Senior Medical Billing and Coding Specialist Salary in Roanoke, VA: $40,486 (2026)

When analyzing senior medical billing and coding specialist pay in VA, the types of specializations and work environments play a crucial role in determining compensation. In Roanoke, skilled coders specializing in inpatient coding (CCS) or outpatient coding (CPC) can command higher pay, followed closely by those with expertise in risk adjustment (CRC) and surgical coding. Compensation can also differ markedly based on employer types; for instance, physician group practices and hospital coding departments often provide different pay scales compared to work-from-home opportunities with third-party coding companies or consulting firms. Career advancement possibilities are robust, with senior coders moving into lead or supervisory roles, while those with advanced credentials can unlock higher-level positions like HIM director or compliance auditors. Furthermore, credential stacking—achieving multiple certifications including AAPC CPC or AHIMA CCS—can significantly enhance earning potential, given the premium placed on diversified skill sets in medical coding, especially in a market where remote positions have become increasingly standard.