | $45,564 | Actual |
| 2026(current) | $46,621 | Estimated |
| 2027 | $47,703 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Franklin saw their compensation grow 9.4% from $41,662 in 2021 to $45,564 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 $47,703 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Franklin 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 Franklin
A glance into the specific sectors employing experienced professionals reveals that lucrative compensation can be influenced by specialization and employer type. For instance, professionals pursuing inpatient coding certifications (CCS) or risk adjustment coding (CRC) often command higher pay, as these areas are in demand. Each employer type offers different compensation packages; for example, physician group practices may provide varied pay structures compared to third-party coding companies or insurance audit teams. Career advancements are realistic for seasoned coders, with paths leading to roles such as coding supervisor or compliance auditor, further elevating income potential. Pursuing advanced credentials from AAPC or AHIMA, like the CPC or CCS, is a strategic move to enhance salary prospects in Tennessee. Additionally, factors such as specialty focus, remote work availability, and performance bonuses from productivity can significantly impact earnings, providing those at the senior level with advantageous paths to career fulfillment in Franklin.
More salary data for Franklin, TN:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Franklin in 2026?
What drives higher medical billing and coding specialist pay in Franklin?
What certifications boost medical billing and coding specialist salary in Franklin?
Can experienced medical billing and coding specialists make six figures in Franklin?
How much does medical billing and coding specialist salary increase over time in Franklin?
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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 $45,564 for medical billing and coding specialists in the Franklin 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 Franklin 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