Medical Coder Salary in Fresno, CA: 2026
Medical Coder salary data for Fresno, CA, adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.
The estimated median Medical Coder salary in Fresno, CA is $51,140 per year ($4,262/month, $25/hr). This modeled estimate scales Salario's national benchmark (calibrated to the BLS OEWS May 2025 national median) by the local cost of living index of 100, which is 0% below the national average.
All four figures are Salario estimates (national benchmark scaled by Fresno's cost-of-living index); BLS does not publish a metro median for this title here.
Medical Coder Take-Home Pay in Fresno
Tax Breakdown (Median Salary)
| Gross Annual | $51,140 |
| Federal Tax | -$3,957 |
| State Tax (2.5% eff.) | -$1,261 |
| FICA (SS + Medicare) | -$3,912 |
| Annual Take-Home | $42,010 |
| Monthly Take-Home | $3,501 |
Living Cost Comparison
Medical Coder Requirements
Key Skills
Fresno Job Market Overview
Fresno, California has a population of 542,107 and an unemployment rate of 5.5%. The top industries are Agriculture, Healthcare, Education. The local job growth rate is 1.2%, and the average commute time is 22minutes. These local figures come from Salario's city dataset; verify current values with BLS Local Area Unemployment Statistics and Census QuickFacts.
Related Healthcare Salaries in Fresno
Medical Coder Salary in Nearby California Cities
Salary Percentile Breakdown: Medical Coder in Fresno
Based on Salario's cost-of-living-adjusted salary tiers for Medical Coder in Fresno, CA, here is an estimated percentile breakdown:
| Percentile | Annual Salary | Hourly Equivalent | Career Stage |
|---|---|---|---|
| 10th (lowest) | $36,000 | $17/hr | Entry-level, < 1 yr exp. |
| 25th | $43,570 | $21/hr | Junior, 1-3 yrs exp. |
| 50th (median) | $51,140 | $25/hr | Mid-career, 0-2 years |
| 75th | $62,500 | $30/hr | Senior, 5-10 yrs exp. |
| 90th (top) | $78,600 | $38/hr | Lead/Principal, 10+ yrs |
Percentiles are approximations, not measured local percentiles: P10, P50, P75, and P90 map to Salario's entry, median, senior, and top salary tiers scaled by the local cost-of-living index, and P25 is interpolated halfway between entry and median. Top earners (P90) typically include managers, specialists with rare skills, or those at high-paying employers in Fresno's Agriculture sector.
5-Year Salary Trajectory
Salario's national dataset models approximately 13.0% salary growth for Medical Coders over the past 5 years. That national assumption is applied to the Fresno estimate below; it is not a measured local trend, and it should be compared with cumulative CPI inflation before treating it as a real-terms gain:
Year-over-year, an average Medical Coder can expect a 14.8% annual increase moving from entry to senior level over 4 years in Fresno. Negotiation, certifications (CPC, CCS), and changing employers strategically can accelerate this trajectory.
Fresno vs National Average
The national median Medical Coder salary is $51,140 (BLS OEWS May 2025, Medical Records Specialists). In Fresno, the cost-of-living-adjusted median of $51,140 is 0.0% below the national figure. This reflects Fresno's cost of living index of 100 (lower than the national average of 100).
For Medical Coders, this means: rent typically consumes 34.3% of take-home pay (households spending >30% are considered rent-burdened), and a median home in Fresno costs about 7.7× annual take-home. Homeownership in Fresno on this salary is challenging, most experts recommend keeping home costs to 3-4× income.
Industry Context: Agriculture in Fresno
Fresno's economy is anchored by Agriculture, Healthcare, Education, with 542,107 residents and an unemployment rate of 5.5% in Salario's city dataset. Pay for Medical Coders can differ by sector, so compare Agriculture employers with other local employers. The local job growth rate in Salario's city dataset is 1.2%, and Salario's job dataset lists a 7.0% growth outlook for Medical Coder roles; check the BLS Occupational Outlook Handbook for the official 2024-2034 projection for the closest matching occupation.
Methodology & Data Sources
How we calculate Medical Coder salaries in Fresno, CA:
- Base salary model starts with Salario occupation data and public wage references, including BLS OEWS and O*NET when a direct or related occupational crosswalk is available (the national median is calibrated to the BLS OEWS May 2025 median for Medical Records Specialists). For niche titles, we do not treat a broader SOC family as an exact job-title wage.
- Cost-of-living adjustment applied using the Fresno index of 100 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs stored separately in Salario's city dataset.
- Percentile distribution (P10-P90) estimated from the entry, median, senior, and top compensation tiers in the Salario salary model rather than claimed as exact employer payroll data.
- Take-home pay calculated using 2026 federal tax brackets (10%-37%), CA 2026 state income tax brackets after the standard deduction (top rate 13.3%), and FICA (Social Security 6.2% + Medicare 1.45%).
- Tax brackets and standard deduction ($16,100 single filer for tax year 2026) sourced from IRS Revenue Procedure 2025-32 and updated annually.
Authoritative data sources:
- BLS Occupational Employment and Wage Statistics, national and metro-area salary data
- O*NET OnLine, occupation tasks, alternate job titles, skills, and SOC crosswalks
- BLS Occupational Outlook Handbook, occupation outlook where a matching profile is available
- BLS Consumer Price Index (CPI-U), regional inflation data (CPI measures price changes, not city-to-city price levels)
- U.S. Census Bureau, Fresno QuickFacts, population and demographic data
- IRS Revenue Procedure 2025-32 summary, 2026 federal tax brackets and standard deductions
- BLS Local Area Unemployment Statistics, official local unemployment rates to verify the Fresno figure above
Last reviewed: 2026. Salario's salary dataset is refreshed periodically, not automatically; check the linked BLS releases for the latest official data. Medical Coder salaries can vary significantly based on employer, sector (Agriculture vs others in Fresno), specific skill set (ICD-10, CPT Codes, Medical Terminology), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.
Frequently Asked Questions
What is the average Medical Coder salary in Fresno, CA?
How much does a Medical Coder take home in Fresno after taxes?
Is Fresno a good city for Medical Coders?
What skills are needed for a Medical Coder in Fresno?
How does Medical Coder salary in Fresno compare to the national average?
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Frequently Asked Questions
What is the average Medical Coder salary in Fresno, CA?
Salario estimates the median Medical Coder salary in Fresno, CA at $51,140 per year for 2026. This is a modeled figure: Salario's national Medical Coder benchmark scaled by the local cost of living index of 100, not a measured local wage survey. The modeled entry-level estimate is around $36,000, and the senior estimate is $62,500 or more.
How much does a Medical Coder take home in Fresno after taxes?
A Medical Coder earning the median salary of $51,140 in Fresno, CA takes home approximately $42,010 per year ($3,501/month) after federal, state, and local taxes. The effective tax rate is 17.9%.
Is Fresno a good city for Medical Coders?
Fresno, CA has a cost of living index of 100 (below national average). Medical Coders here earn above the city median. The local unemployment rate is 5.5% and top industries include Agriculture, Healthcare, Education.
What skills are needed for a Medical Coder in Fresno?
Key skills for Medical Coders include ICD-10, CPT Codes, Medical Terminology, EHR Systems, Compliance. Typical education requirement is Certificate / Associate's Degree. Valuable certifications include CPC, CCS, RHIT.
How does Medical Coder salary in Fresno compare to the national average?
Salario's national median benchmark for Medical Coder is $51,140 (calibrated to the BLS OEWS May 2025 national median). In Fresno, the cost-of-living-adjusted estimate is $51,140, which is 0.0% lower than the national average, reflecting the local cost of living.