Average Medical Records Specialists Salary in the United States
The national median salary for Medical Records Specialists is $51,140 per year. The middle 50% earn between $43,490 and $64,820, with 194,720 workers employed nationally.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics survey, May 2025 estimates . Data covers 51 states and 375 metro areas.
Pay distribution
Here is how Medical Records Specialists pay is distributed across workers nationally. The 10th percentile typically reflects entry-level or early-career pay, the median is the midpoint, and the 90th percentile represents the top earners in the field.
- 10th
- $37,000
- 25th
- $43,490
- Median
- $51,140
- 75th
- $64,820
- 90th
- $81,150
All values are percentiles of annual wages.
Medical Records Specialists earn close to the national median for all US workers. Solidly middle-income.
The spread between entry-level and top-end pay is typical for US occupations. Experience and specialization matter, but the range is not unusually wide.
Job outlook
BLS projects employment for medical records specialists from 2024 to 2034. Growth is above the US average of about 4% across all occupations. This is an expanding field.
- Projected growth
- +7.1%
- 13,800 net jobs over the projection period.
- Annual openings
- 14,200
- Includes growth plus replacements for workers who leave.
- Typical entry education
- Postsecondary nondegree award
Postsecondary training beyond high school is typically required, but a full four-year degree is not always necessary.
Where Medical Records Specialists earn the most
Location matters a lot. The gap between top-paying and bottom-paying states is large, so where medical records specialists work can reshape their total compensation. Right now, the top-paying state is District of Columbia at $72,040, about 40.9% above the national median. At the metro level, San Jose-Sunnyvale-Santa Clara, CA leads with a median of $86,890.
Top-paying states
| State | Median salary | Employment |
|---|---|---|
| District of Columbia | $72,040 | 270 |
| Rhode Island | $63,960 | 650 |
| Hawaii | $63,180 | 400 |
| Washington | $62,270 | 5,010 |
| California | $61,810 | 18,700 |
| New York | $61,720 | 9,080 |
| Minnesota | $61,530 | 3,150 |
| Alaska | $61,090 | 1,070 |
Top-paying metros
| Metro area | Median salary | Employment |
|---|---|---|
| San Jose-Sunnyvale-Santa Clara, CA | $86,890 | 920 |
| Vallejo, CA | $82,230 | 130 |
| Sacramento-Roseville-Folsom, CA | $75,150 | 1,340 |
| San Francisco-Oakland-Fremont, CA | $74,400 | 1,880 |
| New Haven, CT | $67,290 | 220 |
| Iowa City, IA | $66,340 | 330 |
| Milwaukee-Waukesha, WI | $65,730 | 750 |
| Cheyenne, WY | $65,680 | 60 |
Compare two locations side by side
Pick two states or metros to see medical records specialists pay in each, along with a cost-of-living adjusted view.
Salary trend and related occupations
Between 2021 and 2025, the national median salary for Medical Records Specialists rose from $46,660 to $51,140, a gain of +9.6% in nominal dollars.
Over the same period, US consumer prices rose by +18.8%. Just to keep pace with inflation, the 2021 median of $46,660 would need to be worth $55,437 in 2025 dollars.
The actual 2025 median of $51,140 is −$4,297 below that inflation-adjusted benchmark, a real change of -7.8% in purchasing power.
Adjusted for inflation, pay has lost ground. Nominal growth of 9.6% has not kept up with rising prices.
- Nominal change
- +9.6%
- 2021–2025
- Cumulative inflation
- +18.8%
- US CPI, 2021–2025
- Real change
- -7.8%
- After adjusting for inflation
Median salary over time
Medical Records Specialists median pay by year, going back through the available BLS releases.
- 2025
- $51,140
- 2024
- $50,250
- 2023
- $48,780
- 2022
- $47,180
- 2021
- $46,660
BLS did not publish a median for 2000–2020, so those years are omitted.
Related occupations
Other occupations in the same field, with median pay for comparison.
- Opticians, Dispensing
- $47,260
- Pharmacy Technicians
- $45,750
- Ophthalmic Medical Technicians
- $45,570
- Psychiatric Technicians
- $45,130
- Emergency Medical Technicians
- $44,470
- Paramedics
- $60,600
Common salary questions for Medical Records Specialists
What does the median salary mean? +
The median is the midpoint of all wages. Half of Medical Records Specialists workers earn more and half earn less. It is a better measure of typical pay than the average, which can be skewed by very high or very low earners.
Why does pay vary so much by location? +
Local labor markets, cost of living, industry concentration, and employer competition all affect wages. High-cost metros like San Francisco and New York often pay more in nominal terms, though some of that premium is offset by higher living costs.
How current is this salary data? +
This page uses the May 2025 BLS Occupational Employment and Wage Statistics release. BLS publishes OEWS data once per year, typically in the spring for the previous May reference period.
What do the percentile ranges tell me? +
The 10th and 90th percentiles show the full pay band. The 25th to 75th percentile range, the middle 50%, is where most workers fall. A wide spread usually means experience, specialization, or location matter a lot for this occupation.