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Medical Records Specialists

High73.53%
Salary Range
Low (10th %)$35,080
Median$48,780
High (90th %)$77,810

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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.

The occupation of Medical Records Specialists faces a high automation risk, estimated at 73.5%. This elevated risk is largely attributable to the consistent, rule-based, and repetitive tasks that comprise much of the role’s workflow. A significant portion of their duties involves structured categorization, data entry, and information management—all of which are readily addressed by modern automation technologies, especially where structured digital data and robust software platforms are concerned. Optical character recognition (OCR), natural language processing (NLP), and advanced database systems have dramatically improved the efficiency with which computers can sort, classify, and manage voluminous healthcare information, thereby encroaching on many of the tasks previously performed by human specialists. The top three most automatable tasks for Medical Records Specialists underscore this trend. The process of assigning patients to diagnosis-related groups (DRGs) using computer software is highly amenable to automation, as it relies on well-defined coding rules and abundant structured data. Similarly, compiling and maintaining patient medical records—especially for documentation, research, cost control, or care improvement—is a process increasingly streamlined by health informatics systems. Consulting classification manuals to locate information about disease processes can also be optimized with digital search functions and AI-driven medical coding assistance, making these roles more efficiently handled by algorithms than by humans. Despite the automation trend, certain tasks remain relatively resistant. Transcribing medical reports, though sometimes supported by transcription software, often requires human oversight for accuracy, context, and understanding of nuanced language. Scheduling medical appointments typically demands human flexibility, coordination, and problem-solving, especially when dealing with patient preferences or sensitive situations. Scanning patients’ health records into electronic formats, while partially automatable, often requires human quality control and handling of paper-based legacy documents. Key bottleneck skills that resist full automation include attention to detail (high), adaptability (medium), and interpersonal communication (medium), as these skills enable specialists to manage exceptions, ensure data quality, and interact empathically with patients and providers.

Filter by Automatable Status
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
Automatable
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
Partially Automatable
Consult classification manuals to locate information about disease processes.
Automatable
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
Automatable
Identify, compile, abstract, and code patient data, using standard classification systems.
Partially Automatable
Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
Partially Automatable
Post medical insurance billings.
Automatable
Process and prepare business or government forms.
Automatable
Process patient admission or discharge documents.
Partially Automatable
Protect the security of medical records to ensure that confidentiality is maintained.
Partially Automatable
Release information to persons or agencies according to regulations.
Partially Automatable
Retrieve patient medical records for physicians, technicians, or other medical personnel.
Automatable
Review records for completeness, accuracy, and compliance with regulations.
Partially Automatable
Scan patients' health records into electronic formats.
Automatable
Schedule medical appointments for patients.
Automatable
Transcribe medical reports.
Automatable
Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
Partially Automatable

Medical condition coding softwareMicrosoft SQL ServerMicrosoft Visual BasicCorel WordPerfect Office SuiteGraphics softwareIBM Lotus 1-2-33M EncoderAmerican Medical Association CodeManagerMEDITECH softwareEkoIBM Cognos ImpromptuIBM InfoSphere DataStageEpic SystemsIBM SPSS StatisticsHenry Schein DentrixBilling softwareHyland Software OnBaseHMSAllscripts EHRAmazing ChartsCoding database softwareComChart EMRCyber Records MediChart ExpressDRG grouping softwaree-MDs topsChartElectronic medical record EMR systemseMDs Practice PartnerEndoSoftEntity Management SoftwareFox Meadows ChartingPlusFox Meadows EncounterManagerGreenway Medical Technologies PrimeChartHolt Systems eMedRecIDX Systems IDXtendIDX Systems Patient Chart TrackingLaserfiche softwareLeonardoMD RenaissanceMediasoft mediOFFICEMicrosoft ExchangeMicrosoft VisioMicrosoft Visual BasicMicrosoft WindowsMicroStrategyMinitabQuest Erwin Data ModelerRSAP Crystal ReportsMedStar Systems DrWorksNCG Medical Systems d-ChartSASNDCMedisoftStataCorp StataPowerMedPurkinje DossierScanSoft Naturally SpeakingScantron imaging softwareTeradata DatabaseScheduling softwareSiemens Soarian FinancialsSiemens Soarian SchedulingSoftMed ChartReleaseSoftMed ChartReserveVantageMed ChartKeeperMicrosoft ExcelMicrosoft Office softwareMicrosoft OutlookMicrosoft PowerPointMicrosoft ProjectMicrosoft SharePointMicrosoft WordWeb browser softwareTableauMicrosoft AccessStructured query language SQLWord processing softwarePresentation softwareMicrosoft SQL Server Reporting Services SSRSPCC EHRVirtual private networking VPN softwareSOAPware EMRSynaMed EMRSTAT! Systems QD ClinicalVoice dictation softwareWelford Chart NotesMicrosoft DynamicsQlik Tech QlikViewGE Healthcare LogicianGE Healthcare LogicianHyland Software OnBaseCorel WordPerfect Office SuiteEncoder software3M EncoderAmerican Medical Association CodeManagerAmazing ChartsEkoEpic SystemsHenry Schein DentrixBilling softwareHMSAllscripts EHRCoding database softwareComChart EMRCyber Records MediChart ExpressDRG grouping softwaree-MDs topsChartElectronic medical record EMR systemsEndoSoftEntity Management SoftwareFox Meadows ChartingPlusFox Meadows EncounterManagerGreenway Medical Technologies PrimeChartHolt Systems eMedRecMicrosoft ExchangeSTAT! Systems QD ClinicalPCC Pediatric PartnerMicrosoft SQL ServerMicrosoft VisioVisionary Medical Systems Visionary OFFICE PMMicrosoft WindowsMicroStrategyIDX Systems IDXtendMinitabQlik Tech QlikViewQuest Erwin Data ModelerIDX Systems Patient Chart TrackingRLaserfiche softwareSAP Business ObjectsLeonardoMD RenaissanceSASMediasoft mediOFFICEStataCorp StataTeradata DatabaseMedStar Systems DrWorksScheduling softwareNCG Medical Systems d-ChartNDCMedisoftPowerMedPurkinje DossierScanSoft Naturally SpeakingMicrosoft ExcelIBM SPSS StatisticsMicrosoft Office softwareMicrosoft OutlookMicrosoft PowerPointMicrosoft ProjectMicrosoft SharePointMicrosoft WordWeb browser softwareTableauIBM Cognos ImpromptuIBM InfoSphere DataStageMedical procedure coding softwareMicrosoft AccessStructured query language SQLWord processing softwareIBM Lotus 1-2-3Presentation softwareMicrosoft SQL Server Reporting Services SSRSPCC EHRSOAPware EMRSynaMed EMRSpeech recognition softwareMedicWare EMRScantron imaging softwareSiemens Soarian FinancialsSiemens Soarian SchedulingSoftMed ChartReleaseMicrosoft DynamicsSoftMed ChartReserveWelford Chart NotesMD Synergy Medical Appointment SchedulingMedical procedure coding softwareGraphics softwareMicrosoft Visual Basic Scripting Edition VBScriptMicrosoft Visual Basic Scripting Edition VBScriptHealthcare common procedure coding system HCPCSHealthcare common procedure coding system HCPCSMEDITECH softwareElectronic medical record EMR softwareElectronic medical record EMR softwareVirtual private networking VPN softwareeClinicalWorks EHR softwareSpeech recognition softwareNextGen Healthcare Information Systems EMRDigital Imaging Communications in Medicine DICOM medical imaging softwareSAP Crystal ReportseClinicalWorks EHR softwarePCC Pediatric PartnerNextGen Healthcare Information Systems EMREncoded archival system EADEncoded archival system EADDigital Imaging Communications in Medicine DICOM medical imaging softwareMedicWare EMReMDs Practice PartnerAzalea Health Azalea EHRAzalea Health Azalea EHRComputerized indexing systemsComputerized indexing systemsEHS CareRevolutionEHS CareRevolutionEncoder softwareFox Meadows Accent Data ManagerFox Meadows Accent Data ManagerVantageMed ChartKeeperVoice dictation softwareHealth Care Data HealthProbeHealth Care Data HealthProbeInformation Resource Products Clinical Coding ExpertInformation Resource Products Clinical Coding ExpertMD Synergy Medical Appointment SchedulingQMSoftware Receivables ManagementQMSoftware Receivables ManagementSoftMed ChartLocaterSoftMed ChartLocaterVisionary Medical Systems Visionary OFFICE PMPractice Partner Patient RecordsPractice Partner Patient RecordsMedical condition coding softwareSAP Business ObjectsEmail softwareEmail software

Management Analysts
Medium51.36%
Conduct organizational studies and evaluations, design systems and procedures, conduct work simplification and measurement studies, and prepare operations and procedures manuals to assist management in operating more efficiently and effectively. Includes program analysts and management consultants.
Health Informatics Specialists
Medium49.02%
Apply knowledge of nursing and informatics to assist in the design, development, and ongoing modification of computerized health care systems. May educate staff and assist in problem solving to promote the implementation of the health care system.
Document Management Specialists
Medium56.74%
Implement and administer enterprise-wide document management systems and related procedures that allow organizations to capture, store, retrieve, share, and destroy electronic records and documents.
Physician Assistants
Medium41.05%
Provide healthcare services typically performed by a physician, under the supervision of a physician. Conduct complete physicals, provide treatment, and counsel patients. May, in some cases, prescribe medication. Must graduate from an accredited educational program for physician assistants.
Registered Nurses
Medium37.38%
Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration required.
Clinical Nurse Specialists
Medium40.96%
Direct nursing staff in the provision of patient care in a clinical practice setting, such as a hospital, hospice, clinic, or home. Ensure adherence to established clinical policies, protocols, regulations, and standards.
Nurse Practitioners
Medium43.76%
Diagnose and treat acute, episodic, or chronic illness, independently or as part of a healthcare team. May focus on health promotion and disease prevention. May order, perform, or interpret diagnostic tests such as lab work and x rays. May prescribe medication. Must be registered nurses who have specialized graduate education.
Emergency Medicine Physicians
Medium39.71%
Make immediate medical decisions and act to prevent death or further disability. Provide immediate recognition, evaluation, care, stabilization, and disposition of patients. May direct emergency medical staff in an emergency department.
Family Medicine Physicians
Medium43.08%
Diagnose, treat, and provide preventive care to individuals and families across the lifespan. May refer patients to specialists when needed for further diagnosis or treatment.
Cardiovascular Technologists and Technicians
Medium45.83%
Conduct tests on pulmonary or cardiovascular systems of patients for diagnostic, therapeutic, or research purposes. May conduct or assist in electrocardiograms, cardiac catheterizations, pulmonary functions, lung capacity, and similar tests.
Pharmacy Technicians
Medium58.91%
Prepare medications under the direction of a pharmacist. May measure, mix, count out, label, and record amounts and dosages of medications according to prescription orders.
Patient Representatives
Medium47.37%
Assist patients in obtaining services, understanding policies and making health care decisions.
Health Information Technologists and Medical Registrars
Medium57.81%
Apply knowledge of healthcare and information systems to assist in the design, development, and continued modification and analysis of computerized healthcare systems. Abstract, collect, and analyze treatment and followup information of patients. May educate staff and assist in problem solving to promote the implementation of the healthcare information system. May design, develop, test, and implement databases with complete history, diagnosis, treatment, and health status to help monitor diseases.
Medical Assistants
Medium39.45%
Perform administrative and certain clinical duties under the direction of a physician. Administrative duties may include scheduling appointments, maintaining medical records, billing, and coding information for insurance purposes. Clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and administering medications as directed by physician.
Medical Transcriptionists
High67.76%
Transcribe medical reports recorded by physicians and other healthcare practitioners using various electronic devices, covering office visits, emergency room visits, diagnostic imaging studies, operations, chart reviews, and final summaries. Transcribe dictated reports and translate abbreviations into fully understandable form. Edit as necessary and return reports in either printed or electronic form for review and signature, or correction.
Phlebotomists
Medium36.54%
Draw blood for tests, transfusions, donations, or research. May explain the procedure to patients and assist in the recovery of patients with adverse reactions.
File Clerks
High71.35%
File correspondence, cards, invoices, receipts, and other records in alphabetical or numerical order or according to the filing system used. Locate and remove material from file when requested.
Medical Secretaries and Administrative Assistants
High79.20%
Perform secretarial duties using specific knowledge of medical terminology and hospital, clinic, or laboratory procedures. Duties may include scheduling appointments, billing patients, and compiling and recording medical charts, reports, and correspondence.
Office Clerks, General
Medium65.57%
Perform duties too varied and diverse to be classified in any specific office clerical occupation, requiring knowledge of office systems and procedures. Clerical duties may be assigned in accordance with the office procedures of individual establishments and may include a combination of answering telephones, bookkeeping, typing or word processing, office machine operation, and filing.
Statistical Assistants
High75.61%
Compile and compute data according to statistical formulas for use in statistical studies. May perform actuarial computations and compile charts and graphs for use by actuaries. Includes actuarial clerks.
Medical and Health Services Managers
Medium49.14%
Plan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.
Coroners
Low30.77%
Direct activities such as autopsies, pathological and toxicological analyses, and inquests relating to the investigation of deaths occurring within a legal jurisdiction to determine cause of death or to fix responsibility for accidental, violent, or unexplained deaths.
Regulatory Affairs Specialists
Medium50.05%
Coordinate and document internal regulatory processes, such as internal audits, inspections, license renewals, or registrations. May compile and prepare materials for submission to regulatory agencies.
Clinical Data Managers
Medium57.40%
Apply knowledge of health care and database management to analyze clinical data, and to identify and report trends.
Bioinformatics Technicians
Medium54.40%
Apply principles and methods of bioinformatics to assist scientists in areas such as pharmaceuticals, medical technology, biotechnology, computational biology, proteomics, computer information science, biology and medical informatics. Apply bioinformatics tools to visualize, analyze, manipulate or interpret molecular data. May build and maintain databases for processing and analyzing genomic or other biological information.
Paralegals and Legal Assistants
Medium45.20%
Assist lawyers by investigating facts, preparing legal documents, or researching legal precedent. Conduct research to support a legal proceeding, to formulate a defense, or to initiate legal action.
Title Examiners, Abstractors, and Searchers
Medium60.33%
Search real estate records, examine titles, or summarize pertinent legal or insurance documents or details for a variety of purposes. May compile lists of mortgages, contracts, and other instruments pertaining to titles by searching public and private records for law firms, real estate agencies, or title insurance companies.
Court Reporters and Simultaneous Captioners
High79.75%
Use verbatim methods and equipment to capture, store, retrieve, and transcribe pretrial and trial proceedings or other information. Includes stenocaptioners who operate computerized stenographic captioning equipment to provide captions of live or prerecorded broadcasts for hearing-impaired viewers.
Pharmacy Aides
Medium60.20%
Record drugs delivered to the pharmacy, store incoming merchandise, and inform the supervisor of stock needs. May operate cash register and accept prescriptions for filling.
Police Identification and Records Officers
Low31.22%
Collect evidence at crime scene, classify and identify fingerprints, and photograph evidence for use in criminal and civil cases.
Billing and Posting Clerks
High79.60%
Compile, compute, and record billing, accounting, statistical, and other numerical data for billing purposes. Prepare billing invoices for services rendered or for delivery or shipment of goods.
Interviewers, Except Eligibility and Loan
Medium54.04%
Interview persons by telephone, mail, in person, or by other means for the purpose of completing forms, applications, or questionnaires. Ask specific questions, record answers, and assist persons with completing form. May sort, classify, and file forms.
Human Resources Assistants, Except Payroll and Timekeeping
High67.61%
Compile and keep personnel records. Record data for each employee, such as address, weekly earnings, absences, amount of sales or production, supervisory reports, and date of and reason for termination. May prepare reports for employment records, file employment records, or search employee files and furnish information to authorized persons.
Receptionists and Information Clerks
High74.18%
Answer inquiries and provide information to the general public, customers, visitors, and other interested parties regarding activities conducted at establishment and location of departments, offices, and employees within the organization.
Legal Secretaries and Administrative Assistants
High68.79%
Perform secretarial duties using legal terminology, procedures, and documents. Prepare legal papers and correspondence, such as summonses, complaints, motions, and subpoenas. May also assist with legal research.
Data Entry Keyers
High74.25%
Operate data entry device, such as keyboard or photo composing perforator. Duties may include verifying data and preparing materials for printing.
Word Processors and Typists
High83.45%
Use word processor, computer, or typewriter to type letters, reports, forms, or other material from rough draft, corrected copy, or voice recording. May perform other clerical duties as assigned.
Insurance Claims and Policy Processing Clerks
High81.10%
Process new insurance policies, modifications to existing policies, and claims forms. Obtain information from policyholders to verify the accuracy and completeness of information on claims forms, applications and related documents, and company records. Update existing policies and company records to reflect changes requested by policyholders and insurance company representatives.

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