Medical Records Specialist salary in North Carolina
Medical Records Specialists in North Carolina earn a median of $49,620 a year ($23.86 an hour), based on BLS data for 6,760 workers.
Pay ranges from $36,840 for the lowest-paid 10% to $79,670 for the top 10%. That is 3% lower than the national median of $51,140. North Carolina ranks 35th of 51 states for medical records specialists pay. There are 1.4 medical records specialists per 1,000 jobs here — close to the national average. The average (mean) salary is $55,510, above the median because a few high earners pull it up.
Pay range for medical records specialists in North Carolina
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $36,840 | $17.71 |
| 25th percentile | $41,490 | $19.95 |
| Median | $49,620 | $23.86 |
| 75th percentile | $64,800 | $31.15 |
| 90th percentile (top earners) | $79,670 | $38.30 |
| Average (mean) | $55,510 | $26.69 |
Half of medical records specialists earn more than the median and half earn less. Percentiles show the spread: 10% earn less than the 10th percentile, and 10% earn more than the 90th.
Median paycheck, before taxes
| Pay period | Amount |
|---|---|
| Monthly | $4,135 |
| Semi-monthly (24 a year) | $2,067.50 |
| Biweekly (26 a year) | $1,908.46 |
| Weekly | $954.23 |
| Hourly | $23.86 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Buying a home? On a $49,620 salary, see how much house you can afford in North Carolina at today's mortgage rates, or work out a payment with the mortgage calculator.
Medical Records Specialist salary in cities in North Carolina
| Metro area | Median salary | Workers |
|---|---|---|
| Winston-Salem, NC | $62,590 | 520 |
| Greenville, NC | $62,570 | 390 |
| Durham-Chapel Hill, NC | $57,290 | 620 |
| Raleigh-Cary, NC | $54,340 | 900 |
| Jacksonville, NC | $51,930 | 80 |
| Fayetteville, NC | $51,570 | 280 |
| Charlotte-Concord-Gastonia, NC-SC | $51,110 | 1,450 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | $50,590 | 970 |
| Pinehurst-Southern Pines, NC | $47,360 | 130 |
| Greensboro-High Point, NC | $45,180 | 360 |
| Goldsboro, NC | $44,500 | 60 |
| Asheville, NC | $44,280 | 270 |
| Burlington, NC | $43,220 | 40 |
| Wilmington, NC | $42,930 | 220 |
| Rocky Mount, NC | $40,360 | 90 |
| Hickory-Lenoir-Morganton, NC | $39,900 | 150 |
Highest-paying states for medical records specialists
| State | Median salary |
|---|---|
| District of Columbia | $72,040 |
| Rhode Island | $63,960 |
| Hawaii | $63,180 |
| Washington | $62,270 |
| California | $61,810 |
| New York | $61,720 |
| Minnesota | $61,530 |
| Alaska | $61,090 |
| Connecticut | $60,940 |
| Massachusetts | $60,350 |
Related jobs in North Carolina
| Job | Median salary | Hourly |
|---|---|---|
| Licensed Practical and Licensed Vocational Nurses | $63,270 | $30.42 |
| Pharmacy Technician | $44,530 | $21.41 |
| Clinical Laboratory Technologists and Technicians | $60,650 | $29.16 |
| Radiologic Technologists and Technicians | $74,450 | $35.79 |
| Emergency Medical Technician | $44,250 | $21.27 |
| Health Technologists and Technicians, All Other | $46,480 | $22.35 |
| Psychiatric Technician | $40,630 | $19.54 |
| Paramedic | $57,320 | $27.56 |
| Surgical Technologist | $60,920 | $29.29 |
| Diagnostic Medical Sonographer | $86,010 | $41.35 |
| Veterinary Technologists and Technicians | $47,620 | $22.89 |
| Opticians, Dispensing | $50,190 | $24.13 |
| Cardiovascular Technologists and Technicians | $55,460 | $26.67 |
| Ophthalmic Medical Technician | $45,150 | $21.71 |
More: Healthcare Practitioners and Technical Occupations · all salaries in North Carolina
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 29-2072. Wages include base pay, tips, commissions and shift pay, but not overtime, bonuses or benefits, and exclude the self-employed.
Frequently asked questions
How much does a medical records specialist make in North Carolina?
The median salary for medical records specialists in North Carolina is $49,620 a year, or $23.86 an hour. Pay ranges from $36,840 for the lowest-paid 10% to $79,670 for the top 10%.
How much do the highest-paid medical records specialists make in North Carolina?
The top 10% of medical records specialists in North Carolina earn at least $79,670 a year. The top 25% earn $64,800 or more.
What is the starting pay for medical records specialists in North Carolina?
Entry-level pay (the 10th percentile) is about $36,840 a year, and a quarter of medical records specialists earn $41,490 or less.
How many medical records specialists work in North Carolina?
About 6,760 medical records specialists are employed in North Carolina, not counting the self-employed.