Medical Billing and Coding Specialist Hourly Pay in Madison, AL: $12.27 (2026)
Quick Answer:Hourly pay for a medical billing and coding specialist working in Madison, AL runs $12.27 at the median for 2026 — annualizing to $25,520 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2072). Weighted against Madison's regional price level (BEA RPP 87.9, 12% below national), each hour of work buys what $13.96 nationally would. A 24-hour part-time schedule grosses $15,311 per year.
Based on BLS state-level estimates · View source
Medical billing and coding specialists in Madison, Alabama, can expect an hourly median pay of $12.27, which falls below the national median hourly rate of $14.59. This disparity highlights the regional economic dynamics that influence compensation levels. For those working part-time, such as a typical schedule of three days a week, this rate translates into a modest income primarily driven by the volume of work available, particularly in varied settings such as remote home offices, hospital HIM departments, and third-party coding companies. Hourly wages for entry-level positions can begin at about $9.12, while experienced professionals can earn as much as $19.02 per hour, creating a significant potential for career growth within the same field.
About the Madison Market
Salary estimated from Alabama average ($42,000) adjusted for local cost of living.
Medical Billing and Coding Specialist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $9.12 | $72.93 |
| Lower Range (P25) | $10.52 | $84.15 |
| Median (P50) | $12.27 | $98.15 |
| Upper Range (P75) | $15.58 | $124.67 |
| Top Earners (P90) | $19.02 | $152.17 |
Estimated Annual Income by Work Schedule in Madison
Based on $12.27/hr median hourly rate · 2026 est.
At $12.27/hr, a medical billing and coding specialist working full-time (40 hr/wk) in Madison, AL can expect to earn approximately $25,518 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $14,722. With a cost-of-living index of 87.90 (below the national average), these earnings stretch further in Madison.
Hourly Rate Calculator
Schedule Comparison in Madison
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $490.73 | $2,126 | $25,518 |
| Part-Time (24 hrs) | $294.44 | $1,276 | $15,311 |
| Per Diem (16 hrs) | $196.29 | $851 | $10,207 |
Compare MBS Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Medical Billing and Coding Specialist (Madison) | $12.27 |
| Medical Assistant (National Avg) | $20.77 |
| Medical Secretary (National Avg) | $20.19 |
| Medical Lab Technician (National Avg) | $28.18 |
| Billing and Posting Clerk (National Avg) | $21.86 |
Medical Billing and Coding Specialists in Madison, AL earn a median of $25,520 per year (2026 est.), which is 15.91% lower than the national median of $30,349 and 2.50% below the Alabama state average of $26,174.
Medical Billing and Coding Specialist Hourly Pay vs. Cost of Living
Working 24h/week at $12.27/hr = $15,311/year (purchasing power: $17,418).
Working 40h/week (full-time) = $25,518/year (purchasing power: $29,030).
CoL index: 87.9 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$10.94/hr
2025 BLS Actual
$11.99/hr
2026 Current Est.
$12.27/hr
2021–2027 Growth
+14.7%
Hourly Rate Trajectory for Medical Billing and Coding Specialists in Madison (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $10.94/hr | Actual |
| 2022 | $11.06/hr | Actual |
| 2023 | $11.44/hr | Actual |
| 2024 | $17.31/hr | Actual |
| 2025 | $11.99/hr | Actual |
| 2026(current) | $12.27/hr | Estimated |
| 2027 | $12.55/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for medical billing and coding specialists in Madison grew 9.6% from $10.94/hr (2021) to $11.99/hr (2025). At a 2.32% projected growth rate, hourly pay is expected to reach $12.55/hr by 2027. Part-time and per-diem medical billing and coding specialists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Madison 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.
Working as an Hourly Medical Billing and Coding Specialist in Madison
Examining the realities of medical billing and coding specialist jobs in Madison provides further context to the financial outlook for this profession. A part-time coder putting in 24 hours weekly might earn approximately $15,189 annually, a stark contrast to full-time earnings. Those seeking per diem opportunities find greater earning potential, with rates for agency coders commonly ranging from $25 to $42 an hour for 1099 roles. Moreover, specialized positions like CCS inpatient coders or CRC risk adjustment specialists could yield higher hourly pay between $35 and $65. However, the choice between higher hourly rates and job security with benefits can complicate decisions for professionals. Many in the field negotiate their terms considering not just the pay but healthcare benefits and stability, particularly in a market where roles vary widely between physician offices, hospitals, and remote-based consulting firms. Effective negotiation tactics include emphasizing skills in coding accuracy and efficiency while communicating personal value to potential employers in Madison, thus enhancing overall job satisfaction and potential earnings.
More salary data for Madison, AL:
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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 2.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for medical billing and coding specialists in Madison. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Madison 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