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How to Become a Medical Records Specialist
Behind every doctor’s diagnosis or insurance claim is a set of organized, accurate records. Medical records specialists help make that possible. If you’re tech-savvy, enjoy structure, and prefer behind-the-scenes work in healthcare, this could be your path in.
Medical Records Specialist Job Overview
Medical records specialists are responsible for organizing, coding, and maintaining patient data across healthcare systems. They play a key role in making sure providers, billing departments, and insurance companies have accurate records and that those records stay secure and confidential.
You might see this role listed as medical coder, health information technician, or records coordinator. The job is part admin, part tech, and fully essential to how healthcare runs behind the scenes.
Job Duties
- Compile and review patient medical records for accuracy and completeness
- Use standardized codes (ICD, CPT, HCPCS) to document diagnoses and procedures
- Maintain electronic health records (EHRs) using medical software
- Process patient data for billing and insurance purposes
- Ensure compliance with HIPAA and other privacy regulations
- Work with providers to clarify information when needed
Salary Information
- Entry Level: $35,780
- Median Annual Salary: $50,250
- Experienced: $80,950
Get Trained
You don’t need a degree to start in this role, but you will need training in medical coding systems, privacy laws, and healthcare documentation. Most people get started through short-term certificate programs or community college courses.
Here’s how to begin:
Earn a high school diploma or GED: This is the basic requirement for most training programs and jobs.
Complete a medical coding or health information program: These can often be completed in under a year, and many are offered online.
Prepare for certification: Most employers prefer or require certification, especially for roles that include coding or insurance billing.
Apply for entry-level positions: Look for roles like records clerk, coder, or EHR technician to get your foot in the door.
Resources for Your Journey
Frequently Asked Questions
Do I need a degree to work in medical records?
No. Most entry-level roles require a postsecondary certificate and a professional certification rather than a two- or four-year degree.
Is this job part of direct patient care?
No. This is an administrative and data-focused role. You’ll work behind the scenes to organize and protect patient information.
What’s the difference between a medical coder and a medical records technician?
What kind of software will I use?
Common tools include electronic health records (EHR) systems like Epic or Cerner, along with coding databases and claims processing tools.
Common tools include electronic health records (EHR) systems like Epic or Cerner, along with coding databases and claims processing tools.
- Medical Coder
- Health Information Technician
- Medical Records Clerk
- Medical Records Coordinator
- Coder
- Health Information Specialist
- Registered Health Information Technician (RHIT)
Can I grow in this career over time?
Yes. You could move into supervisory roles, health data analytics, compliance, or even transition into healthcare IT or auditing with additional training.
Get Certified
Medical Records Specialist Certifications
Certified Professional Coder (CPC)
Offered by AAPC, this is one of the most widely recognized credentials for medical coders.
Registered Health Information Technician (RHIT)
Offered by AHIMA, this credential is designed for specialists managing health records and data systems.
Certified Coding Associate (CCA)
Also from AHIMA, this is a solid starting certification if you're newer to the field.
