Senior Medical Billing and Coding Specialist Salary in Manchester, NH: $39,388 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Manchester, NH — those at or above the 90th percentile — pull in $39,388/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Manchester's price premium (BEA RPP 105.7, 6% above national) and that top-decile pay carries the same buying power as $37,279 in average-cost America. The 31% spread above city median typically rewards 7+ years of practice or specialty credentials.
Official BLS data · View source

In 2026, senior medical billing and coding specialists in Manchester, NH, have the potential to earn substantial salaries, with top earners (P90) earning $39,388 annually and those in the 75th percentile making $37,019. This represents a significant jump from the median salary of $30,130, illustrating the experience premium that top professionals in the field can command. The disparity in earnings emphasizes that achieving high compensation in this market requires not only extensive experience—typically seven or more years—but also advanced competencies in specialties like inpatient coding or risk adjustment. As the demand for skilled coders continues to grow, particularly in a market trending toward remote work, experienced specialists can leverage their knowledge of coding systems like ICD-10-CM and CPT to negotiate for top medical billing and coding specialist salaries in Manchester.
2026 Salary Percentile Distribution in Manchester
Experienced medical billing and coding specialists at the top of the pay scale in Manchester earn between $37,019 and $39,388 per year (2026 est.). This $15,389 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Manchester median of $30,130 sits 0.72% below the US median.
Top MBS Salary Comparison
| Level | Manchester | National |
|---|---|---|
| Median (P50) | $30,130 | $30,349 |
| 75th Percentile | $37,019 | $38,468 |
| 90th Percentile (Top 10%) | $39,388 | $48,159 |
In Manchester, experienced medical billing and coding specialists (P90) earn 30.73% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Medical Billing and Coding Specialist Pay in Manchester
Advanced Certifications in New Hampshire
NH medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $30,130 median. Expanded-scope credentials are increasingly valued by Manchester employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Manchester command premium compensation, often reaching the $37,019–$39,388 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Manchester metro area often pay above-market rates for experienced medical billing and coding specialists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured medical billing and coding specialists in Manchester with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Medical Billing and Coding Specialists in New Hampshire who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Medical Billing and Coding Specialist Career & Wage Growth Path in Manchester
Clinical Medical Billing and Coding Specialist
0-5 yearsSenior/Lead Medical Billing and Coding Specialist
5-10 yearsMedical Billing and Coding Specialist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedManchester ranks #2 of 16 New Hampshire cities for top earner medical billing and coding specialist salary (90th percentile: $39,388).
Top 10% medical billing and coding specialist compensation in Manchester ($39,388) is 5.73% above the New Hampshire average P90 ($37,255).
2021 BLS Actual
$61,340
2025 BLS Actual
$38,495
2026 Current Est.
$39,388
2021–2027 Growth
+-34.3%
Salary Trajectory for Medical Billing and Coding Specialists in Manchester (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $61,340 | Actual |
| 2022 | $64,270 | Actual |
| 2023 | $67,100 | Actual |
| 2024 | $65,930 | Actual |
| 2025 | $38,495 | Actual |
| 2026(current) | $39,388 | Estimated |
| 2027 | $40,302 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Manchester saw their compensation grow -37.2% from $61,340 in 2021 to $38,495 in 2025, based on 5 years of BLS OEWS data for this metropolitan area. At a 2.32% annual growth rate, senior-level pay is projected to reach $40,302 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Manchester metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.32% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Maximizing Your Medical Billing and Coding Specialist Earnings in Manchester
Examining the factors that influence senior medical billing and coding specialist pay in NH reveals a nuanced landscape. Professionals with specialized skills in areas such as surgical coding, oncology coding, or risk adjustment coding, particularly those holding credentials from recognized bodies like AAPC or AHIMA, often command higher salaries. Compensation varies significantly based on the type of employer, with those working in hospitals or physician group practices typically receiving higher pay than their counterparts in third-party coding companies or consulting firms. Furthermore, advancement opportunities abound for experienced coders, who may move into roles such as coding supervisor or HIM director, often accompanied by salary increases. The ability to stack credentials, such as holding both a CPC and a CCS, enhances earning potential, while factors like productivity bonuses and the option for remote work further contribute to the compensation appeal in this field. As the landscape for medical billing and coding evolves, maintaining up-to-date knowledge and certifications becomes vital for those aiming to reach the pinnacle of their profession.
More salary data for Manchester, NH:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Manchester in 2026?
What drives higher medical billing and coding specialist pay in Manchester?
What certifications boost medical billing and coding specialist salary in Manchester?
Can experienced medical billing and coding specialists make six figures in Manchester?
How much does medical billing and coding specialist salary increase over time in Manchester?
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Written by Amina Patel, CPC
Career Analyst
Amina has 10 years of experience in medical billing. She specializes in outpatient coding for multi-specialty practices.
Methodology & Data Source
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $38,495 for medical billing and coding specialists in the Manchester metro area. A 2.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.32%, derived from historical BLS wage trends for medical billing and coding specialists (SOC 29-2072).
Compiled and verified by Amina Patel, CPC, a licensed medical billing and coding specialist with 10+ years of clinical experience. · View source data at BLS.gov