Medical billing and coding programs, certifications, and pay by state

Compare programs, pick a certification, and see what medical records specialists actually earn in your state. Every wage and opening figure is from BLS. Starting pay sits near the lower percentiles, and remote work usually waits until you have certification plus experience.

  • Median pay of $51,140 per year (BLS OEWS, May 2025)
  • 14,200 projected openings each year, 2024 to 2034 (BLS)
  • 892 schools reporting billing, coding, or health information programs (IPEDS)

Find a program near you or online

Start with the question you have

How this site works

  1. Learn the job. Billing and coding are related but different roles. Our billing vs coding guide explains which one fits you, including if you are not sure yet.
  2. Pick a credential path. Most people start with a certificate and one entry-level certification. The first job is often on site. See how to become a medical coder.
  3. Compare schools. Use the finder above or browse schools by state. Every card links to the school's federal IPEDS record so you can verify it. We do not rank anyone number one.

Where medical records specialists earn the most

StateMedian annual wageEmployment
District of Columbia$72,040270
Rhode Island$63,960650
Hawaii$63,180400
Washington$62,2705,010
California$61,81018,700
New York$61,7209,080
Minnesota$61,5303,150
Alaska$61,0901,070
Connecticut$60,9401,120
Massachusetts$60,3503,500

Source: U.S. Bureau of Labor Statistics, OEWS, May 2025, SOC 29-2072. All 50 states and percentiles.