TX · San Antonio · Updated October 15, 2026

Medical Coder jobs in San Antonio, TX

The median medical coder pay in the San Antonio area is $22.96 per hour ($47,750 a year), with the typical range running from $18.44 to $29.42. That ranks 196th of 369 U.S. metro areas for medical coder pay, and 167th of 328 once local prices are factored in. The CMS hospital directory lists 19 hospitals in San Antonio. The free report below lists employers near San Antonio and what they pay.

Medical Coder pay in San Antonio, TX

The metro median is 1% above the Texas statewide median of $22.71 per hour. Nationally the median is $24.16 per hour. BLS counts about 1,950 medical records specialists employed in the San Antonio-New Braunfels metro area, 1.8 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.44).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$14.42$29,99040% below U.S. median
Lower quartile$18.44$38,36024% below U.S. median
Median$22.96$47,7505% below U.S. median
Upper quartile$29.42$61,19022% above U.S. median
Top 10%$35.15$73,11045% above U.S. median

How San Antonio ranks

  • 196th of 369 U.S. metro areas by median hourly pay
  • 167th of 328 after adjusting for local prices
  • 4th of 24 Texas 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 San Antonio

  • Overall prices in San Antonio-New Braunfels run 5% below the U.S. average (index 94.7, U.S. = 100).
  • Housing is the biggest driver: 5% below the U.S. average (index 94.6).
  • Adjusted for local prices, a $22.96 median hour buys what $24.24 buys at the national price level, in line with 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 San Antonio, what they pay and the roles open now. Free for candidates, email only.

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Estimate your San Antonio paycheck

Estimated weekly gross$827
  • Per year: $41,328
  • Per month: $3,444
  • Texas has no state income tax on wages.

Gross pay before taxes and benefits, from BLS pay levels for the San Antonio-New Braunfels metro area. For take-home pay use the take-home pay calculator.

Open Medical Coder roles in Texas

Nearest open roles with published pay. Your free report adds roles in San Antonio as they open.

All Medical Coder jobs in Texas

Medical Coder salary in Texas

Hospitals in San Antonio

CMS lists 19 hospitals in San Antonio.

HospitalTypeOwnershipCMS ratingEmergency
Baptist Neighborhood Hospital Thousand Oaks
San Antonio, TX
Acute careFor-profit5 of 5Yes
San Antonio Va Medical Center (Va South Texas Healthcare System)
San Antonio, TX
Acute Care - Veterans AdministrationGovernment and federal5 of 5Yes
Methodist Hospital
San Antonio, TX
Acute careFor-profit4 of 5Yes
Methodist Hospital Stone Oak
San Antonio, TX
Acute careFor-profit4 of 5Yes
Baptist Medical Center
San Antonio, TX
Acute careFor-profit3 of 5Yes
Christus Santa Rosa Medical Center
San Antonio, TX
Acute careNonprofit3 of 5Yes
University Health System
San Antonio, TX
Acute careGovernment and federal3 of 5Yes
Bandera Family Hospital
San Antonio, TX
Acute careFor-profitNot ratedYes
Children's Hospital Of San Antonio
San Antonio, TX
Children'sNonprofitNot ratedYes
Foundation Surgical Hospital Of San Antonio
San Antonio, TX
Acute careFor-profitNot ratedYes

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
New Braunfels, TX30 mi$22.96/hr116,477
San Marcos, TX45 mi$22.75/hr74,316
Kyle, TX53 mi$22.75/hr65,833
Austin, TX74 mi$22.75/hr993,588
Cedar Park, TX84 mi$22.75/hr78,380
Leander, TX86 mi$22.75/hr87,511

Medical Coder jobs in Texas · Medical Coder jobs nationwide

What employers ask for, and tax basics in Texas

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

Texas does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.

Texas state guide

Other healthcare roles in San Antonio

San Antonio city guide: hospitals, employers and licensing

Common questions

How much do medical coders make in San Antonio, TX?

Medical Coders in the San Antonio-New Braunfels metro area have a median pay of $22.96 per hour, about $47,750 a year. The middle half earn between $18.44 and $29.42 per hour (BLS, May 2024).

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

San Antonio-New Braunfels ranks 167th of 328 metro areas for medical coder pay after adjusting for local prices, and 196th of 369 before adjusting. Overall prices run 5% below the U.S. average.

Where do medical coders work in San Antonio?

CMS lists 19 hospitals in San Antonio, led by Baptist Neighborhood Hospital Thousand Oaks. Ask for the free report to see current openings and pay.

Do I need a Texas license to work in San Antonio as a medical coder?

CPC, CCS or equivalent coding credential. Credentials are issued state by state, so confirm what Texas requires for your role with the Texas 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 San Antonio?

Yes. We place healthcare staff in San Antonio and across Texas. Tell us your profession and we email the roles open near San Antonio.

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

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    Pay for your role at other hospitals

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    What they are offering now

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Pay report · Coder near San Antonio, TX
Valorem Health Shift ReportFrom your recruiting team · [email protected]

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

1Pay for your role at other employers

  • Vyusoft IncDenton, TX · 1 wage offer$31.25/ hr$31–$31
  • Tenet HealthcareDallas, TX · 2 postings$28.92/ hr$21–$38
  • CommonSpirit HealthCentennial, CO · 3 postings$34.69/ hr$26–$44
  • Banner HealthArizona, AZ · 3 postings$31.92/ hr$26–$44

Median pay per hour, with the range each employer published or reported in federal filings. Request your Texas list

2What they are offering now

Low$21Median$26.86High$36

4 Coder postings with published pay in Texas, 3 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 4 Coder roles

  1. Medical Records Technician (CODER)Permanent
    $45k–$59k/ year
    Military Treatment Facilities under DHA · El Paso, TX · posted today
  2. Inpatient Corporate Coder - Remote based in the USRemote
    $26.40–$38.00/ hour
    Tenet Healthcare · Remote (TX hiring) · posted 2 days ago

+ 2 more in your report. Each one has pay, shift and start date.

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