Medical Billing and Coding Specialist Hourly Pay in Bristol, VA: $13.37 (2026)

Examining the earning potential reveals that a part-time billing and coding specialist in Bristol can earn about $55,776 annually when working 24 hours per week at the median hourly rate. In contrast, full-time specialists typically earn a higher annual income, often supplemented with benefits. Per-diem medical billing and coding specialists generally charge significantly more on an hourly basis, with rates ranging from $25 to $42. Specialized roles, such as certified coding specialists and risk adjustment coders in Medicare Advantage settings, can command even higher pay, with some specialists earning between $40 to $65 per hour. Across various employer types in Bristol, rates differ: physician group practices may offer a lower base pay, while thriving third-party coding companies might present higher wages but without benefits. Many coders must weigh these trade-offs critically, as accepting lower hourly wages can provide health insurance and other essential benefits. For those seeking to maximize pay in this field, negotiating effectively with a clear understanding of the local job market and available roles is key.