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Salary comparison

Medical Records Specialists vs. Registered Nurses: Who Earns More?

Registered Nursess out-earn Medical Records Specialistss by $46K a year at the national median, per BLS OEWS May 2025. Medical Records Specialistss land at $51,140 and Registered Nursess at $97,550. The education gap is real: medical records specialist programs typically require bachelor's degree, while registered nurse programs require bachelor's degree. Top-paying state for Medical Records Specialistss is District of Columbia ($72,040); for Registered Nursess it's California ($140,270).

Medical Records Specialists
Registered Nurses
Median salary
$51,140
$97,550
Hourly rate
$24.59/hr
$46.9/hr
Entry level (10th %)
$37,000
$68,940
Senior level (90th %)
$81,150
$137,470
Education required
Bachelor's degree
Bachelor's degree
U.S. employment
194,720
3,379,720
Job growth (10-year)
N/A
4.9%
Category
Healthcare
Healthcare
Top-paying state
District of Columbia
California

Pay by state

States where both occupations have BLS data, sorted by Medical Records Specialists median pay.

State
Medical Records Specialists
Registered Nurses
District of Columbia
$72,040
$102,540
Rhode Island
$63,960
$100,640
Hawaii
$63,180
$136,320
Washington
$62,270
$124,200
California
$61,810
$140,270
New York
$61,720
$109,440
Minnesota
$61,530
$101,510
Alaska
$61,090
$109,480
Connecticut
$60,940
$102,740
Massachusetts
$60,350
$104,550
Colorado
$59,020
$100,260
Oregon
$59,000
$129,010
Maryland
$54,220
$99,790
Nevada
$50,300
$103,670
New Jersey
$50,240
$106,500

Source: BLS OEWS May 2025. Highlighted value is higher in each row.

Common questions

Who earns more, Medical Records Specialistss or Registered Nursess?

Registered Nursess earn more nationally. The median is $51,140 for Medical Records Specialistss versus $97,550 for Registered Nursess, a difference of $46K. Per BLS OEWS May 2025.

Which has better job growth, Medical Records Specialists or Registered Nurses?

BLS Employment Projections data is not available for one or both occupations. Check the individual career pages for current outlook figures.

Which requires more education, Medical Records Specialists or Registered Nurses?

Medical Records Specialists typically requires bachelor's degree. Registered Nurses requires bachelor's degree. Education requirements vary by employer and state licensing board.

Where do Medical Records Specialistss get paid the most?

District of Columbia is the top-paying state for Medical Records Specialistss at $72,040/year, per BLS OEWS May 2025. Major metro areas within that state typically pay even more than the state average.

How does Medical Records Specialists vs. Registered Nurses pay differ by state?

The gap varies significantly by state. In District of Columbia, Medical Records Specialistss earn $72,040 vs. $102,540 for Registered Nursess. See the state comparison table on this page for the full picture.

Full Medical Records Specialists salary breakdownView →Full Registered Nurses salary breakdownView →Best cities for Medical Records Specialistss by take-home payExplore →Best cities for Registered Nursess by take-home payExplore →How to become a medical records specialistsGuide →How to become a registered nursesGuide →