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Healthcare practitioners

Medical records specialist

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.

Median pay

$51,140

Growth to 2035

+8%

faster than average

Openings a year

14,000

Time to qualify*

12 months

* From a bachelor's degree in an unrelated field.

Pay

Medical records specialist

$51,14010% earn under $37,000 · middle half $43,490–$64,820 · top 10% over $81,150
Bar: middle 50% of workers. Line: 10th to 90th percentile. Dot: median. BLS OEWS, May 2025, national.

Getting in

Typical entry education
Postsecondary nondegree award
On-the-job training
None
Prior experience
None

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What the work is like

Medical records specialist

Dealing with the public

Rarely
Constantly

Unpleasant or angry people

Rarely
Constantly

Time pressure

Rarely
Constantly

Cost of a mistake

Minor
Severe

Freedom to make decisions

Little
A lot

Repeating the same tasks

Rarely
Constantly

Time sitting

Rarely
Constantly

Time standing

Rarely
Constantly

Outdoors in all weather

Rarely
Constantly

Exposure to disease

Rarely
Constantly

Medical records specialist: 19% usually work over 40 hours a week

Average worker ratings, 1 to 5. O*NET 31.0 work context survey.

Core tasks

Also called: 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

Outlook and AI

Medical records specialists held 200,700 jobs in 2025. BLS projects 216,300 by 2035 (+8%, faster than average; all jobs: +3.5%).

Demand change, productivity change - share increases as the demand for health care services and complexity of medical coding grow. This demand for medical records specialists will be partially offset by the use of artificial intelligence (AI)-based tools that make the medical coding process more efficient.

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