Senior Medical Billing and Coding Specialist Salary in Longview, TX: $38,581 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Longview, TX — those at or above the 90th percentile — pull in $38,581/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Longview's price premium (BEA RPP 89.5, 11% below national) and that top-decile pay carries the same buying power as $43,114 in average-cost America. The 46% spread above city median typically rewards 7+ years of practice or specialty credentials.
Official BLS data · View source
In 2026, seasoned medical billing and coding specialists in Longview, Texas, have the potential to earn significantly more than the median annual salary of $26,462, with top earners (P90) bringing in as much as $38,581. This stark contrast highlights the earnings gap between the average and the highest-earning professionals in the field. Achieving top-tier pay often necessitates at least seven years of experience coupled with advanced coding specializations, such as inpatient coding and risk adjustment coding. Longview's compensation for elite coders surpasses many local markets, but it still falls short of the national expectation, which sits at a median of $30,349, reflecting a -12.81% differential. For those aiming to capitalize on upward mobility, acquiring additional credentials can be the catalyst necessary to break into the higher pay brackets.
2026 Salary Percentile Distribution in Longview
Experienced medical billing and coding specialists at the top of the pay scale in Longview earn between $36,551 and $38,581 per year (2026 est.). This $18,534 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Longview median of $26,462 sits 12.81% below the US median.
Top MBS Salary Comparison
| Level | Longview | National |
|---|---|---|
| Median (P50) | $26,462 | $30,349 |
| 75th Percentile | $36,551 | $38,468 |
| 90th Percentile (Top 10%) | $38,581 | $48,159 |
In Longview, experienced medical billing and coding specialists (P90) earn 45.80% 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 Longview
Advanced Certifications in Texas
TX medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $26,462 median. Expanded-scope credentials are increasingly valued by Longview employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Longview command premium compensation, often reaching the $36,551–$38,581 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Longview 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 Longview 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 Texas 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 Longview
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
AdvancedLongview ranks #86 of 109 Texas cities for top earner medical billing and coding specialist salary (90th percentile: $38,581).
Top 10% medical billing and coding specialist compensation in Longview ($38,581) is 14.46% below the Texas average P90 ($45,105).
2021 BLS Actual
$93,110
2025 BLS Actual
$37,706
2026 Current Est.
$38,581
2021–2027 Growth
+-57.6%
Salary Trajectory for Medical Billing and Coding Specialists in Longview (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $93,110 | Actual |
| 2022 | $63,100 | Actual |
| 2023 | $66,910 | Actual |
| 2024 | $72,590 | Actual |
| 2025 | $37,706 | Actual |
| 2026(current) | $38,581 | Estimated |
| 2027 | $39,476 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Longview saw their compensation grow -59.5% from $93,110 in 2021 to $37,706 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 $39,476 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Longview 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 Longview
Compensation for senior medical billing and coding specialists in Longview varies significantly depending on their area of expertise and the type of employer. Specializations such as inpatient coding (CCS) and surgical coding are particularly lucrative, often qualifying for higher pay. Employment settings can also influence earnings; those working in hospital inpatient coding departments may earn differently compared to peers at physician group practices or third-party remote coding companies. Leadership roles, such as coding auditor or HIM director, open additional pathways for advancement and typically come with higher compensation. Candidates with advanced credentials, like CPC and CCS, not only enhance their skill set but also command better salaries. Factors like productivity bonuses and specialty certifications can further elevate earning potential, making strategic career planning vital for those looking to maximize their income in TX.
More salary data for Longview, TX:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Longview in 2026?
What drives higher medical billing and coding specialist pay in Longview?
What certifications boost medical billing and coding specialist salary in Longview?
Can experienced medical billing and coding specialists make six figures in Longview?
How much does medical billing and coding specialist salary increase over time in Longview?
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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 $37,706 for medical billing and coding specialists in the Longview 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