Medical records specialists: Salary, Job Outlook, Education and Career Path

Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the healthcare system. Classify medical and healthcare concepts, including diagnosis, procedures, medical services, and equipment, into the healthcare industry's numerical coding system. Includes medical coders.

Short answer: Medical records specialists earn a national median annual wage of $51,140 (BLS, May 2025). Employment is projected to change +7.8% from 2025 to 2035 (all occupations: +3.5%), with about 14,000 openings per year. The typical entry credential is postsecondary nondegree award.

Median annual wage
$51,140
May 2025 Verified data
Projected change
+7.8%
2025 to 2035 Official projection
Openings per year
14,000
Average, 2025 to 2035 Official projection
Employment
194,720
OEWS, May 2025 Verified data

Medical records specialists salary

$0$25K$50K$75KUnited States$51,140
National annual wages for medical records specialists, May 2025: 10th percentile $37,000, 25th $43,490, median $51,140, 75th $64,820, 90th $81,150. The bar spans the 25th to 75th percentile, the thin line spans the 10th to 90th percentile, and the red mark is the median.
MeasureAnnualHourly
10th percentile$37,000$17.79
Median (50th percentile)$51,140$24.59
Mean (average)$56,790$27.30
90th percentile$81,150$39.01

These wages describe everyone employed in the occupation, from new entrants to experienced workers. They are not starting salaries and not earnings of graduates from any particular program. Verified data

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, National. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Medical records specialists pay by state and metro area

$28.0K$72.0K
Median annual wage for medical records specialists by state, May 2025. Highest: District of Columbia at $72,040. States in gray have no published estimate.
Table: median wage and employment for all 53 states and territories
StateMedian10th pct90th pctEmploymentLocation quotient
Alabama$43,810$30,250$64,7302,3300.88
Alaska$61,090$46,390$90,5301,0702.64
Arizona$47,630$36,530$75,4303,7500.93
Arkansas$41,740$33,920$65,0901,9201.18
California$61,810$43,800$102,47018,7000.82
Colorado$59,020$45,280$82,9801,7800.49
Connecticut$60,940$40,490$88,9001,1200.53
Delaware$56,060$36,870$77,5006101.01
District of Columbia$72,040$46,300$128,0102700.3
Florida$45,760$36,330$76,85021,4901.73
Georgia$51,550$36,260$81,5805,9300.97
Guam$38,470$29,120$55,430700.88
Hawaii$63,180$45,700$91,6504000.51
Idaho$53,460$39,930$77,8401,4901.39
Illinois$56,440$38,890$77,5205,7400.75
Indiana$47,670$38,270$79,2705,8601.46
Iowa$50,640$38,910$66,3902,2501.15
Kansas$48,160$36,680$77,9102,0301.13
Kentucky$48,410$36,290$74,5204,2101.68
Louisiana$44,610$32,900$77,0802,6001.07
Maine$52,090$42,210$76,6601,0001.25
Maryland$54,220$35,400$82,0902,4400.71
Massachusetts$60,350$43,960$81,6203,5000.77
Michigan$48,120$37,180$77,0804,8900.89
Minnesota$61,530$48,120$83,0203,1500.85
Mississippi$41,500$31,010$61,5802,3101.58
Missouri$50,750$38,880$77,0103,8901.06
Montana$50,190$40,460$64,5408201.27
Nebraska$51,670$38,620$74,9901,6401.28
Nevada$50,300$36,990$81,1402,3501.21
New Hampshire$49,210$39,120$68,9809301.09
New Jersey$50,240$33,280$83,6504,4500.83
New Mexico$57,470$36,600$76,4601,4001.28
New York$61,720$40,730$101,9409,0800.75
North Carolina$49,620$36,840$79,6706,7601.09
North Dakota$46,280$39,580$79,8005200.98
Ohio$50,990$38,060$79,2907,4401.07
Oklahoma$53,460$36,610$74,7102,4801.16
Oregon$59,000$44,260$81,1202,5601.04
Pennsylvania$46,840$37,490$77,8806,9700.92
Puerto Rico$27,990$21,900$57,7801,8501.57
Rhode Island$63,960$44,650$84,5406501.03
South Carolina$54,280$37,240$71,2802,7500.95
South Dakota$51,610$36,920$76,9509001.57
Tennessee$48,780$37,320$79,9604,4401.08
Texas$48,860$34,440$78,39017,2100.98
Utah$52,870$35,720$82,6401,9100.88
Vermont$57,560$42,130$77,580
Virginia$53,290$37,630$78,6804,6300.9
Washington$62,270$45,500$98,1305,0101.13
West Virginia$47,360$31,610$75,0001,2601.43
Wisconsin$60,280$46,750$79,7202,8700.78
Wyoming$54,210$37,930$79,5302800.79

A location quotient above 1 means the occupation is more concentrated in that state than in the nation overall.

Metro areas with the most jobs

New York-Newark-Jersey City, NY-NJ8,090
Los Angeles-Long Beach-Anaheim, CA7,240
Dallas-Fort Worth-Arlington, TX5,210
Miami-Fort Lauderdale-West Palm Beach, FL4,530
Chicago-Naperville-Elgin, IL-IN4,510
Houston-Pasadena-The Woodlands, TX3,680
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD3,260
Seattle-Tacoma-Bellevue, WA2,830
Atlanta-Sandy Springs-Roswell, GA2,790
Boston-Cambridge-Newton, MA-NH2,630

Highest paying metro areas

San Jose-Sunnyvale-Santa Clara, CA$86,890
Vallejo, CA$82,230
Sacramento-Roseville-Folsom, CA$75,150
San Francisco-Oakland-Fremont, CA$74,400
New Haven, CT$67,290
Iowa City, IA$66,340
Milwaukee-Waukesha, WI$65,730
Seattle-Tacoma-Bellevue, WA$65,530
Urban Honolulu, HI$65,220
Corvallis, OR$64,450
Among metro areas with at least 100 workers in this occupation.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, State. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, Metropolitan areas. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Job outlook for medical records specialists

2025 (actual)200,7002035 (projected)216,300
BLS projects employment of medical records specialists to go from 200,700 in 2025 to 216,300 in 2035, a change of +7.8% (+15,600 jobs). All occupations are projected to grow +3.5%.
  • Average annual openings, 2025 to 2035: 14,000. Openings include new jobs plus replacement needs when workers retire or leave the occupation. Official projection
  • Share of workers who are self-employed (2025): 1%.
  • Read the official BLS Occupational Outlook Handbook profile.

These are official BLS projections. ConnectPrep does not alter them or present its own forecasts as official statistics.

Source: U.S. Bureau of Labor Statistics, Employment Projections, Table 1.2: Occupational projections, 2025-35, and worker characteristics, 2025. Base year 2025, projected year 2035. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

Education and training for medical records specialists

Typical entry education
Postsecondary nondegree award
Related work experience
None
On-the-job training
None
O*NET Job Zone
Job Zone Three: Medium Preparation Needed

Highest education of people working in this occupation

Less than high school1.2%
High school diploma21.4%
Some college, no degree28.9%
Associate's degree25.8%
Bachelor's degree17.4%
Master's degree3.7%
Doctoral or professional1.5%
Share of workers age 25 and over by highest education completed, 2023-24. The most common level is some college (28.9%).
Source: U.S. Bureau of Labor Statistics, Employment Projections, Education and training tables 5.1 to 5.4. Attainment 2023-24 (ACS); wages 2025; projections 2025-35. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

O*NET describes this preparation level as: Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.

Degrees and programs that lead to this career

Programs officially mapped to this occupation in the NCES and BLS CIP to SOC crosswalk. A mapping means the program commonly prepares students for the occupation, not that every graduate works in it. Official crosswalk

Source: National Center for Education Statistics and U.S. Bureau of Labor Statistics, CIP 2020 to SOC 2018 Crosswalk. CIP 2020 and SOC 2018 taxonomies. Published April 30, 2020. Retrieved October 18, 2026. Methodology.

Skills, knowledge, and daily work

Most important skills

Reading Comprehension3.6
Critical Thinking3.4
Active Listening3.3
Writing3.1
Speaking3.1
Active Learning3.0
Monitoring3.0
Learning Strategies2.8
O*NET importance rating on a 1 to 5 scale.

Most important knowledge areas

Administrative4.3
English Language4.1
Customer and Personal Service4.0
Computers and Electronics3.5
Administration and Management3.3
Communications and Media2.9
Public Safety and Security2.9
Education and Training2.7
O*NET importance rating on a 1 to 5 scale.

Typical tasks

  • Protect the security of medical records to ensure that confidentiality is maintained.
  • Review records for completeness, accuracy, and compliance with regulations.
  • Scan patients' health records into electronic formats.
  • Release information to persons or agencies according to regulations.
  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
  • Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
  • Process patient admission or discharge documents.
  • Retrieve patient medical records for physicians, technicians, or other medical personnel.

Technology skills

  • Epic Systems (in demand)
  • Microsoft Excel (in demand)
  • Microsoft Office software (in demand)
  • Microsoft Outlook (in demand)
  • Henry Schein Dentrix (hot technology)
  • IBM SPSS Statistics (hot technology)
  • MEDITECH software (hot technology)
  • Microsoft Access (hot technology)
  • Microsoft PowerPoint (hot technology)
  • Microsoft Project (hot technology)
  • Microsoft SQL Server (hot technology)
  • Microsoft SQL Server Reporting Services SSRS (hot technology)
  • Microsoft SharePoint (hot technology)
  • Microsoft Visio (hot technology)
  • Microsoft Visual Basic (hot technology)
  • Microsoft Windows (hot technology)

Transferable skills for career changers: Time Management, Social Perceptiveness, Service Orientation, Complex Problem Solving, Judgment and Decision Making, Coordination.

Common job titles: Coder, Health Information Clerk, Health Information Specialist, Health Information Technician (Health Information Tech), Health Records Specialist, HIM Clerk (Health Information Management Clerk), Medical Coder, Medical Records Clerk, Medical Records Technician (Medical Records Tech), RHIT (Registered Health Information Technician).

This page includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET is a trademark of USDOL/ETA. ConnectPrep has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.
Source: National Center for O*NET Development for USDOL/ETA, O*NET 31.0 Database (August 2026 release). Database release 31.0, August 2026; element dates vary by occupation. Published August 25, 2026. Retrieved October 18, 2026. Methodology.

Is it worth it? Model the cost of getting there

Use the ROI calculator to compare the cost of the education this career usually requires against staying on your current path. It starts from the official wage distribution above, and you can change every assumption.

Frequently asked questions

How much do medical records specialists make?

The national median annual wage for medical records specialists was $51,140 in May 2025, according to the BLS Occupational Employment and Wage Statistics program. The lowest paid 10 percent earned less than $37,000 and the highest paid 10 percent earned more than $81,150. These figures cover all workers in the occupation, not only new entrants.

What education do medical records specialists need?

BLS lists postsecondary nondegree award as the typical education needed to enter this occupation, with none of related work experience and none on-the-job training typically needed to become competent.

Is medical records specialists a growing career?

BLS projects employment of medical records specialists to change +7.8% from 2025 to 2035, compared with +3.5% for all occupations. About 14,000 openings are projected each year on average, including openings from workers who retire or change occupations.

Which states pay medical records specialists the most?

By median annual wage in May 2025, the highest paying states were District of Columbia ($72,040), Rhode Island ($63,960), Hawaii ($63,180). Pay differences partly reflect differences in living costs.

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