Senior Medical Coder Salary in Bismarck, ND: $71,673 (2026)
Quick Answer:The top tier of medical coders working in Bismarck, ND — those at or above the 90th percentile — pull in $71,673/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2072. Strip back Bismarck's price premium (BEA RPP 91.0, 9% below national) and that top-decile pay carries the same buying power as $78,741 in average-cost America. The 87% spread above city median typically rewards 7+ years of practice or specialty credentials.
Official BLS data · View source

In Bismarck, North Dakota, the potential for experienced medical coders to significantly increase their earnings is evident, with the top tier of earners projected to make $71,673 by 2026. This high-end salary reflects a substantial gap compared to the median annual salary of $38,243, showcasing the rewards of continued professional development and expertise in specialized coding areas. Reaching these top medical coder salary levels relies not only on gaining extensive experience—typically over seven years—but also on acquiring additional certifications and working in demanding healthcare environments that value advanced skill sets.
2026 Salary Percentile Distribution in Bismarck
Experienced medical coders at the top of the pay scale in Bismarck earn between $50,505 and $71,673 per year (2026 est.). This $38,718 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Bismarck median of $38,243 sits 8.64% below the US median.
Top CPC, CCS Salary Comparison
| Level | Bismarck | National |
|---|---|---|
| Median (P50) | $38,243 | $41,861 |
| 75th Percentile | $50,505 | $53,059 |
| 90th Percentile (Top 10%) | $71,673 | $66,426 |
In Bismarck, experienced medical coders (P90) earn 87.41% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Medical Coder Pay in Bismarck
Advanced Certifications in North Dakota
ND medical coders with additional specialty certifications within the medical coding field earn significantly above the $38,243 median. Expanded-scope credentials are increasingly valued by Bismarck employers.
Specialty Focus
Medical Coders focusing on high-acuity or specialty areas within the medical coding field in Bismarck command premium compensation, often reaching the $50,505–$71,673 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Bismarck metro area often pay above-market rates for experienced medical coders who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured medical coders in Bismarck 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 Coders in North Dakota who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Medical Coder Career & Wage Growth Path in Bismarck
Clinical Medical Coder
0-5 yearsSenior/Lead Medical Coder
5-10 yearsMedical Coder Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedBismarck ranks #1 of 8 North Dakota cities for top earner medical coder salary (90th percentile: $71,673).
Top 10% medical coder compensation in Bismarck ($71,673) is 10.48% above the North Dakota average P90 ($64,877).
2021 BLS Actual
$61,680
2025 BLS Actual
$70,048
2026 Current Est.
$71,673
2021–2027 Growth
+18.9%
Salary Trajectory for Medical Coders in Bismarck (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $61,680 | Actual |
| 2022 | $59,990 | Actual |
| 2023 | $68,850 | Actual |
| 2024 | $95,150 | Actual |
| 2025 | $70,048 | Actual |
| 2026(current) | $71,673 | Estimated |
| 2027 | $73,336 | Projected |
Top-earning medical coders (90th percentile) in Bismarck saw their compensation grow 13.6% from $61,680 in 2021 to $70,048 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 $73,336 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Bismarck 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 Coder Earnings in Bismarck
Senior medical coder pay in ND can vary widely, particularly depending on employer type. Medical coders employed by large healthcare organizations may experience higher compensation compared to those in private practices or community health centers, as specialty clinics often pay premiums for expertise in areas such as surgical coding or oncology. Advancement opportunities abound for seasoned coders, who might pursue roles as lead practitioners, clinical coordinators, or educators, further enhancing their income. Holding advanced credentials like CPC or CCS can significantly boost a coder’s salary potential in North Dakota, reflecting the value of state licensure and additional certifications. Furthermore, non-salary benefits such as shift differentials, the size of the employer, and the overall benefits package can also play important roles in the total compensation of a senior medical coder in Bismarck.
More salary data for Bismarck, ND:
Frequently Asked Questions
How much do experienced medical coders make in Bismarck in 2026?
What drives higher medical coder pay in Bismarck?
What certifications boost medical coder salary in Bismarck?
Can experienced medical coders make six figures in Bismarck?
How much does medical coder salary increase over time in Bismarck?
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Written by Aisha Patel, RHIT, CPC
Career Analyst
Aisha has over 10 years of experience in medical coding. She specializes in inpatient coding at acute care facilities. Aisha works closely with healthcare providers to ensure accurate coding 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 $70,048 for medical coders in the Bismarck 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
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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 coders (SOC 29-2072).
Compiled and verified by Aisha Patel, RHIT, CPC, a licensed medical coder with 10+ years of clinical experience. · View source data at BLS.gov