VA · Roanoke · Updated October 15, 2026

Medical Coder jobs in Roanoke, VA

Medical Coders in the Roanoke area earn a median of $22.19 per hour, about $46,150 a year, and the middle half of them earn between $18.22 and $28.76. That ranks 240th of 369 U.S. metro areas for medical coder pay, and 203rd of 328 once local prices are factored in. The CMS hospital directory lists 1 hospital in Roanoke. The free report below lists employers near Roanoke and what they pay.

Medical Coder pay in Roanoke, VA

The metro median is 11% below the Virginia statewide median of $24.89 per hour. Nationally the median is $24.16 per hour. BLS counts about 250 medical records specialists employed in the Roanoke metro area, 1.7 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.37).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$16.05$33,38034% below U.S. median
Lower quartile$18.22$37,90025% below U.S. median
Median$22.19$46,1508% below U.S. median
Upper quartile$28.76$59,82019% above U.S. median
Top 10%$32.19$66,96033% above U.S. median

How Roanoke ranks

  • 240th of 369 U.S. metro areas by median hourly pay
  • 203rd of 328 after adjusting for local prices
  • 3rd of 8 Virginia 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 Roanoke

  • Overall prices in Roanoke run 6% below the U.S. average (index 93.6, U.S. = 100).
  • Housing is the biggest driver: 21% below the U.S. average (index 78.5).
  • Adjusted for local prices, a $22.19 median hour buys what $23.70 buys at the national price level, 2% below 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.

Get the Roanoke Medical Coder pay report

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

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Estimate your Roanoke paycheck

Estimated weekly gross$799
  • Per year: $39,942
  • Per month: $3,328

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

Open Medical Coder roles in Virginia

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

All Medical Coder jobs in Virginia

Hospitals in Roanoke

CMS lists 1 hospital in Roanoke.

HospitalTypeOwnershipCMS ratingEmergency
Carilion Medical Center
Roanoke, VA
Acute careNonprofit3 of 5Yes

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
Lynchburg, VA43 mi$19.66/hr80,301
Greensboro, NC82 mi$20.61/hr307,381
Winston-Salem, NC83 mi$26.20/hr255,769
Burlington, NC87 mi$21.69/hr61,365
High Point, NC89 mi$20.61/hr118,601
Harrisonburg, VA100 mi$21.08/hr51,164

Medical Coder jobs in Virginia · Medical Coder jobs nationwide

What employers ask for, and tax basics in Virginia

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

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

Virginia state guide

Other healthcare roles in Roanoke

Roanoke city guide: hospitals, employers and licensing

Common questions

How much do medical coders make in Roanoke, VA?

Medical Coders in the Roanoke metro area have a median pay of $22.19 per hour, about $46,150 a year. The middle half earn between $18.22 and $28.76 per hour (BLS, May 2024).

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

Roanoke ranks 203rd of 328 metro areas for medical coder pay after adjusting for local prices, and 240th of 369 before adjusting. Overall prices run 6% below the U.S. average.

Where do medical coders work in Roanoke?

CMS lists 1 hospital in Roanoke, led by Carilion Medical Center. Ask for the free report to see current openings and pay.

Do I need a Virginia license to work in Roanoke as a medical coder?

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

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

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What do employers near Roanoke 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 Roanoke, VA
Valorem Health Shift ReportFrom your recruiting team · [email protected]

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

1Pay for your role at other hospitals

  • Sentara HealthcareRemote, VA · 2 postings$40.88/ hr$32–$51
  • 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

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

2What they are offering now

Low$25Median$38.87High$51

3 Coder postings with published pay in Virginia, 2 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 3 Coder roles

  1. Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) - Remote!Remote
    $32.03–$45.70/ hour
    Sentara Healthcare · Remote (VA hiring) · posted today
  2. Senior Coding Specialist - Acute CarePermanent
    $34.92–$50.83/ hour
    Sentara Healthcare · Charlottesville, VA · posted 2 days ago

+ 1 more in your report. Each one has pay, shift and start date.

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