- 1.Medical records specialists earn a national median of $50,250/yr, but salaries vary significantly by state (BLS, 2024).
- 2.Every state has accredited medical billing and coding programs — from community colleges to online options.
- 3.The top-paying states for medical coders include California, Washington, D.C., New Jersey, and Massachusetts.
- 4.Job growth is projected at 7% nationally through 2034, with some states growing even faster.
Why Location Matters
Where you live and work directly affects your earning potential, job availability, and program options. A medical coder in California earns significantly more than one in Mississippi — but cost of living matters too. Each state page below includes local BLS salary data, accredited programs from IPEDS, top employers, and certification details specific to your area.
Most medical billing and coding work can be done remotely, which means you can train in your state and potentially work for employers anywhere. Still, knowing your local market helps you negotiate salary and find programs that qualify for state-specific financial aid.
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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.