Senior Medical Billing and Coding Specialist Salary in Brookings, SD: $22,403 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Brookings, SD — those at or above the 90th percentile — pull in $22,403/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Brookings's price premium (BEA RPP 92.8, 7% below national) and that top-decile pay carries the same buying power as $24,141 in average-cost America. The 48% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

Brookings, South Dakota, presents a compelling opportunity for seasoned medical billing and coding specialists, with projected top earners reaching $22,403 in 2026. This figure showcases a significant gap when compared to the median salary of $15,091, highlighting the financial reward for those who elevate their expertise and obtain advanced certifications. To ascend to these high-paying positions, specialists often pursue further education and specialized training, such as obtaining certifications in outpatient coding (CPC) or inpatient coding (CCS). Not only do these credentials enhance job prospects, but they also empower professionals to stand out in competitive environments, ultimately leading to greater salary potential. In Brookings, those who can distinguish themselves through specialized skills and proven experience will find themselves well compensated.
About the Brookings Market
Salary estimated from South Dakota average ($44,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Brookings
Experienced medical billing and coding specialists at the top of the pay scale in Brookings earn between $18,543 and $22,403 per year (2026 est.). This $10,528 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Brookings median of $15,091 sits 50.28% below the US median.
Top MBS Salary Comparison
| Level | Brookings | National |
|---|---|---|
| Median (P50) | $15,091 | $30,349 |
| 75th Percentile | $18,543 | $38,468 |
| 90th Percentile (Top 10%) | $22,403 | $48,159 |
In Brookings, experienced medical billing and coding specialists (P90) earn 48.45% 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 Brookings
Advanced Certifications in South Dakota
SD medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $15,091 median. Expanded-scope credentials are increasingly valued by Brookings employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Brookings command premium compensation, often reaching the $18,543–$22,403 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Brookings 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 Brookings 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 South Dakota 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 Brookings
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
AdvancedBrookings ranks #9 of 11 South Dakota cities for top earner medical billing and coding specialist salary (90th percentile: $22,403).
Top 10% medical billing and coding specialist compensation in Brookings ($22,403) is 50.61% below the South Dakota average P90 ($45,357).
2021 BLS Actual
$20,020
2025 BLS Actual
$21,895
2026 Current Est.
$22,403
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in Brookings (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $20,020 | Actual |
| 2022 | $20,360 | Actual |
| 2023 | $20,994 | Actual |
| 2024 | $56,854 | Actual |
| 2025 | $21,895 | Actual |
| 2026(current) | $22,403 | Estimated |
| 2027 | $22,923 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Brookings saw their compensation grow 9.4% from $20,020 in 2021 to $21,895 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 $22,923 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Brookings 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 Brookings
Compensation for senior medical billing and coding specialists in Brookings varies depending on specific roles and employer types. In particular, specializations such as inpatient coding (CCS), outpatient coding (CPC), and risk adjustment coding (CRC) command higher salaries due to increased responsibilities and complexities involved. The work environment also influences pay; those employed by hospitals or outpatient facilities tend to earn more than their counterparts at third-party coding companies or smaller medical practices. Moreover, leadership opportunities—such as becoming a coding supervisor or HIM director—can significantly enhance earnings. Advanced credentials like AHIMA’s CCS or AAPC’s CPC can provide another avenue for salary growth, as does the potential for productivity bonuses based on the volume of coded charts. With the shift towards remote work, skilled professionals who can navigate these pathways set themselves up for robust careers in medical billing and coding in SD.
More salary data for Brookings, SD:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Brookings in 2026?
What drives higher medical billing and coding specialist pay in Brookings?
What certifications boost medical billing and coding specialist salary in Brookings?
Can experienced medical billing and coding specialists make six figures in Brookings?
How much does medical billing and coding specialist salary increase over time in Brookings?
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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 $21,895 for medical billing and coding specialists in the Brookings 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
Salary data for Brookings is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
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