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Medical Records Specialist
growing
C · Conventional
I · Investigative

Medical Records Specialist

Health Science

Organize and code patient records so care, billing, and research all rely on accurate data.

Why it matters here: Every DMV hospital and large practice needs coding and health information staff.

Labor Market — DMV Region

Sourced from U.S. Bureau of Labor Statistics OEWS releases (DMV metro and nationwide) plus MD, VA, and D.C. workforce agencies.

Current openings
399
Employed in DMV
Avg hourly wage
$27.91/hr
DMV average
Avg annual salary
$58,050
Median
Employers hiring
89
Organizations in DMV
Entry wage
$46,410
25th percentile
Experienced wage
$73,780
75th percentile
Projected growth
+9%
5-year outlook
Region
DMV
MD · D.C. · Northern VA
DMV Region vs. nationwide
DMV pay is 19% above the national median
National median
$48,780
All 50 states
National entry wage
$39,000
25th percentile
National experienced wage
$62,000
75th percentile

Local cost of living is why DMV pay often differs from the national median.

Data sources & citations
  • DMV & state figures: U.S. Bureau of Labor Statistics — OEWS wage & employment estimates and Employment Projections, with OEWS area pay relatives for the Washington–Arlington–Alexandria metro, Maryland, D.C., and Northern Virginia · View source
  • Occupation profiles & skills: O*NET OnLine (U.S. Department of Labor) · onetonline.org

All salary figures are published estimates for groups of workers, not offers or guarantees for any individual role.

Local demand over time
Nearby cities hiring
Washington, D.C.
104
Arlington
44
Silver Spring
36
Rockville
32
Bethesda
28
Gaithersburg
24

Education & Career Pathways

Multiple ways to get here — pick the one that fits your life.

Montgomery College transfer
⏱ 2 years + transfer
💵 $5k–$8k/yr
First job: Assistant / technician role while finishing coursework
Salary progression
Year 1$36,134
Year 3$44,652
Year 5$53,170
Year 10$67,580
Registered apprenticeship
⏱ 2–4 years (earn while you learn)
💵 Paid — little to no tuition
First job: Paid apprentice, journey-level after completion
Salary progression
Year 1$29,757
Year 3$41,464
Year 5$53,170
Year 10$67,580
Certification fast track
⏱ 6–18 months
💵 $500–$6,000
First job: Entry role with an industry credential
Salary progression
Year 1$38,259
Year 3$45,715
Year 5$53,170
Year 10$67,580

Career Progression

How you can grow — with expected salary at each step.

  1. Entry-level Medical Records Specialist
    Learning the role, supervised work, building core skills.
    $42,510
  2. Medical Records Specialist (experienced)
    Independent work, mentoring newer team members.
    $53,170
  3. Senior / Lead Medical Records Specialist
    Owning projects, specialization, higher responsibility.
    $67,580
  4. Manager or specialist track
    Supervising a team or moving into a high-demand specialty.
    $81,096
Salary progression

Skills Required

What you'll actually do — and how you'll be judged.

Technical skills
Medical Coding
Attention to Detail
Privacy Compliance
Health IT
Soft skills
Communication
Teamwork
Problem Solving
What the workday feels like
Based on the BLS Occupational Outlook Handbook

Hospital records office or remote, weekday hours, detail work

Where you work

A quiet coding office or a home workstation with secure system access.

Hours and schedule

Standard weekday shifts; some facilities offer flexible or evening coverage.

Pace and pressure

Steady chart queue with productivity and accuracy targets.

Who you work with

Coders, billers, clinicians you query for clarification, and compliance staff.

Physical demands

Desk work.

What people wear

Business casual or scrubs, depending on the facility.

Remote reality

One of the most remote-friendly health roles.

Workplace culture: what's normal here

  • Patient privacy rules govern everything you see and say.
  • Accuracy is audited; guessing a code is never acceptable.
  • Coding updates arrive yearly and must be learned.

Source: U.S. Bureau of Labor Statistics, Occupational Outlook Handbook — Work Environment, with regional detail for the DMV.

Official data behind this career

Federal statistics for DMV Region, translated into plain language.

How people get in (BLS)

Data unavailable for this category.

Source: BLS Occupational Outlook Handbook

Who lives and works here (Census)

Washington–Arlington–Alexandria, DC–VA–MD–WV metro area

Median household income$117,432
Median earnings per worker$58,000
Adults with a bachelor's degree or higher53%
Adults in the labor force71%
Unemployment4.6%
Median age37.5

Source: U.S. Census Bureau — ACS 2019–2023 5-year estimates (tables DP03, DP02, DP05)

Where workers commute (LEHD)
  • The DMV functions as one labor market: workers routinely cross state lines to get to work.
  • The largest employment destinations are D.C., Fairfax County and Montgomery County.

Top places these workers go to work

Washington, D.C.
Fairfax County, VA
Montgomery County, MD
Arlington County, VA

Source: Census LEHD OnTheMap / LODES, latest published year

This career and the regional economy (BEA)
Industry groupHealth care and social assistance
Share of the DMV economyAbout 6% of metro GDP
Total DMV metro economyAbout $722 billion a year
Income per person — DMV Region$87,000

Source: U.S. Bureau of Economic Analysis — BEA regional GDP and personal income, most recent published year

Recent private-sector pay trend (ADP — supplemental)
Pay growth, people who stayed in their job4.4%
Pay growth, people who changed jobs6.6%

Private-sector payroll data from ADP. It is a supplemental near-real-time indicator and does not replace BLS government employment statistics.

Source: ADP National Employment Report — Most recent monthly ADP National Employment Report

Where these numbers come from
  1. 1U.S. Bureau of Labor Statistics (OOH, OEWS, Employment Projections, CES) — Primary source for occupation wages, outlook, projected openings, education and training.
  2. 2U.S. Census Bureau — American Community Survey — Primary source for income, educational attainment, labor force and demographic context by place.
  3. 3Census LEHD (LODES / OnTheMap) — Primary source for where workers live versus where they work, and local workforce flows.
  4. 4U.S. Bureau of Economic Analysis — Primary source for regional GDP, industry contribution, compensation and personal income.
  5. 5ADP National Employment Report — Supplemental near-real-time private-sector employment and pay indicator. Not a replacement for BLS.

Figures describe groups of workers, not any one person. Where an official figure is not published for a category, this page says “Data unavailable for this category.” rather than estimating.

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