Medical billing and coding programs in New Hampshire prepare you for one of the best take-home-pay situations in the Northeast. Professionals here average $66,735/yr with no state income tax on wages, and proximity to Boston's healthcare market expands your employer options even further.
- 1.New Hampshire medical billing and coding professionals average $66,735/yr (AAPC), roughly 33% above the national BLS median of $50,250.
- 2.No in-state campus programs appear in IPEDS data, making accredited online programs the primary training path.
- 3.New Hampshire has no state income tax on wages, effectively increasing take-home pay compared to neighboring Massachusetts (5%) and Vermont (up to 8.75%).
- 4.Proximity to Boston's healthcare market gives you access to remote positions with Mass General Brigham and other major systems.
- 5.Certified professionals nationally average $66,979, and those with 3+ certifications average $81,227 (AAPC 2025).
$66,735
Average Annual Salary
AAPC state data
33%
Above National Median
vs. $50,250 BLS median
No Tax
On Earned Wages
Higher take-home pay
7%
Projected Job Growth
2024-2034 (BLS)
Medical Billing and Coding Programs in New Hampshire: What You Should Know
If you're researching medical billing and coding programs in New Hampshire, you're looking at one of the better take-home pay situations in the Northeast. According to AAPC state data, professionals here earn $66,735 per year ($32.08/hour), about 33% above the national BLS median of $50,250 for medical records specialists (SOC 29-2072). With no state income tax on wages, you keep more of every dollar.
New Hampshire's healthcare sector includes Dartmouth Health (formerly Dartmouth-Hitchcock) in Lebanon, the state's largest hospital and only academic medical center. Elliot Health System in Manchester, Concord Hospital, and Catholic Medical Center serve the southern population centers. The southern part of the state also benefits from spillover demand from Greater Boston.
The combination of competitive salaries, no income tax on wages, and proximity to one of the nation's densest healthcare markets creates a favorable environment. For broader context, see our national salary guide.
Source: NH Department of Revenue
Training Programs for New Hampshire Residents
New Hampshire doesn't have dedicated campus-based medical billing and coding programs in IPEDS data. Residents train through accredited online programs, which provide the same curriculum and certification preparation as campus-based alternatives.
Penn Foster offers a self-paced certificate starting at $1,049 to $1,869. Western Governors University provides a competency-based degree at $7,710/yr. Ultimate Medical Academy runs one of the largest MBC programs nationally. Purdue University Global offers an associate degree at about $10,080/yr. Southern NH residents are also within commuting distance of some Massachusetts community colleges, though out-of-state tuition rates would apply. See our cost guide.
Self-paced certificate starting at $1,049 to $1,869. The most affordable nationally accredited option for New Hampshire residents.
Key Points
- ICD-10-CM
- CPT Coding
- Medical Terminology
Competency-based degree at $7,710/yr. You can accelerate through material you already know, potentially cutting time and tuition costs.
Key Points
- Health Information Mgmt
- Data Analytics
- Revenue Cycle
Online associate degree at approximately $10,080/yr with a billing and coding focus. Regionally accredited with certification exam prep included.
Key Points
- Medical Billing
- Anatomy
- Compliance
Certification Requirements in New Hampshire
New Hampshire employers, including Dartmouth Health and the state's community hospitals, expect coding credentials. AAPC's 2025 survey reports certified members average $66,979 nationally, compared to $55,721 for non-certified workers.
The CPC from AAPC ($425) is the most widely recognized. The CCA from AHIMA ($199/$299) is valued in hospital settings. The CBCS from NHA (~$117) covers both billing and coding at the lowest cost. AAPC has a regional presence in New England with chapters in nearby Massachusetts. All exams offer remote proctoring. See our certifications comparison.
Source: AAPC 2025 Salary Survey
Salary and Job Outlook in New Hampshire
New Hampshire's average of $66,735/yr is already strong, but the absence of state income tax on wages adds further value. Massachusetts medical billing and coding professionals average $76,483, but after Massachusetts' 5% income tax, the net difference narrows considerably. For a direct comparison, a $66,735 salary in NH with 0% tax nets more than a $70,000 salary in a state charging 5%.
The southern tier (Manchester, Nashua, Salem) offers the densest job market due to population concentration and proximity to Boston. The Upper Valley around Lebanon (Dartmouth Health) is the state's other healthcare hub. Remote work (64.8% of coders per AAPC) expands access to the broader New England market. See our salary guide.
New Hampshire vs. Neighbors: Salary and Tax Comparison
| Metric | New Hampshire | Massachusetts | Vermont |
|---|---|---|---|
| Average MBC Salary | $66,735/yr | $76,483/yr | Varies |
| State Income Tax Rate | 0% on wages | 5% flat | Up to 8.75% |
| Est. Annual Tax on Salary | $0 | ~$3,824 | ~$3,500-$5,800 |
| Effective Take-Home | $66,735 | ~$72,659 | Varies |
| Premium vs. National | +33% | +52% | Varies |
Source: AAPC State Data, NH Dept. of Revenue, MA DOR, VT Tax Dept.
Career Opportunities and Employers in New Hampshire
New Hampshire's healthcare sector is led by Dartmouth Health in Lebanon, Elliot Health System in Manchester, Concord Hospital, Catholic Medical Center, and Wentworth-Douglass Hospital (a Mass General Brigham member). The state's proximity to Boston is a significant advantage. Mass General Brigham, Beth Israel Lahey Health, and other Massachusetts systems hire remote workers who live in New Hampshire.
The BLS projects 7% growth for medical records specialists from 2024 to 2034, with about 14,200 annual openings nationwide. New Hampshire's low unemployment rate and Boston-adjacent location support stable demand. For career paths and advancement, see our step-by-step guide.
Source: AAPC 2025 Salary Survey
How to Start Your Medical Billing and Coding Career in New Hampshire
Choose an accredited online program
Compare Penn Foster ($1,049-$1,869), WGU ($7,710/yr), or Purdue Global ($10,080/yr). All offer full curricula and certification exam preparation.
Complete your training
Certificate programs take 4 to 15 months. Associate degrees take about 2 years. Self-paced programs let you move faster through familiar material.
Earn your certification
The CPC ($425) is the most widely recognized. The CBCS (~$117) is the most affordable entry point. All exams offer remote proctoring from home.
Target NH and Boston-area employers
Apply to Dartmouth Health, Elliot Health, and Concord Hospital locally. Explore remote positions with Mass General Brigham and other Boston-area systems to take advantage of NH's tax-free wages.
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Angela R.
Medical Billing & Coding Specialist | Consultant
Angela worked as a medical billing and coding specialist for multiple chiropractors and orthopedic surgeons. After years in the field, she started her own medical billing and coding consulting company, working with numerous clients throughout Southern California. She brings firsthand industry experience to every article on this site.