$Who Earns What

How much does a medical records clerk make?

US Medical Records Specialists

Answer: A typical medical records clerk in the United States makes $51,140 a year (median, May 2025, US Bureau of Labor Statistics).

Yearly pay of a typical person doing this job in the US
$51,140

Line up 100 people; this is the one in the middle (median). about 195,000 people work in this job. About the same as the US-wide typical pay ($50,980).

Lower earner
$37,000
10th from the bottom of 100
Typical person
$51,140
Right in the middle (median)
Higher earner
$81,150
10th from the top of 100

If 100 people had this job

Lowest at bottom-left, highest at top-right

Hover over a person to see their yearly pay

53 of 100
more than half

Medical records clerk pay in the United States (May 2025, median and spread)

Medical records clerk pay in the United States (May 2025, median and spread) — Data: US BLS OEWS, May 2025
Lower earner (10th from bottom)Typical person (median)Higher earner (10th from top)People in this job
$37,000$51,140$81,150about 195,000
States where medical records clerks earn the most (median, May 2025)
StateTypical person (median)People in this job
Rhode Island$63,960about 650
Washington$62,270about 5,000
California$61,810about 19,000
New York$61,720about 9,000
Minnesota$61,530about 3,000

Why does pay differ?

In the US, experienced medical records clerks and those with coding credentials or a specialty may earn more. Pay also differs by employer, location, and schedule: large health systems and clinics can differ, and some hospital jobs include nights or weekends.

What if you lived in a different state?

Pay varies a lot by state in the US
Whole US$51,140
Rhode Island$63,960
Washington$62,270
California$61,810
New York$61,720
Minnesota$61,530
Alabama$43,810
Arkansas$41,740
Mississippi$41,500

Top 5 and bottom 3 states, typical (median) yearly pay.

What does a medical records clerk do?

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. Excludes “Health Information Technologists and Medical Registrars” (29-9021) and “File Clerks” (43-4071).

What's a typical day like?

At a computer, a clerk checks charts for missing details, enters information, and assigns codes to diagnoses or treatments. They may ask a doctor to clarify a note and protect patient privacy while sending records only to approved staff.

How to get this job

Many US workers enter after high school, often with a community-college or technical-school certificate; some jobs accept a diploma alone. Employers may prefer a coding certification, usually earned by passing an exam, but there is no fixed starting age.

Vocational school or a few years' experience (preparation level 3 of 5)

Good for people who like keeping things organized and figuring things out.

Did you know?

Even though they work in healthcare, medical records specialists do not provide hands-on patient care. They may also act as gatekeepers, letting only approved people see patient files.

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Sources and data

Source: US Bureau of Labor Statistics, OEWS May 2025 (bls.gov); descriptions and related jobs from O*NET 31.0. Figures as of May 2025, full-time yearly pay (hourly × 2,080 hours). bls.gov/oes · O*NET OnLine

Pages used for the text

Data: US BLS OEWS, May 2025 · 1 USD = 150 JPY