Senior Medical Billing and Coding Specialist Salary in Pasco, WA: $52,351 (2026)
Quick Answer:The top tier of medical billing and coding specialists working in Pasco, WA — those at or above the 90th percentile — pull in $52,351/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Pasco's price premium (BEA RPP 107.4, 7% above national) and that top-decile pay carries the same buying power as $48,744 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 Pasco, Washington, experienced medical billing and coding specialists can command impressive salaries, with top earners reaching an annual pay of $52,351 in 2026. This figure highlights the significant earning potential within the region, especially when compared to the median salary of $33,775 for the same year. For professionals bringing over seven years of expertise to the field, the gap between median and top-tier salaries underscores the premium placed on advanced skills and experience. Those aiming for the higher echelons of compensation typically need to acquire specialized credentials, such as the CCS or CPC, and may find themselves in high-demand roles like surgical coding or risk adjustment where exemplary performance can enhance their market value further.
About the Pasco Market
Salary estimated from Washington average ($62,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Pasco
Experienced medical billing and coding specialists at the top of the pay scale in Pasco earn between $42,967 and $52,351 per year (2026 est.). This $27,221 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Pasco median of $33,775 sits 11.29% above the US median.
Top MBS Salary Comparison
| Level | Pasco | National |
|---|---|---|
| Median (P50) | $33,775 | $30,349 |
| 75th Percentile | $42,967 | $38,468 |
| 90th Percentile (Top 10%) | $52,351 | $48,159 |
In Pasco, 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 Pasco
Advanced Certifications in Washington
WA medical billing and coding specialists with additional specialty certifications within the medical billing and coding field earn significantly above the $33,775 median. Expanded-scope credentials are increasingly valued by Pasco employers.
Specialty Focus
Medical Billing and Coding Specialists focusing on high-acuity or specialty areas within the medical billing and coding field in Pasco command premium compensation, often reaching the $42,967–$52,351 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Pasco 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 Pasco 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 Washington 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 Pasco
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
AdvancedPasco ranks #25 of 50 Washington cities for top earner medical billing and coding specialist salary (90th percentile: $52,351).
Top 10% medical billing and coding specialist compensation in Pasco ($52,351) is 6.6% below the Washington average P90 ($56,052).
2021 BLS Actual
$46,782
2025 BLS Actual
$51,164
2026 Current Est.
$52,351
2021–2027 Growth
+14.5%
Salary Trajectory for Medical Billing and Coding Specialists in Pasco (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $46,782 | Actual |
| 2022 | $47,577 | Actual |
| 2023 | $49,058 | Actual |
| 2024 | $100,704 | Actual |
| 2025 | $51,164 | Actual |
| 2026(current) | $52,351 | Estimated |
| 2027 | $53,566 | Projected |
Top-earning medical billing and coding specialists (90th percentile) in Pasco saw their compensation grow 9.4% from $46,782 in 2021 to $51,164 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 $53,566 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Pasco 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 Pasco
Compensation for senior medical billing and coding specialist positions in Pasco varies significantly based on specialty and employer type. For instance, specialists in high-demand areas such as inpatient coding (CCS) and surgical coding can increase their pay opportunities considerably compared to more generalized coding roles. Additionally, compensation can differ across industry settings; professionals working in hospital inpatient coding departments or consulting firms often see better pay than those in physician group practices or third-party coding companies. Moreover, taking on advanced credentials can be a game-changer, with combinations of qualifications such as CPC, CRC, and CCS driving dramatic increases in worth. Strategies for advancement include pursuing leadership roles like coding supervisor or HIM director, where both managerial skills and technical expertise are crucial. With about 80% of coding positions now available as remote work, experienced specialists can further leverage their capabilities to maximize earnings through productivity bonuses and flexible employment arrangements in the evolving job market.
More salary data for Pasco, WA:
Frequently Asked Questions
How much do experienced medical billing and coding specialists make in Pasco in 2026?
What drives higher medical billing and coding specialist pay in Pasco?
What certifications boost medical billing and coding specialist salary in Pasco?
Can experienced medical billing and coding specialists make six figures in Pasco?
How much does medical billing and coding specialist salary increase over time in Pasco?
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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 $51,164 for medical billing and coding specialists in the Pasco 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 Pasco 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