Medical Records Specialist Salary in North Carolina (2026)

Official state-level BLS pay data for Medical Records Specialists in North Carolina, plus how it compares with the rest of the country.

Official BLS state wage data · Unknown vintage
North Carolina Median
$49,620
per year
Hourly Rate
$23.86
based on 2,080 hrs/yr
vs National
-3% vs US median
US median $51,140
State Rank
#35 of 51
6,760 employed here

How much does a Medical Records Specialist make in North Carolina?

A Medical Records Specialist working in North Carolina earns a median salary of $49,620 per year, or about $23.86 per hour. That is 3% below the national median of $51,140 for this occupation.

Within North Carolina, entry-level pay starts around $36,840 while the top 10% make $79,670 or more. The middle 50% of earners fall between $41,490 and $64,800 a year.

Medical Records Specialist salary range in North Carolina

Pay levelAnnual salaryHourly rate
10th percentile (entry level)$36,840$17.71
25th percentile (early career)$41,490$19.95
50th percentile (median)$49,620$23.86
75th percentile (experienced)$64,800$31.15
90th percentile (top earners)$79,670$38.30

How North Carolina compares

North Carolina ranks 35th out of 51 states and territories for Medical Records Specialist pay. The top 5 best-paying states:

RankStateMedian salary
1District of Columbia$72,040
2Rhode Island$63,960
3Hawaii$63,180
4Washington$62,270
5California$61,810

Working as a Medical Records Specialist in North Carolina

Nationally, about 195,000 people work as Medical Records Specialists in the United States. A bachelor's degree (about 4 years of college) is the standard entry requirement.

Considering a move? Compare North Carolina pay ($49,620) against the highest-paying state above, and weigh the difference against housing and everyday costs — a smaller paycheck in a cheaper state can stretch further.

Frequently asked questions

How much does a Medical Records Specialist make in North Carolina?
The median Medical Records Specialist salary in North Carolina is $49,620 per year, or about $23.86 per hour, per official BLS state wage estimates. Salaries typically range from $36,840 at the entry level to $79,670 for the top 10% of earners.
How does North Carolina pay compare to the national average?
North Carolina pays Medical Records Specialists about 3% less than the national median of $51,140. North Carolina ranks 35th out of 51 states and territories reporting this occupation.
Is North Carolina a good state for Medical Records Specialists?
Pay runs below the national median here, at $49,620 a year. About 6,760 Medical Records Specialists are employed in North Carolina. A lower cost of living can offset the smaller paycheck, so compare take-home value, not just salary.
What are the highest-paying jobs in North Carolina?
The highest-paying occupations in North Carolina include Surgeon, All Other ($398,410), Dermatologist ($367,350), Emergency Medicine Physician ($339,350), based on median annual pay in official BLS state estimates.

← See the national Medical Records Specialist salary report

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Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), Unknown vintage. Education requirements: O*NET (U.S. Department of Labor). State figures are official BLS state-level wage estimates. Where BLS suppresses a state percentile, it is scaled from the official national distribution. Individual pay varies by employer, metro area, and experience.