Senior Medical Billing and Coding Specialist Salary in Fredericksburg, VA: $42,738 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Fredericksburg, VA — those at or above the 90th percentile — pull in $42,738/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Fredericksburg's price premium (BEA RPP 103.2, 3% above national) and that top-decile pay carries the same buying power as $41,413 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

For seasoned medical billing and coding specialists in Fredericksburg, VA, the earning potential can be significant, with top-tier salaries reaching up to $42,738 in 2026. This positions experienced professionals well above the median salary of $27,573, highlighting the lucrative nature of advanced roles within this field. The disparity between these figures emphasizes the experience premium available to those who invest in their skills and credentials for over seven years. To achieve the higher salary bands, coders typically need a blend of specialized training, certifications like the AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS), and a deep understanding of complex coding systems such as ICD-10-CM, CPT, and HCPCS.
About the Fredericksburg Market
Salary estimated from Virginia average ($52,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Fredericksburg
Experienced medical billing and coding specialists at the top of the pay scale in Fredericksburg earn between $35,096 and $42,738 per year (2026 est.). This $23,039 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Fredericksburg median of $27,573 sits 9.15% below the US median.
Top MBS Salary Comparison
| Level | Fredericksburg | National |
|---|---|---|
| Median (P50) | $27,573 | $30,349 |
| 75th Percentile | $35,096 | $38,468 |
| 90th Percentile (Top 10%) | $42,738 | $48,159 |
In Fredericksburg, 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 Fredericksburg
Advanced Certifications in Virginia
VA medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $27,573 median. Expanded-scope credentials are increasingly valued by Fredericksburg employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Fredericksburg command premium compensation, often reaching the $35,096–$42,738 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Fredericksburg 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 Fredericksburg 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 Virginia 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 Fredericksburg
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
AdvancedFredericksburg ranks #18 of 42 Virginia cities for top earner medical billing and coding specialist salary (90th percentile: $42,738).
Top 10% medical billing and coding specialist compensation in Fredericksburg ($42,738) is 3.37% below the Virginia average P90 ($44,228).
2021 BLS Actual
$38,192
2025 BLS Actual
$41,769
2026 Current Est.
$42,738
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in Fredericksburg (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $38,192 | Actual |
| 2022 | $38,840 | Actual |
| 2023 | $40,050 | Actual |
| 2024 | $80,978 | Actual |
| 2025 | $41,769 | Actual |
| 2026(current) | $42,738 | Estimated |
| 2027 | $43,730 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Fredericksburg saw their compensation grow 9.4% from $38,192 in 2021 to $41,769 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 $43,730 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Fredericksburg 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 Fredericksburg
Senior medical billing and coding specialists in Fredericksburg benefit from specialized roles that command higher pay. Positions in inpatient coding, risk adjustment (HCC), and surgical coding often yield increased compensation, reflecting demand for these skills. Earning potential may vary based on employer types; for instance, those coding for hospital inpatient departments or insurance companies often receive higher salaries than their counterparts in physician group practices. Notably, opportunities for advancement also exist, with roles such as coding supervisor or health information management director. Adding credentials enhances earning capacity substantially; coders who stack qualifications like a CPC along with a CCS may find themselves tapping into the upper echelons of compensation. Non-salary factors influencing pay include productivity bonuses and the option to work remotely, contributing to job satisfaction as the sector evolves.
More salary data for Fredericksburg, VA:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Fredericksburg in 2026?
What drives higher medical billing and coding specialist pay in Fredericksburg?
What certifications boost medical billing and coding specialist salary in Fredericksburg?
Can experienced medical billing and coding specialists make six figures in Fredericksburg?
How much does medical billing and coding specialist salary increase over time in Fredericksburg?
Related Pages
Compare Salaries
Career Resources
Nearby Cities in Virginia
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 $41,769 for medical billing and coding specialists in the Fredericksburg 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 Fredericksburg 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