Entry-Level Medical Billing and Coding Specialist Salary in Manchester, NH: $23,999 (2026)
Quick Answer:New medical billing and coding specialists entering the Manchester, NH job market in 2026 can expect a starting salary around $23,999 (BLS 10th-percentile benchmark for SOC 29-2072, projected from 2025 OEWS data). Stripping out Manchester's local price level (BEA RPP 105.7 — 6% above national), a first-year paycheck buys what $22,714 would in average-cost America. Most reach the city median ($30,130) within a few years of clinical practice.
Official BLS data · View source

New graduates stepping into the medical billing and coding field in Manchester, New Hampshire, can expect a starting salary of around $23,999 in 2026, which reflects the lower end of the salary range for entry-level positions. This figure is notably lower compared to the city's median annual salary of $30,130, highlighting a significant gap that new coders may experience in their early career. Nevertheless, the potential for salary growth is promising, as entry-level specialists typically advance from the P10 threshold up to the P25 benchmark of $27,892 within the first few years. For those considering a career in this profession, Manchester offers a growing market, making it an appealing location for recent graduates who are ready to embark on their coding journey.
Career Earnings Timeline in Manchester
New Graduate
Early Career
Mid Career
Experienced
Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.
2026 Salary Percentile Distribution in Manchester
Entry-level medical billing and coding specialists in Manchester, NH typically start between $23,999 and $27,892 per year (2026 est.). The full salary range spans $15,389 from the 10th to 90th percentile, with the local median at $30,130 — 0.72% below the national median.
Return on Investment
The average medical billing and coding program cost in New Hampshire of $5,500 represents just 22.92% of the starting medical billing and coding specialist pay ($23,999/year) in Manchester. Most graduates begin earning back their investment from day one, though actual ROI varies based on living expenses, loan interest, and the 2-year opportunity cost of schooling.
Program cost estimates based on AHIMA/CAHIIM-accredited coding and health information certificate programs plus AAPC-approved training courses. Certificates at community colleges and online training programs are the most affordable; associate degree programs cost more but broaden career options. Exam fees (CCA, CCS, CPC) are typically $299-$499 and are separate from tuition.
MBS Salary Negotiation Tips for New Graduates in Manchester
- 1Research the Manchester market: entry-level medical billing and coding specialist pay ranges from $23,999 to $27,892, so aim for at least the 25th percentile if you have strong credentials.
- 2Highlight any additional certifications or specialty training within the medical billing and coding field — employers in NH often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Manchester, benefits like health insurance, continuing-education allowances, and schedule flexibility can add 20-30% to your effective compensation.
- 4Consider starting with a larger hospital system or multi-site employer in Manchester for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Manchester's moderate cost of living means your starting salary goes further here compared to many larger metro areas.
Medical Billing and Coding Specialist Compensation Range
The medical billing and coding specialist wage spread in Manchester is $15,389 ( 64.12%) between entry-level and top earners. Starting at $23,999, experienced hygienists can earn up to $39,388.
Represents the current salary spread across experience levels, not projected career growth rate.
2021 BLS Actual
$29,540
2025 BLS Actual
$23,455
2026 Current Est.
$23,999
2021–2027 Growth
+-16.9%
Salary Trajectory for Medical Billing and Coding Specialists in Manchester (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $29,540 | Actual |
| 2022 | $32,330 | Actual |
| 2023 | $36,200 | Actual |
| 2024 | $40,940 | Actual |
| 2025 | $23,455 | Actual |
| 2026(current) | $23,999 | Estimated |
| 2027 | $24,556 | Projected |
Entry-level medical billing and coding specialist compensation (10th percentile) in Manchester, NH grew -20.6% over 5 years based on actual BLS metropolitan area surveys, rising from $29,540 in 2021 to $23,455 in 2025. By 2027, starting salaries are projected to reach $24,556. New graduates entering the Manchester job market can expect continued year-over-year gains.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Manchester 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.
Starting Your medical billing and coding Career in Manchester
Employers in Manchester actively seek newly credentialed candidates for roles in various healthcare settings. Third-party coding companies and payer coding audit teams are ideal starting points for entry-level positions, often hiring Certified Professional Coder-apprentices (CPC-A) and providing structured mentorship for fresh graduates. Positions in outpatient ambulatory surgery centers (ASCs) and physician practices also welcome entry-level medical billing and coding specialists. Enhancing one’s credentials, such as obtaining AAPC’s CPC or AHIMA’s CCS, can lead to better pay in New Hampshire. As the industry shifts towards remote work, approximately 80% of roles now offer telecommuting options, and the focus on continual education, particularly concerning ICD-10-CM updates and risk adjustment coding, remains critical. For the first few years, realistic salary progression should reflect the upward movement through the pay scales; with dedication and skill enhancement, those starting their careers in medical billing and coding can anticipate a bright professional future in Manchester.
More salary data for Manchester, NH:
Frequently Asked Questions
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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
Entry-level salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The 10th percentile (entry-level) is used as the starting salary benchmark for new medical billing and coding graduates. A 2.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to project current 2026 entry-level compensation in Manchester. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
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