How to Become a Medical Billing and Coding Specialist in Texas (2026)
Texas employs about 17,210 medical billing and coding specialists earning a median $48,860 a year (BLS OEWS, May 2025). Training as a Medical Billing and Coding Specialist here means completing a short coding or health-information program plus CPC, CCS, or RHIT; most states do not license these roles.
Texas employs approximately 17,210 medical billing and coding specialists according to the Bureau of Labor Statistics, with a median annual wage of $48,860 1. Nationally, medical billing and coding specialist employment is projected to grow 7.1% from 2024 to 2034, with about 14,200 openings per year 2. This page covers how to become a Medical Billing and Coding Specialist in Texas, including licensing requirements, training programs, and salary data.
At a Glance
- Training paths: medical billing, coding, or health-information program (find programs)
- Typical timeline: a short coding or health-information program plus CPC, CCS, or RHIT; most states do not license these roles
- Exam: CPC, CCS, or RHIT
- Median wage (Texas): $48,860 per year 1
Quick Answers About How to Become a Medical Billing and Coding Specialist in Texas
How to become a Medical Billing and Coding Specialist in Texas? Complete a short coding or health-information program plus CPC, CCS, or RHIT; most states do not license these roles. Confirm credential rules with the program and employer.
How long does it take? Most people finish a short coding or health-information program plus CPC, CCS, or RHIT; most states do not license these roles. Confirm current hour totals with the program and employer.
Do I need a license in Texas? Most states do not require a statewide occupational license. Employers typically expect CPC, CCS, or RHIT. See the licensing section below.
What do medical billing and coding specialists earn in Texas? The median annual wage for medical billing and coding specialists in Texas is $48,860 according to BLS data. Entry-level wages start around $34,440 and experienced professionals can earn $78,390 or more 1.
How to Become a Medical Billing and Coding Specialist in Texas
- Meet program entry rules. Programs typically require a high school diploma or GED.
- Complete a billing, coding, or HIT program. Finish a certificate or associate program. This is not a registered apprenticeship.
- Earn CPC, CCS, or RHIT. Pass AAPC CPC, AHIMA CCS, or RHIT depending on the role. Employers typically require a named credential.
- No statewide license in most states. Do not invent a licensing board for billers and coders.
Steps and hour totals vary by credential level; confirm current requirements with the program and employer before you enroll.
Medical Billing and Coding Specialist License Requirements in Texas
Most states do not license medical billers, coders, or health-information technicians. Employers expect CPC, CCS, or RHIT.
Typical path
Complete a program.
Earn CPC, CCS, or RHIT.
Hour totals, fees, and reciprocity rules change. Confirm current requirements with the program and employer before you enroll.
Medical Billing and Coding Specialist Wages by Metro Area in Texas
Medical Records Specialists Wages by Metro Area in Texas
According to the Bureau of Labor Statistics ( OES data), medical records specialists wages in Texas vary by metro area.
| Metro Area | Employment | Median Annual Wage | Avg. Annual Wage | Entry Level (10th pctile) | Experienced (90th pctile) |
|---|---|---|---|---|---|
| Dallas-Fort Worth-Arlington | 5,210 | $52,140 | $57,030 | $37,950 | $80,190 |
| Houston-Pasadena-The Woodlands | 3,680 | $51,250 | $56,910 | $38,150 | $80,510 |
| San Antonio-New Braunfels | 1,670 | $46,110 | $49,740 | $34,340 | $72,260 |
| Austin-Round Rock-San Marcos | 1,320 | $48,990 | $52,290 | $25,890 | $79,700 |
| El Paso | 560 | $47,860 | $48,740 | $26,860 | $66,390 |
| McAllen-Edinburg-Mission | 410 | $39,150 | $42,450 | $22,530 | $63,820 |
| Killeen-Temple | 220 | $49,440 | $53,320 | $35,600 | $74,960 |
| Lubbock | 200 | $43,980 | $45,740 | $29,030 | $64,930 |
| Brownsville-Harlingen | 190 | $38,800 | $42,420 | $27,830 | $60,580 |
| Corpus Christi | 190 | $38,080 | $42,120 | $30,130 | $58,800 |
| Amarillo | 170 | $47,410 | $50,230 | $31,100 | $68,220 |
| Tyler | 170 | $44,500 | $51,150 | $34,430 | $83,170 |
| Beaumont-Port Arthur | 130 | $41,280 | $45,850 | $34,170 | $63,470 |
| College Station-Bryan | 120 | $44,400 | $46,120 | $29,890 | $63,900 |
| San Angelo | 120 | $46,930 | $49,030 | $36,300 | $60,040 |
| Longview | 110 | $44,590 | $48,020 | $33,780 | $65,010 |
| Waco | 110 | $43,130 | $44,710 | $27,990 | $58,660 |
| Wichita Falls | 110 | $45,100 | $46,610 | $29,780 | $62,400 |
| Abilene | 80 | $48,390 | $50,430 | $35,220 | $69,900 |
| Midland | 80 | $52,740 | $57,470 | $38,880 | $84,730 |
| Laredo | 60 | $38,370 | $43,180 | $27,910 | $64,320 |
| Texarkana | 60 | $34,940 | $39,760 | $24,890 | $62,230 |
| Victoria | 60 | $51,250 | $50,990 | $34,520 | $78,130 |
| Odessa | 50 | $50,410 | $52,030 | $35,100 | $82,000 |
| Sherman-Denison | 50 | $43,160 | $44,820 | $31,770 | $57,800 |
Wages reflect survey data and vary based on experience, credentials, employer, and local market conditions. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May .
Frequently Asked Questions
What is the job outlook for medical billing and coding specialists in Texas? Texas currently employs approximately 17,210 medical billing and coding specialists 1. Nationally, medical billing and coding specialist employment is projected to grow 7.1% from 2024 to 2034 2.
What training programs are available in Texas? Options include trade schools, community colleges, and state-approved training programs. Use the school finder above to search for programs in Texas.
How much do medical billing and coding specialists earn in Texas compared to the national average? The median annual wage for medical billing and coding specialists in Texas is $48,860, which is $1,390 below the national median of $50,250 according to BLS data 1.
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Citations
About this guide: Researched and written by the TradeCareerPath Editorial Team. Our editorial team researches and sources every trade school and career guide using federal labor and education data, including BLS OEWS and Employment Projections, DOL apprenticeship records, IPEDS, College Scorecard, and state licensing boards. We follow the editorial standards documented at /editorial-policy/.
References
Bureau of Labor Statistics - Occupational Employment and Wage Statistics: https://www.bls.gov/oes/ ↩︎ ↩︎ ↩︎ ↩︎ ↩︎
Bureau of Labor Statistics - Employment Projections: https://www.bls.gov/emp/ ↩︎ ↩︎
Data sources
Figures on this page are sourced from the federal and state datasets below. Methodology: how we rank and source data.
| Data | Provider | Vintage |
|---|---|---|
| Occupational Employment and Wage Statistics (OEWS) | U.S. Bureau of Labor Statistics | May 2025 |
| Employment Projections | U.S. Bureau of Labor Statistics | 2024-2034 |
| Integrated Postsecondary Education Data System | National Center for Education Statistics (IPEDS) | 2024 |
| College Scorecard (school-level outcomes) | U.S. Department of Education | latest release |
| College Scorecard (field-of-study earnings) | U.S. Department of Education | latest release (updated 2026-06-12) |
| Occupational licensing requirements | CareerOneStop (U.S. Department of Labor) | latest release (updated 2026-02-22) |
| Registered apprenticeship programs | CareerOneStop / Apprenticeship.gov (U.S. Department of Labor) | latest release (updated 2025-10-25) |
| O*NET occupation profiles (skills, tasks, tools, job zones) | U.S. Department of Labor (O*NET / Employment & Training Admin.) | O*NET 29.1 (updated 2026-06-13) |