Medical Billing and Coding Specialist Hourly Pay in Spearfish, SD: $7.53 (2026)

For those considering part-time roles, a medical billing and coding specialist working 24 hours a week could potentially take home approximately $9,205 annually, contrasting sharply with full-time earnings. Per diem medical billing and coding specialists in Spearfish often command higher rates, with some billing between $25 and $42 per hour, while certified coders specializing in risk adjustment may charge between $40 and $65 per hour as independent contractors. Hourly rates fluctuate across different employer types; for example, positions in third-party coding companies or payer audit teams might offer pay closer to the lower end of the spectrum. While some specialists might accept lower hourly rates for positions that include health insurance and benefits, others may prioritize higher hourly wages and the flexibility of per diem work. Negotiating hourly pay involves understanding local market conditions, assessing skill levels, and leveraging specialized knowledge in areas like ICD-10-CM coding or risk adjustment, particularly in the growing sectors of Medicare Advantage and ACA marketplace coding.