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The role of a medical records clerk is vital in managing patient information and supporting healthcare operations. As of October 2025, the average salary for this position stands at $32,491 per year, translating to about $16 per hour. Salaries can vary significantly by state and experience level. For instance, states like California and New York often report higher salaries due to the cost of living.
Additionally, clerks with specialized skills or certifications tend to earn more. For example, those proficient in electronic health records (EHR) systems may command higher wages. Job opportunities can be found in hospitals, clinics, and private practices, each offering different pay scales and benefits.
To maximize earning potential, consider gaining experience and pursuing further education. Entry-level positions can lead to advancement into managerial roles or specialized fields within healthcare administration. As the demand for healthcare services continues to rise, so too does the need for skilled medical records clerks, providing a promising outlook for those entering this career.
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The highest-paying states for medical records clerks are Alaska, Vermont, and New Hampshire. The lowest average medical records clerk salary states are Oklahoma, Alabama, and Arkansas.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Alaska | $41,967 | $20.18 |
| 2 | New Hampshire | $40,338 | $19.39 |
| 3 | Pennsylvania | $34,533 | $16.60 |
| 4 | Vermont | $40,431 | $19.44 |
| 5 | Maine | $35,808 | $17.22 |
| 6 | Wisconsin | $36,235 | $17.42 |
| 7 | Connecticut | $35,967 | $17.29 |
| 8 | Idaho | $34,278 | $16.48 |
| 9 | Washington | $35,850 | $17.24 |
| 10 | California | $35,895 | $17.26 |
| 11 | Wyoming | $36,386 | $17.49 |
| 12 | Massachusetts | $36,872 | $17.73 |
| 13 | Minnesota | $33,642 | $16.17 |
| 14 | Rhode Island | $36,002 | $17.31 |
| 15 | Nebraska | $35,163 | $16.91 |
| 16 | Delaware | $34,487 | $16.58 |
| 17 | Michigan | $33,811 | $16.26 |
| 18 | New York | $36,679 | $17.63 |
| 19 | West Virginia | $32,025 | $15.40 |
| 20 | Indiana | $33,182 | $15.95 |
| 21 | Ohio | $32,278 | $15.52 |
| 22 | Oregon | $34,785 | $16.72 |
| 23 | South Dakota | $33,869 | $16.28 |
| 24 | Virginia | $34,429 | $16.55 |
| 25 | Mississippi | $32,701 | $15.72 |
| 26 | Utah | $32,014 | $15.39 |
| 27 | Montana | $34,570 | $16.62 |
| 28 | North Dakota | $33,526 | $16.12 |
| 29 | Illinois | $32,314 | $15.54 |
| 30 | New Jersey | $34,825 | $16.74 |
| 31 | Maryland | $34,939 | $16.80 |
| 32 | Missouri | $30,480 | $14.65 |
| 33 | Kentucky | $29,642 | $14.25 |
| 34 | New Mexico | $30,561 | $14.69 |
| 35 | District of Columbia | $33,705 | $16.20 |
| 36 | Tennessee | $30,012 | $14.43 |
| 37 | Kansas | $29,861 | $14.36 |
| 38 | North Carolina | $31,840 | $15.31 |
| 39 | Arizona | $32,244 | $15.50 |
| 40 | Colorado | $32,361 | $15.56 |
| 41 | Iowa | $31,036 | $14.92 |
| 42 | Georgia | $28,822 | $13.86 |
| 43 | Arkansas | $28,206 | $13.56 |
| 44 | Alabama | $28,518 | $13.71 |
| 45 | Nevada | $29,507 | $14.19 |
| 46 | Texas | $29,379 | $14.12 |
| 47 | South Carolina | $26,342 | $12.66 |
| 48 | Hawaii | $29,242 | $14.06 |
| 49 | Oklahoma | $28,746 | $13.82 |
| 50 | Florida | $27,497 | $13.22 |
| 51 | Louisiana | $27,643 | $13.29 |
The highest-paying cities for medical records clerks are Rochester, NY, Sunnyvale, CA, and Seattle, WA.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Rochester, NY | $37,204 | $17.89 |
| 2 | Sunnyvale, CA | $36,680 | $17.63 |
| 3 | Seattle, WA | $35,963 | $17.29 |
| 4 | Danbury, CT | $35,928 | $17.27 |
| 5 | Baltimore, MD | $35,140 | $16.89 |
| 6 | Englewood, NJ | $35,077 | $16.86 |
| 7 | Portland, OR | $34,774 | $16.72 |
| 8 | Philadelphia, PA | $34,514 | $16.59 |
| 9 | Washington, DC | $33,687 | $16.20 |
| 10 | Minneapolis, MN | $33,677 | $16.19 |
| 11 | Indianapolis, IN | $32,992 | $15.86 |
| 12 | Chicago, IL | $32,377 | $15.57 |
| 13 | Denver, CO | $32,375 | $15.56 |
| 14 | Phoenix, AZ | $32,229 | $15.49 |
| 15 | Columbus, OH | $31,814 | $15.30 |
| 16 | Charlotte, NC | $31,623 | $15.20 |
| 17 | Saint Louis, MO | $30,338 | $14.59 |
| 18 | Fort Worth, TX | $29,490 | $14.18 |
| 19 | Atlanta, GA | $28,892 | $13.89 |
| 20 | Tallahassee, FL | $27,724 | $13.33 |
Medical Records Clerks are the most in-demand in these five cities:
A medical records clerk's salary ranges from $25,000 a year at the 10th percentile to $40,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $40,000 | $3,333 | $19 |
| 75th Percentile | $36,000 | $3,000 | $17 |
| Average | $32,491 | $2,708 | $16 |
| 25th Percentile | $28,000 | $2,333 | $13 |
| 10th Percentile | $25,000 | $2,083 | $12 |
The highest paying types of medical records clerks are medical coder, records analyst, and records coordinator.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Health Information Technician | $34,604 | $2,884 | $16.64 | 120,786 |
| Clerk | $31,163 | $2,597 | $14.98 | 80,311 |
| Admitting Clerk | $31,833 | $2,653 | $15.30 | 106,698 |
| Medical Office Administrator | $34,252 | $2,854 | $16.47 | 179,503 |
| Front Office Clerk | $31,051 | $2,588 | $14.93 | 163,789 |
| Registration Clerk | $30,061 | $2,505 | $14.45 | 123,390 |
Top companies hiring medical records clerks now:
Medical records clerk salaries at University of California, Berkeley and Student Conservation Association are the highest-paying according to our most recent salary estimates. In addition, the average medical records clerk salary at companies like State of Connecticut and Monroe County are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | University of California-Berkeley | $41,824 | $20.11 |
| 2 | Student Conservation Association | $40,952 | $19.69 |
| 3 | State of Connecticut | $39,352 | $18.92 |
| 4 | Monroe County | $38,784 | $18.65 |
| 5 | Oak Grove School | $38,232 | $18.38 |
| 6 | EXL | $38,056 | $18.30 |
| 7 | Careerstaff Unlimited - A Genesis Healthcare Company | $37,993 | $18.27 |
| 8 | North Shore Healthcare | $37,983 | $18.26 |
| 9 | Hancock Wellness | $37,874 | $18.21 |
| 10 | Encompass Health | $37,275 | $17.92 |
| 11 | Mitchell | $37,255 | $17.91 |
| 12 | Petersen Health Care | $37,205 | $17.89 |
| 13 | Lifespan | $37,106 | $17.84 |
| 14 | Camino Nuevo Charter Academy | $36,931 | $17.76 |
| 15 | Morgan | $36,931 | $17.76 |
| 16 | Concentra | $36,906 | $17.74 |
| 17 | Lahey Health Behavioral Services | $36,805 | $17.69 |
| 18 | Sharp HealthCare | $36,777 | $17.68 |
| 19 | Hospice of The Valley | $36,496 | $17.55 |
| 20 | Mckendree Village | $36,458 | $17.53 |
The average medical records clerk salary has risen by $6,210 over the last ten years. In 2014, the average medical records clerk earned $26,281 annually, but today, they earn $32,491 a year. That works out to a 8% change in pay for medical records clerks over the last decade.
Compare medical records clerk salaries for cities or states with the national average over time.
Compare medical records clerk salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $32,500 | $15.62 | +2.7% |
| 2024 | $31,600 | $15.20 | -0.7% |
| 2023 | $31,800 | $15.31 | +2.9% |
| 2022 | $30,900 | $14.86 | +2.9% |
| 2021 | $30,000 | $14.43 | +2.4% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Centerstone | Medical Records Specialist | Alton, IL | 06/30/2025 | $32,870 |
| Sutterhealth | HIM Float Clerk | San Francisco, CA | 06/30/2025 | $62,923 |
| Ensemble Health Partners | Medical Records Specialist | Terre Haute, IN | 06/30/2025 | $31,305 |
| Ensemble Health Partners | Medical Records Specialist | Lewiston, ME | 06/30/2025 | $32,870 |
| Ensemble Health Partners | Medical Records Specialist | Naples, FL | 06/30/2025 | $32,870 |
| Ensemble Health Partners | Medical Records Specialist | Westwood, NJ | 06/30/2025 | $34,436 |
| Ensemble Health Partners | Medical Records Specialist | Richmond, VA | 06/30/2025 | $31,305 |
| Open Door Community Health Centers | Medical Records Clerk | Crescent City, CA | 06/29/2025 | $50,088 |
| Get It-Healthcare | Medical File Clerk-Remote | WFH | Shrewsbury, MA | 06/29/2025 | $37,566 |
| Get It-Healthcare | Medical Records Specialist-Remote | WFH | Brisbane, CA | 06/29/2025 | $41,740 |
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