Medical Billing and Coding Specialist Salary in Richmond, CA: $35,743 (2026)

With approximately 25 medical billing and coding specialists currently employed in Richmond, the job market remains stable, particularly as the healthcare sector increasingly shifts towards remote work options. This transition has driven demand for skilled coders familiar with ICD-10-CM and CPT code sets, while the local cost of living index—sitting at 113.1—suggests a moderate increase in living expenses that affects take-home pay. Among employers, physician group practices and hospital inpatient coding departments typically offer the highest salaries, but notable pay can also be found with ambulatory surgery centers and insurance company coding audit teams. The disparity in earnings within this field is largely influenced by specialty focus (with inpatient CCS roles generally commanding higher pay), credential stacking (such as maintaining both CPC and CCS certifications), and the structure of remote versus in-office work. For those looking to maximize their earnings in Richmond, pursuing advanced coding certifications and staying updated on industry changes can provide substantial benefits.