Medical Billing and Coding Specialist Hourly Pay in San Jose, CA: $24.79 (2026)

The earning potential for part-time medical billing and coding specialists working just 24 hours a week can reach about $30,025 annually, compared to the higher salaries of full-time workers who earn significantly more on average. In the realm of per-diem positions, 1099 medical coders typically bill between $25 and $42 per hour, with specialized roles such as CCS inpatient coders often earning between $35 and $55 an hour. Meanwhile, risk adjustment specialists in Medicare Advantage plans might see hourly rates ranging from $40 to $65. Hourly pay can differ greatly based on employment settings, whether it's a physician group, hospital department, or third-party coding company. Additionally, some professionals may accept lower hourly wages in exchange for job-related benefits like health insurance, leading them to evaluate their offers carefully. Those negotiating hourly pay in San Jose should emphasize their qualifications, particularly if they hold certifications from reputable organizations like AAPC or AHIMA, as this can enhance their bargaining power within the growing field of medical coding.