Medical Records Specialist salary in Wilmington, NC
Medical Records Specialists in the Wilmington, NC metro area earn a median of $42,930 a year ($20.64 an hour), based on BLS data for 220 workers.
Pay ranges from $37,080 for the lowest-paid 10% to $109,410 for the top 10%. That is 16% lower than the national median of $51,140. Pay here is 13% lower than the North Carolina statewide median of $49,620. There are 1.1 medical records specialists per 1,000 jobs here — close to the national average. The average (mean) salary is $54,530, above the median because a few high earners pull it up.
Pay range for medical records specialists in Wilmington, NC
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $37,080 | $17.83 |
| 25th percentile | $40,020 | $19.24 |
| Median | $42,930 | $20.64 |
| 75th percentile | $56,800 | $27.31 |
| 90th percentile (top earners) | $109,410 | $52.60 |
| Average (mean) | $54,530 | $26.22 |
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 | $3,577.50 |
| Semi-monthly (24 a year) | $1,788.75 |
| Biweekly (26 a year) | $1,651.15 |
| Weekly | $825.58 |
| Hourly | $20.64 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Buying a home? On a $42,930 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 other metro areas nearby
| 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 |
| 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 |
See Medical Records Specialist pay in every state or the North Carolina statewide figures.
Related jobs in Wilmington, NC
| Job | Median salary | Hourly |
|---|---|---|
| Licensed Practical and Licensed Vocational Nurses | $63,390 | $30.48 |
| Pharmacy Technician | $44,300 | $21.30 |
| Radiologic Technologists and Technicians | $67,210 | $32.31 |
| Clinical Laboratory Technologists and Technicians | $58,110 | $27.94 |
| Psychiatric Technician | $34,200 | $16.44 |
| Health Technologists and Technicians, All Other | $45,060 | $21.66 |
| Emergency Medical Technician | $53,850 | $25.89 |
| Paramedic | $61,060 | $29.36 |
| Surgical Technologist | $60,900 | $29.28 |
| Diagnostic Medical Sonographer | $81,480 | $39.17 |
| Ophthalmic Medical Technician | $45,530 | $21.89 |
| Veterinary Technologists and Technicians | $47,620 | $22.89 |
| Opticians, Dispensing | $45,400 | $21.83 |
| Magnetic Resonance Imaging Technologist | $83,650 | $40.22 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Wilmington, NC
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 Wilmington, NC?
The median salary for medical records specialists in the Wilmington, NC metro area is $42,930 a year, or $20.64 an hour. Pay ranges from $37,080 for the lowest-paid 10% to $109,410 for the top 10%.
How much do the highest-paid medical records specialists make in Wilmington, NC?
The top 10% of medical records specialists in the Wilmington, NC metro area earn at least $109,410 a year. The top 25% earn $56,800 or more.
What is the starting pay for medical records specialists in Wilmington, NC?
Entry-level pay (the 10th percentile) is about $37,080 a year, and a quarter of medical records specialists earn $40,020 or less.
How many medical records specialists work in Wilmington, NC?
About 220 medical records specialists are employed in the Wilmington, NC metro area, not counting the self-employed.