North Dakota has 3 institutions awarding a medical coding or billing credential, and coders in the state earn a median of $46,280. Program-level approval is absent across North Dakota, which is true of most states. Below: what programs cost, what the work pays, and what to verify yourself.
3
institutions awarding a coding credential
3
programs ranked on this page
$5,928
median published tuition a year
$46,280
median coder pay
Top medical coding programs in North Dakota in 2026
The top medical coding programs in North Dakota are the 3 below, ranked on the same model as our national list: independent review, cost, track record, delivery and credential fit. Of the 3 institutions in the state, 3 publish enough to be scored at all, since a program without a published tuition figure cannot be priced and so cannot be ranked honestly. The rest are listed in full further down.
Cost is scored against every rankable program in the country rather than against North Dakota, so a cheap program here is cheap in absolute terms, not just cheap for the state. Read the methodology for the weights.
- #1
Dakota College at Bottineau
Bottineau, ND · Public
47.3
of 100
Online available CertificateWhy it ranks in North Dakota
Dakota College at Bottineau ranks #1 of the 3 medical coding programs we scored, on a campus in Bottineau, ND. At $5,347 a year in district, it is about 10% below the median of $5,928 across medical coding programs we scored. It has graduated students in all three of the years we checked, most recently 2. There is no program-level review on record here. That is unremarkable in this field, where only 22 programs nationally carry one. IPEDS records the college as offering undergraduate programs that can be finished entirely at a distance, an institution-level flag, so confirm with the North Dakota campus that the coding award itself runs online.
Tuition
$5,347 a year, in-district
Score breakdown
- Independent review 0.0/35
- Published tuition 9.3/25
- Track record 20.0/20
- Online availability 12.0/12
- Credential fit 6.0/8
-
- #2
North Dakota State College of Science
Wahpeton, ND · Public
45.6
of 100
Online available CertificateWhy it ranks in North Dakota
North Dakota State College of Science ranks #2 of the 3 medical coding programs we scored, on a campus in Wahpeton, ND. No independent program review is on record for this one, which is the normal position in medical coding rather than a mark against it. Tuition of $5,928 a year sits close to the $5,928 median for medical coding programs we scored. Distance study is on offer at this North Dakota college, though the federal record does not say whether the coding certificate itself is delivered that way. Federal completions show awards in each of the last three years, 2 in the most recent, so this is a running program rather than a listed one.
Tuition
$5,928 a year, in-district
Facts on this card come from North Dakota State College of Science
Score breakdown
- Independent review 0.0/35
- Published tuition 7.6/25
- Track record 20.0/20
- Online availability 12.0/12
- Credential fit 6.0/8
-
- #3
Rasmussen University-North Dakota
Fargo, ND · Private for-profit
41.8
of 100
Online available CertificateWhy it ranks in North Dakota
Rasmussen University-North Dakota ranks #3 of the 3 medical coding programs we scored, on a campus in Fargo, ND. Tuition of $12,732 runs about 115% above the $5,928 median for medical coding programs we scored, which is worth weighing against what else the program includes. No independent program review is on record for this one, which is the normal position in medical coding rather than a mark against it. Distance study is on offer at this North Dakota college, though the federal record does not say whether the coding certificate itself is delivered that way. Federal completions show awards in each of the last three years, 2 in the most recent, so this is a running program rather than a listed one.
Tuition
$12,732 a year, in-district
Facts on this card come from Rasmussen University-North Dakota
Score breakdown
- Independent review 0.0/35
- Published tuition 3.8/25
- Track record 20.0/20
- Online availability 12.0/12
- Credential fit 6.0/8
-
How many medical coding programs are in North Dakota in 2026?
North Dakota has 3 institutions awarding a medical coding or medical billing credential, and together they conferred 6 of them in the latest year of federal data. That is 0.0 percent of the national total, from a field split 2 public, 1 for-profit.
3 institutions is few enough that residents should widen the search deliberately rather than settle for whichever is closest. Because the exam is national and no state licenses coders, distance costs you nothing here except the campus experience.
By credentials actually conferred, the largest medical coding programs in North Dakota are North Dakota State College of Science in Wahpeton with 2 in the year, followed by Rasmussen University-North Dakota, Dakota College at Bottineau. Volume is not quality, but it does tell you which programs have a track record and an alumni network in the state, and both matter when a local employer is deciding whether to interview you.
What is the difference between medical billing and medical coding in North Dakota?
Medical billing and medical coding are two different jobs in North Dakota, and the federal government counts them as two different occupations. Coding is deciding what happened in an encounter and assigning the codes for it; billing is getting the resulting claim paid. In North Dakota that split is worth $2,270 at the median.
A program advertised as medical billing and coding is teaching both halves, which is what a physician practice usually wants from one hire. Hospital departments split the work, so the combined credential fits them less neatly.
The local numbers show both sides are real employment: 520 in the coding occupation and 660 in billing. Which to aim for is worth deciding before you enrol, because the credentials diverge: the AAPC CPB is the billing credential, while the CPC and CCA are coding ones.
Which North Dakota medical coding programs hold AHIMA PCAP approval in 2026?
No medical coding program in North Dakota holds AHIMA PCAP approval, and none of the state's 3 institutions holds CAHIIM accreditation either. The second half of that is true everywhere: we read all 431 records in the CAHIIM directory and not one is a medical coding program.
That is not the same as saying North Dakota programs are unaccredited. PCAP and CAHIIM are program-level markers, reviewing the coding certificate itself, and they are rare or absent everywhere. Most of the 3 North Dakota institutions here hold institutional accreditation, covering the college as a whole, which is what federal financial aid and credit transfer depend on. Both are real; they answer different questions.
Read that as a fact about the field rather than about the state. Almost no coding program anywhere holds a program-level marker, which is precisely why the certification exam does the work that accreditation does elsewhere.
The practical consequence for a North Dakota shortlist is that you do the verifying. Confirm the college's institutional accreditation, confirm which certification the medical coding program targets, and confirm whether the exam fee is inside the tuition figure or on top of it. The phrase to distrust is accredited with no body named. For a coding certificate that is nearly always institutional accreditation, describing the college rather than the program you would enrol in. Our accreditation guide sets out all four markers.
How much does a medical coding program cost in North Dakota in 2026?
A medical coding program in North Dakota costs a median of $5,928 a year in published resident tuition, ranging from $5,347 to $12,732 across the 3 schools in the state that publish a figure.
That $7,385 spread is the first thing to notice, because it is far wider than any difference in what the programs teach. Two things the figure also excludes: it is tuition only, so code books, revised annually and running to a few hundred dollars, sit on top, as does the certification exam itself at $425 and up for an AAPC voucher.
Watch the units too: this is a year of tuition, not the cost of the credential. Of the 3 schools, 3 award at certificate level and 0 at associate level, and a two-year degree multiplies the annual figure where a short certificate divides it.
How much do medical coders make in North Dakota in 2026?
Medical coders in North Dakota make a median of $46,280 a year, $4,860 below the national median of $51,140. That ranks North Dakota 45th of the 50 states with a published figure.
The spread matters more than the midpoint when you are deciding whether to train here. The bottom tenth of medical coders here earn $39,580 or less and the top tenth earn $79,800 or more, a range of $40,220. Read $39,580 as the entry band and $46,280 as what experience gets you, because half the people counted have years behind them.
Billing-only roles are counted separately and pay differently: the median for them in North Dakota is $48,550, $2,270 above the coding figure. Many programs advertise on the coding figure while training for billing work, so check which occupation the medical coding program you are considering leads into. See our salary breakdown.
How many medical coding jobs are there in North Dakota?
North Dakota employs 520 medical records specialists, the federal occupation medical coders are counted under, which works out at 1.22 jobs per thousand in the state workforce. By that concentration North Dakota ranks 28th of 49 states.
Headcount and concentration answer different questions. 520 tells you how many positions exist at all; 1.22 per thousand tells you how densely they sit in the workforce, which is what affects how quickly a first opening appears near you.
North Dakota also employs 660 billing clerks in the separate occupation that covers billing-only work, against 520 in coding. The balance between those two numbers is a fair guide to what the local medical coding market is actually hiring for, and it differs by state more than most people expect.
Who hires is consistent enough to list: hospitals and health systems, physician and multispecialty practices, third-party billing companies, and insurers working the claims from the payer side. In North Dakota the training supply clusters around Wahpeton, which is where the largest program by conferrals sits, and program supply tends to follow employer demand. Working remotely is realistic later rather than immediately: most employers want a year of demonstrated accuracy before letting a coder work off site. Our career profiles break the roles apart.
Can you do a medical coding program online in North Dakota?
Yes, you can do a medical coding program online in North Dakota: 3 of the 3 institutions in the state are recorded as offering undergraduate programs completable entirely online, about 100 percent.
That 3 needs one qualification. The federal flag is institution-level, not program-level, so it tells you the college teaches something fully online and separately awards a coding credential, which is not quite the same as the coding certificate being available online. Confirm it with the school itself, since only the school can answer it.
Since no state licenses medical coders, studying online from outside North Dakota costs you nothing in employability. That is what makes the national list as relevant here as the local one. Our online ranking compares them nationally.
Do you need a license to be a medical coder in North Dakota?
No, you do not need a license to be a medical coder in North Dakota. No state licenses medical coders or medical billers anywhere in the United States, and North Dakota has no board, no state exam and no registration to complete. What stands in for a licence is the certification, and that is why the exam a programme prepares you for matters more than the programme's own reputation.
Applied to a shortlist here, this means one question does most of the work: which exam does this programme prepare me to sit? A programme that will not answer plainly has told you something. The realistic choice is between the AAPC CPC and the AHIMA CCA, the first weighted toward practices and the second toward hospitals, with the CCS as the hospital step up.
No national answer beats a local count. Open the job boards for North Dakota, read twenty postings for the work you want, and see which credential they ask for. The divide is not random. Hospital systems tend to ask for AHIMA credentials and physician practices for AAPC ones, so the mix of employers near you decides it.
Which schools in North Dakota award a medical coding credential?
The schools in North Dakota awarding a medical coding credential are the 3 institutions below, every one recorded in the federal data as awarding a medical coding or billing credential, largest first by credentials conferred. Tuition is published resident tuition for one year, so a 3-school certificate market and a 0-school associate market are not directly comparable on it. A blank means the school reports no figure.
| School | City | Sector | Online | Price | Awards |
|---|---|---|---|---|---|
| North Dakota State College of Science | Wahpeton | Public | ✓ | $5,928 /yr | 2 |
| Rasmussen University-North Dakota | Fargo | For-profit | ✓ | $12,732 /yr | 2 |
| Dakota College at Bottineau | Bottineau | Public | ✓ | $5,347 /yr | 2 |
IPEDS completions, directory, institutional characteristics and both tuition files, 2023, covering all 3 institutions in North Dakota. Prices come in two different units and the column says which. 3 of these schools report annual tuition, shown /yr, and 0 report the whole-programme price for the coding program itself, shown program, which is how occupational and for-profit colleges report to IPEDS. The two are never averaged together. 3 are recorded as offering fully online undergraduate programs . Read the Online flag as institution-level: it marks a North Dakota college offering some fully online undergraduate program, not proof that its coding certificate is one of them.
Common questions about medical coding programs in North Dakota
Do you need a license to be a medical coder in North Dakota?
How many medical coding programs are in North Dakota?
How much does a medical coding program cost in North Dakota?
How much do medical coders make in North Dakota?
Can you take a medical coding program online in North Dakota?
Sources
- U.S. Bureau of Labor Statistics , Occupational Employment and Wage Statistics, May 2025: the North Dakota median, percentiles, employment and job concentration for medical records specialists (SOC 29-2072) and medical billing clerks (SOC 43-3021).
- IPEDS completions, directory, institutional characteristics and tuition , 2023, via the Urban Institute Education Data API: which North Dakota institutions award coding credentials, how many they conferred, published tuition and distance education availability.
- AHIMA Professional Certificate Approval Program directory : which programs hold approval. No North Dakota program appears in it. All 22 approved programs nationally are listed on our accreditation page.
- CAHIIM directory: enumerated in full, 431 records, none of which is a medical coding program in North Dakota or in any other state.
Where else can you study medical coding near North Dakota?
You can study medical coding near North Dakota anywhere else in the Midwest, and nothing about the credential is tied to where you earn it, so crossing the border is a real option rather than a compromise:
- Medical coding programs in Illinois, 35 institutions , median pay $56,440
- Medical coding programs in Indiana, 14 institutions , median pay $47,670
- Medical coding programs in Iowa, 10 institutions , median pay $50,640
- Medical coding programs in Kansas, 13 institutions , median pay $48,160
- Medical coding programs in Michigan, 42 institutions , median pay $48,120
- Medical coding programs in Minnesota, 18 institutions , median pay $61,530