Senior Medical Billing and Coding Specialist Salary in North Richland Hills, TX: $40,191 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in North Richland Hills, TX — those at or above the 90th percentile — pull in $40,191/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back North Richland Hills's price premium (BEA RPP 96.0, 4% below national) and that top-decile pay carries the same buying power as $41,866 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

Achieving the highest tier of salary as a senior medical billing and coding specialist in North Richland Hills, Texas, can lead to an annual compensation of around $40,191 in 2026 for top earners. This figure significantly surpasses the 2026 median salary of $25,930, highlighting the clear financial benefits associated with extensive experience and specialized skills. To bridge this gap to top-tier pay, professionals often focus on acquiring advanced credentials such as the Certified Coding Specialist (CCS) or the Certified Professional Coder (CPC). These accomplishments not only improve coding accuracy but enhance opportunities within various healthcare settings, including hospitals and outpatient facilities. The investment in ongoing education and training reflects a commitment to mastery in this evolving field, resulting in greater financial rewards for those who excel.
About the North Richland Hills Market
Salary estimated from Texas average ($50,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in North Richland Hills
Experienced medical billing and coding specialists at the top of the pay scale in North Richland Hills earn between $32,731 and $40,191 per year (2026 est.). This $21,186 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The North Richland Hills median of $25,930 sits 14.56% below the US median.
Top MBS Salary Comparison
| Level | North Richland Hills | National |
|---|---|---|
| Median (P50) | $25,930 | $30,349 |
| 75th Percentile | $32,731 | $38,468 |
| 90th Percentile (Top 10%) | $40,191 | $48,159 |
In North Richland Hills, 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 North Richland Hills
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 $25,930 median. Expanded-scope credentials are increasingly valued by North Richland Hills employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in North Richland Hills command premium compensation, often reaching the $32,731–$40,191 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the North Richland Hills 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 North Richland Hills 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 North Richland Hills
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
AdvancedNorth Richland Hills ranks #58 of 109 Texas cities for top earner medical billing and coding specialist salary (90th percentile: $40,191).
Top 10% medical billing and coding specialist compensation in North Richland Hills ($40,191) is 10.89% below the Texas average P90 ($45,105).
2021 BLS Actual
$35,916
2025 BLS Actual
$39,280
2026 Current Est.
$40,191
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in North Richland Hills (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $35,916 | Actual |
| 2022 | $36,526 | Actual |
| 2023 | $37,663 | Actual |
| 2024 | $72,080 | Actual |
| 2025 | $39,280 | Actual |
| 2026(current) | $40,191 | Estimated |
| 2027 | $41,124 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in North Richland Hills saw their compensation grow 9.4% from $35,916 in 2021 to $39,280 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 $41,124 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the North Richland Hills 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 North Richland Hills
Senior medical billing and coding specialists in North Richland Hills can expect variations in compensation based on their specific areas of expertise and work environments. Specializations such as inpatient coding (CCS), surgery coding, and risk adjustment (CRC) offer higher payout potential reflective of their complexity and demand. Salary ranges may also differ considerably depending on the employer; for example, those in hospital departments or consulting firms often report higher earnings compared to positions in smaller physician group practices. For senior roles, titles like coding supervisor or HIM director not only signify a step up but also provide a platform for increased earnings alongside potential for additional perks, including productivity bonuses and flexibility around remote work. For maximum financial benefit, a combination of advanced credentials—like a CPC paired with CCS—and a focus on high-demand specialties will greatly elevate one's marketability and salary potential in the TX healthcare landscape.
More salary data for North Richland Hills, TX:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in North Richland Hills in 2026?
What drives higher medical billing and coding specialist pay in North Richland Hills?
What certifications boost medical billing and coding specialist salary in North Richland Hills?
Can experienced medical billing and coding specialists make six figures in North Richland Hills?
How much does medical billing and coding specialist salary increase over time in North Richland Hills?
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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 $39,280 for medical billing and coding specialists in the North Richland Hills 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 North Richland Hills 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