Senior Medical Billing and Coding Specialist Salary in Round Rock, TX: $45,379 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Round Rock, TX — those at or above the 90th percentile — pull in $45,379/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Round Rock's price premium (BEA RPP 96.0, 4% below national) and that top-decile pay carries the same buying power as $47,270 in average-cost America. The 55% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source
In Round Rock, Texas, the compensation landscape for experienced medical billing and coding specialists is promising, particularly for those achieving top-tier salaries. The 2026 projections show that the highest earners can command up to $45,379 annually, with seasoned professionals near the 75th percentile earning around $37,475. This notable difference between the median salary of $29,277 and the upper echelons highlights the significant experience premium associated with this profession. Achieving such a high level of compensation typically requires a combination of advanced coding certifications, specialized skill sets, and substantial years in the field. The financial rewards for top performers make this career path appealing for those committed to advancing their expertise in medical billing and coding.
About the Round Rock Market
Salary estimated from Texas average ($50,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Round Rock
Experienced medical billing and coding specialists at the top of the pay scale in Round Rock earn between $37,475 and $45,379 per year (2026 est.). This $25,363 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Round Rock median of $29,277 sits 3.53% below the US median.
Top MBS Salary Comparison
| Level | Round Rock | National |
|---|---|---|
| Median (P50) | $29,277 | $30,349 |
| 75th Percentile | $37,475 | $38,468 |
| 90th Percentile (Top 10%) | $45,379 | $48,159 |
In Round Rock, experienced medical billing and coding specialists (P90) earn 55.00% 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 Round Rock
Advanced Certifications in Texas
TX medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $29,277 median. Expanded-scope credentials are increasingly valued by Round Rock employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Round Rock command premium compensation, often reaching the $37,475–$45,379 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Round Rock 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 Round Rock 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 Texas 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 Round Rock
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
AdvancedRound Rock ranks #13 of 109 Texas cities for top earner medical billing and coding specialist salary (90th percentile: $45,379).
Top 10% medical billing and coding specialist compensation in Round Rock ($45,379) is 0.61% above the Texas average P90 ($45,105).
2021 BLS Actual
$40,552
2025 BLS Actual
$44,350
2026 Current Est.
$45,379
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in Round Rock (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $40,552 | Actual |
| 2022 | $41,240 | Actual |
| 2023 | $42,525 | Actual |
| 2024 | $75,669 | Actual |
| 2025 | $44,350 | Actual |
| 2026(current) | $45,379 | Estimated |
| 2027 | $46,432 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Round Rock saw their compensation grow 9.4% from $40,552 in 2021 to $44,350 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 $46,432 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Round Rock 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 Round Rock
Compensation for senior medical billing and coding specialists in Round Rock varies based on numerous factors, primarily specializations and the type of employer. Professions like inpatient coding (CCS), outpatient coding (CPC), and risk adjustment coding (CRC) tend to command higher pay due to their complexity and demand. Employers, such as hospital inpatient coding departments, physician group practice coding offices, and third-party coding firms, have different compensation structures as well. Those working remotely for third-party companies or serving in consulting roles might also benefit from flexible schedules that enhance work-life balance. Advancement to roles like coding supervisor or HIM director offers not only salary increases but also prestige. Strong credentials from organizations such as AAPC and AHIMA, along with specializations in audit compliance as a CPMA or advanced coding certifications, can significantly elevate earnings. Non-salary factors, including productivity bonuses and workload flexibility, further enhance the appeal of this field, ensuring that experienced professionals in Round Rock can maximize both their income and job satisfaction.
More salary data for Round Rock, TX:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Round Rock in 2026?
What drives higher medical billing and coding specialist pay in Round Rock?
What certifications boost medical billing and coding specialist salary in Round Rock?
Can experienced medical billing and coding specialists make six figures in Round Rock?
How much does medical billing and coding specialist salary increase over time in Round Rock?
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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 $44,350 for medical billing and coding specialists in the Round Rock 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 Round Rock 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