You know that real estate adage, “Location is everything”? When it comes to salaries for medical billers and coders, where you live and work isn’t everything, but it does have an impact. While the median salary for medical records and health information specialists-a category that includes medical billers and coders-is just over $46,000 a year, pay may vary depending upon several factors, including where you work and live, how much experience you have, what certifications you have earned, and your level of education. What Factors Can Affect a Medical Coder’s Salary?