Medical billing and coding professionals play a vital role in the healthcare industry, ensuring accurate documentation, smooth insurance claims processing, and proper reimbursement for healthcare services. With Texas being one of the fastest-growing states in terms of population and healthcare facilities, the demand for skilled billing and coding specialists continues to rise. Salaries in this field vary depending on factors like experience, certification, employer type, and location within Texas.
This article explores the top 20 billing and coding salary opportunities in Texas for 2025, highlighting employers, job descriptions, expected salaries, contact details, and available services. Whether you’re a certified coding specialist, a medical billing clerk, or looking to enter the field, understanding where the highest-paying opportunities are can help you make an informed career decision. From large hospitals and healthcare systems to private practices and medical billing firms, Texas offers a diverse range of roles across cities like Dallas, Houston, Austin, and San Antonio.
Billing and Coding Salary in Texas (2025)
Below is a comprehensive list of the top 20 billing and coding salary opportunities in Texas, including job roles, employer details, and estimated pay ranges.
1. Texas Health Resources – Dallas, TX
Description:
Texas Health Resources is one of the largest nonprofit healthcare systems in the state. They hire certified coding specialists, billing coordinators, and coding auditors across multiple facilities.
Average Salary: $52,000 – $68,000 annually
Address: 612 East Lamar Blvd, Arlington, TX 76011
Contact: +1 (877) 847-9355
Services Offered: Medical billing, coding audits, revenue cycle management, patient account services.
2. Baylor Scott & White Health – Temple, TX
Description:
Baylor Scott & White Health is the largest nonprofit healthcare system in Texas, employing a wide range of coding specialists to handle hospital and outpatient records.
Average Salary: $50,000 – $65,000 annually
Address: 2401 South 31st Street, Temple, TX 76508
Contact: +1 (888) 724-2362
Services Offered: Patient billing, coding compliance, insurance claim processing, electronic health record management.
3. MD Anderson Cancer Center – Houston, TX
Description:
Renowned for cancer treatment and research, MD Anderson offers lucrative billing and coding positions, particularly for certified tumor registrars and inpatient coders.
Average Salary: $58,000 – $72,000 annually
Address: 1515 Holcombe Blvd, Houston, TX 77030
Contact: +1 (877) 632-6789
Services Offered: Medical billing, oncology coding, claims management, patient financial assistance.
4. Methodist Health System – Dallas, TX
Description:
Methodist Health System operates several hospitals and clinics in North Texas and employs a large workforce of medical billers, coders, and claims specialists.
Average Salary: $48,000 – $62,000 annually
Address: 1441 N Beckley Ave, Dallas, TX 75203
Contact: +1 (214) 947-8181
Services Offered: Billing and coding, insurance verification, revenue cycle optimization, patient support services.
5. Houston Methodist Hospital – Houston, TX
Description:
Houston Methodist is a highly respected healthcare system employing experienced coders and billing professionals to manage inpatient and outpatient claims.
Average Salary: $55,000 – $70,000 annually
Address: 6565 Fannin St, Houston, TX 77030
Contact: +1 (713) 790-3311
Services Offered: Medical coding, billing processing, insurance claims, health record management.
6. CHRISTUS Health – Irving, TX
Description:
CHRISTUS Health operates a network of hospitals and clinics across Texas, with competitive salaries for certified billing and coding professionals.
Average Salary: $49,000 – $64,000 annually
Address: 919 Hidden Ridge, Irving, TX 75038
Contact: +1 (469) 282-2000
Services Offered: Billing, coding compliance, claims submission, revenue cycle management.
7. HCA Healthcare – Austin, TX
Description:
HCA Healthcare owns and operates numerous hospitals and medical centers across Texas. Billing and coding specialists here enjoy structured training programs and growth opportunities.
Average Salary: $50,000 – $67,000 annually
Address: 1100 W 45th St, Austin, TX 78756
Contact: +1 (844) 422-5627
Services Offered: Medical billing, coding audits, insurance follow-up, claim dispute resolution.
8. Parkland Health & Hospital System – Dallas, TX
Description:
Parkland Health is one of the largest public hospital systems in Texas and employs hundreds of certified billing and coding specialists.
Average Salary: $53,000 – $69,000 annually
Address: 5200 Harry Hines Blvd, Dallas, TX 75235
Contact: +1 (214) 590-8000
Services Offered: Medical billing, coding reviews, patient account management, insurance coordination.
9. UT Southwestern Medical Center – Dallas, TX
Description:
As a leading academic medical center, UT Southwestern offers competitive pay for billing specialists and certified professional coders handling complex medical data.
Average Salary: $56,000 – $74,000 annually
Address: 5323 Harry Hines Blvd, Dallas, TX 75390
Contact: +1 (214) 648-3111
Services Offered: Coding audits, insurance billing, compliance management, electronic medical records.
10. Texas Children’s Hospital – Houston, TX
Description:
Texas Children’s Hospital is one of the nation’s largest pediatric hospitals and provides excellent career opportunities for certified medical billers and coders.
Average Salary: $54,000 – $70,000 annually
Address: 6621 Fannin St, Houston, TX 77030
Contact: +1 (832) 824-1000
Services Offered: Pediatric coding, claims processing, billing management, insurance follow-up.
11. Ascension Seton Medical Center – Austin, TX
Description:
Ascension Seton operates hospitals and outpatient centers across Central Texas, offering competitive pay and flexible roles for billing and coding professionals.
Average Salary: $48,000 – $63,000 annually
Address: 1201 W 38th St, Austin, TX 78705
Contact: +1 (512) 324-1000
Services Offered: Medical billing, coding services, insurance authorization, claims reconciliation.
12. University Health System – San Antonio, TX
Description:
University Health System provides advanced healthcare services and hires coding specialists to ensure compliance and maximize reimbursement.
Average Salary: $51,000 – $68,000 annually
Address: 4502 Medical Dr, San Antonio, TX 78229
Contact: +1 (210) 358-4000
Services Offered: Billing, outpatient and inpatient coding, revenue management, claims resolution.
13. Memorial Hermann Health System – Houston, TX
Description:
Memorial Hermann is one of the largest healthcare systems in Texas, with numerous billing and coding positions available for experienced professionals.
Average Salary: $53,000 – $71,000 annually
Address: 929 Gessner Rd, Houston, TX 77024
Contact: +1 (713) 222-2273
Services Offered: Billing services, insurance claims, coding audits, payment processing.
14. Cook Children’s Health Care System – Fort Worth, TX
Description:
Cook Children’s specializes in pediatric care and offers attractive salaries for billing specialists and coding professionals handling pediatric medical records.
Average Salary: $50,000 – $66,000 annually
Address: 801 7th Ave, Fort Worth, TX 76104
Contact: +1 (682) 885-4000
Services Offered: Pediatric billing, coding reviews, patient claims, insurance coordination.
15. St. David’s HealthCare – Austin, TX
Description:
St. David’s HealthCare operates several hospitals and clinics across Austin, providing opportunities for billing and coding specialists at competitive rates.
Average Salary: $49,000 – $65,000 annually
Address: 919 E 32nd St, Austin, TX 78705
Contact: +1 (512) 476-7111
Services Offered: Billing and claims processing, coding audits, insurance filing, patient account management.
16. Texas Oncology – Dallas, TX
Description:
Texas Oncology specializes in cancer treatment and offers coding and billing positions with attractive compensation for certified professionals.
Average Salary: $55,000 – $73,000 annually
Address: 12221 Merit Dr, Dallas, TX 75251
Contact: +1 (972) 490-5970
Services Offered: Oncology billing, claims audits, patient support, insurance verification.
17. Baylor College of Medicine – Houston, TX
Description:
Baylor College of Medicine hires experienced billing and coding specialists for its medical centers and research facilities.
Average Salary: $52,000 – $68,000 annually
Address: 1 Baylor Plaza, Houston, TX 77030
Contact: +1 (713) 798-4951
Services Offered: Billing services, coding compliance, insurance claims, financial counseling.
18. CHRISTUS Santa Rosa Health System – San Antonio, TX
Description:
This healthcare network provides top-tier opportunities for billing and coding professionals, especially those with hospital coding experience.
Average Salary: $48,000 – $63,000 annually
Address: 333 N Santa Rosa St, San Antonio, TX 78207
Contact: +1 (210) 704-2011
Services Offered: Billing management, insurance processing, coding audits, claims assistance.
19. UT Health East Texas – Tyler, TX
Description:
UT Health East Texas is a regional healthcare system offering well-compensated billing and coding roles for certified professionals.
Average Salary: $50,000 – $66,000 annually
Address: 1000 S Beckham Ave, Tyler, TX 75701
Contact: +1 (903) 597-0351
Services Offered: Medical billing, coding compliance, claims reconciliation, insurance claims.
20. Hendrick Health – Abilene, TX
Description:
Hendrick Health provides healthcare services across West Texas and hires billing and coding specialists for both hospital and clinic settings.
Average Salary: $47,000 – $62,000 annually
Address: 1900 Pine St, Abilene, TX 79601
Contact: +1 (325) 670-2000
Services Offered: Billing, coding services, insurance verification, patient account management.
Top 20 Billing and Coding Salary in Texas (2025) – Continued
Now that we’ve covered the top 20 employers offering competitive salaries for billing and coding professionals in Texas, let’s dive deeper into the job market trends, factors affecting salary, certifications that boost earnings, and tips to maximize your income in this growing healthcare field. This second half of the article will provide more insights to help you plan your career and secure the best opportunities.
Billing and Coding Salary Trends in Texas (2025)
Medical billing and coding salaries in Texas vary significantly based on several factors, including location, experience, certifications, and employer size. According to recent trends, here’s a detailed breakdown:
- Average Entry-Level Salary: $38,000 – $45,000 annually
- Mid-Level Professionals: $50,000 – $60,000 annually
- Senior-Level or Specialized Coders: $65,000 – $80,000 annually
- Medical Billing Supervisors & Managers: $75,000 – $95,000 annually
Cities like Dallas, Houston, Austin, and San Antonio generally offer higher pay compared to smaller towns due to the concentration of large hospitals, specialty clinics, and research institutions. Additionally, billing and coding specialists working in oncology, surgery, and cardiology tend to earn higher salaries due to the complexity of coding procedures in these fields.
Factors Affecting Billing and Coding Salaries in Texas
Understanding the factors that influence your salary can help you negotiate better and target high-paying employers. Here are the most important ones:
1. Experience Level
- Entry-Level Coders: Often start around $38,000 – $45,000 annually.
- 2–5 Years Experience: Salaries rise to $50,000 – $60,000 on average.
- 10+ Years Experience: Senior coders and auditors can earn up to $80,000 annually.
2. Certifications
- Professionals with certifications like CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or CCA (Certified Coding Associate) often earn 15–25% more than uncertified coders.
- Specialized certifications, such as CPC-H for hospital coding, are in high demand.
3. Employer Type
- Hospitals & Large Health Systems: Pay between $55,000 and $72,000 annually.
- Private Practices & Clinics: Typically offer $45,000 – $58,000 annually.
- Medical Billing Companies: Salaries range from $42,000 – $60,000 depending on workload and complexity.
4. Location
- Top-Paying Cities: Dallas, Houston, Austin, Fort Worth, and Plano.
- Moderate-Paying Areas: San Antonio, Tyler, Waco, and Lubbock.
- Lower-Paying Rural Areas: Salaries tend to be 10–20% below the state average.
Certifications That Increase Your Salary in Texas
To remain competitive and command a higher salary in Texas, certifications are essential. Here are the most valuable certifications for billing and coding professionals:
- CPC (Certified Professional Coder): Offered by AAPC, highly recognized and leads to higher pay.
- CCS (Certified Coding Specialist): Provided by AHIMA, ideal for hospital coders.
- CCA (Certified Coding Associate): Best for entry-level professionals.
- CPC-H (Certified Professional Coder – Hospital): Focuses on inpatient and outpatient hospital coding.
- CPB (Certified Professional Biller): Designed for billing specialists handling insurance claims.
Earning one or more of these certifications can boost your earning potential by 15% to 30%, especially if you work in high-demand sectors like oncology, cardiology, and orthopedics.
Job Outlook for Billing and Coding in Texas (2025–2030)
The demand for billing and coding professionals in Texas is projected to grow by 9% to 12% over the next five years, outpacing the national average. Several factors are driving this growth:
- Population Growth: Texas continues to see rapid population increases, leading to more patients and healthcare needs.
- Healthcare Expansion: New hospitals, clinics, and specialty centers are being built across the state.
- Transition to Digital Health Records: Increased adoption of electronic health records (EHRs) has created more coding-related job opportunities.
- Insurance Complexity: With rising healthcare costs, skilled coders are needed to navigate complex billing systems.
This growth ensures job security and opens doors to higher-paying roles across major metropolitan areas and suburban regions.
Tips to Maximize Your Billing and Coding Salary in Texas
Here are actionable strategies to increase your earning potential as a billing and coding professional in Texas:
1. Get Certified Early
- Obtaining certifications like CPC or CCS early in your career helps you start at a higher salary tier.
2. Specialize in High-Demand Fields
- Focus on areas like oncology, cardiology, orthopedics, and surgical coding, which often pay more due to complexity.
3. Pursue Continuing Education
- Regularly update your knowledge through workshops and coding seminars to stay competitive.
4. Leverage Experience
- Build your portfolio by working with diverse employers, including hospitals, outpatient centers, and billing firms.
5. Negotiate Salaries
- Use your certifications and experience to negotiate competitive compensation packages.
6. Work Remotely for Larger Systems
- Many Texas-based hospitals allow remote coding positions, which often come with higher pay and better flexibility.
Top-Paying Texas Cities for Billing and Coding Specialists
| City | Average Salary | Top Employers |
|---|---|---|
| Dallas | $58,000 – $72,000 | UT Southwestern, Parkland Health |
| Houston | $55,000 – $70,000 | MD Anderson, Memorial Hermann |
| Austin | $52,000 – $68,000 | Baylor Scott & White, Ascension Seton |
| San Antonio | $50,000 – $65,000 | University Health, CHRISTUS Santa Rosa |
| Fort Worth | $49,000 – $64,000 | Cook Children’s, Texas Health Resources |
Why Texas Is a Great State for Billing and Coding Careers
Texas offers several advantages for billing and coding professionals compared to other states:
- Lower Cost of Living: Even in big cities, living costs are relatively lower than in states like California or New York.
- Diverse Job Opportunities: Texas has over 700 hospitals, hundreds of outpatient facilities, and numerous billing companies.
- Flexible Work Models: Many healthcare providers in Texas now offer remote or hybrid roles for coders and billing specialists.
- High Earning Potential: Large hospital systems and specialized clinics provide above-average salaries for certified professionals.
Final Thoughts
Medical billing and coding professionals are the backbone of Texas’s healthcare system. With rising demand, attractive salaries, and multiple growth opportunities, now is an excellent time to enter or advance in this career. Whether you choose to work for a major hospital in Houston, a research facility in Dallas, or a private billing company in Austin, Texas offers diverse paths to success.
By pursuing certifications, gaining experience, and targeting high-demand employers, you can maximize your income potential and secure long-term career stability.