KY · Lexington · Updated October 15, 2026

Medical Coder jobs in Lexington, KY

The median medical coder pay in the Lexington area is $23.41 per hour ($48,690 a year), with the typical range running from $19.69 to $28.97. That ranks 168th of 369 U.S. metro areas for medical coder pay, and 126th of 328 once local prices are factored in. The CMS hospital directory lists 7 hospitals in Lexington. Your free pay report adds named employers and the roles open near Lexington.

Medical Coder pay in Lexington, KY

The metro median is 1% above the Kentucky statewide median of $23.09 per hour. Nationally the median is $24.16 per hour. BLS counts about 730 medical records specialists employed in the Lexington-Fayette metro area, 2.6 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 2.10).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$16.59$34,51031% below U.S. median
Lower quartile$19.69$40,96019% below U.S. median
Median$23.41$48,6903% below U.S. median
Upper quartile$28.97$60,26020% above U.S. median
Top 10%$32.42$67,43034% above U.S. median

How Lexington ranks

  • 168th of 369 U.S. metro areas by median hourly pay
  • 126th of 328 after adjusting for local prices
  • 2nd of 6 Kentucky metro areas

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Medical Records Specialists (SOC 29-2072), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in Lexington

  • Overall prices in Lexington-Fayette run 7% below the U.S. average (index 92.9, U.S. = 100).
  • Housing is the biggest driver: 23% below the U.S. average (index 77.1).
  • Adjusted for local prices, a $23.41 median hour buys what $25.20 buys at the national price level, 4% above the national median.

Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.

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Named employers near Lexington, what they pay and the roles open now. Free for candidates, email only.

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Estimate your Lexington paycheck

Estimated weekly gross$843
  • Per year: $42,138
  • Per month: $3,512

Gross pay before taxes and benefits, from BLS pay levels for the Lexington-Fayette metro area. For take-home pay use the take-home pay calculator.

Hospitals in Lexington

CMS lists 7 hospitals in Lexington.

HospitalTypeOwnershipCMS ratingEmergency
Baptist Health Lexington
Lexington, KY
Acute careNonprofit4 of 5Yes
University Of Kentucky Hospital
Lexington, KY
Acute careGovernment and federal4 of 5Yes
Lexington Va Medical Center
Lexington, KY
Acute Care - Veterans AdministrationGovernment and federal3 of 5Yes
Saint Joseph Hospital
Lexington, KY
Acute careNonprofit3 of 5Yes
Saint Joseph East
Lexington, KY
Acute careNonprofit2 of 5Yes
Eastern State Hospital
Lexington, KY
PsychiatricNonprofitNot ratedNo
The Ridge Behavioral Health System
Lexington, KY
PsychiatricFor-profitNot ratedNo

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Medical Coder pay in nearby cities

CityDistanceMedian payPopulation
Louisville, KY65 mi$27.65/hr640,796
Jeffersonville, IN70 mi$27.65/hr52,912
Cincinnati, OH76 mi$24.82/hr314,915
Hamilton, OH94 mi$24.82/hr63,953
Middletown, OH101 mi$24.82/hr52,291
Columbus, IN113 mi$22.58/hr51,970

Medical Coder jobs in Kentucky · Medical Coder jobs nationwide

What employers ask for, and tax basics in Kentucky

Medical coders translate diagnoses and procedures into billing and reporting codes.

  • CPC, CCS or equivalent coding credential
  • Knowledge of ICD-10-CM, CPT and HCPCS
  • Experience with encoder and EHR systems

Kentucky taxes wage income. Use your own rates in the take-home pay calculator.

Kentucky state guide

Other healthcare roles in Lexington

Lexington city guide: hospitals, employers and licensing

Common questions

How much do medical coders make in Lexington, KY?

Medical Coders in the Lexington-Fayette metro area have a median pay of $23.41 per hour, about $48,690 a year. The middle half earn between $19.69 and $28.97 per hour (BLS, May 2024).

Is Lexington a good place for medical coders once cost of living is counted?

Lexington-Fayette ranks 126th of 328 metro areas for medical coder pay after adjusting for local prices, and 168th of 369 before adjusting. Overall prices run 7% below the U.S. average.

Where do medical coders work in Lexington?

CMS lists 7 hospitals in Lexington, led by Baptist Health Lexington. Ask for the free report to see current openings and pay.

Do I need a Kentucky license to work in Lexington as a medical coder?

CPC, CCS or equivalent coding credential. Credentials are issued state by state, so confirm what Kentucky requires for your role with the Kentucky licensing board and with your recruiter before you commit to a start date. Confirm with the board before you accept a role.

Does Valorem Health place medical coders in Lexington?

Yes. We place healthcare staff in Lexington and across Kentucky. Tell us your profession and we email the roles open near Lexington.

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What do employers near Lexington pay medical coders? Get the report.

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    What they are offering now

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Pay report · Coder near Lexington, KY
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your Coder pay reportTop-paying hospitals shown · your Kentucky list by name comes with the full report

1Pay for your role at other hospitals

  • CommonSpirit HealthCentennial, CO · 3 postings$34.69/ hr$26–$44
  • Banner HealthArizona, AZ · 3 postings$31.92/ hr$26–$44
  • Avera HealthSioux Falls, SD · 3 postings$31.75/ hr$24–$46
  • Sarah Bush Lincoln Health SystemIllinois · 4 postings$28.97/ hr$23–$37

Median posted pay per hour, with the range each employer published. Request your Kentucky list

2What they are offering now

Low$23Median$31.56High$42

53 Coder postings with published pay in the US, 44 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open Coder roles

Open Coder roles near Lexington, KY, each with pay, shift and start date, arrive with your report.

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