Medical Billing and Coding Specialist Salary in Urban Honolulu, HI: $38,706 (2026)

Turning to the local job market, Urban Honolulu currently employs 310 medical billing and coding specialists, reflecting a steady demand in this sector. The cost of living, indicated by a cost-of-living index of 110.961, suggests that while salaries may be higher than the national average, they must be weighed against the relatively elevated living expenses in the area. Among local employers, physician group practice coding offices and hospital inpatient coding departments typically offer the most competitive salaries. Several factors contribute to the disparity in pay, such as specialization in inpatient coding compared to risk adjustment or outpatient coding, the possession of multiple credentials (like CPC, CCS, and CRC), and organizational structure (remote versus in-office work) which often influences salary potential. To maximize earnings in Urban Honolulu, professionals should focus on obtaining advanced credentials, stay updated with ICD-10-CM and CPT coding changes, and aim for roles that leverage their skills in high-demand areas such as risk adjustment and HCC coding.