Some tasks are already handled by AI or machines; the rest still needs a person. About 4h 32m of an 8-hour shift goes to tasks that AI or robots largely take over. The breakdown: 7m done by people with AI help, 4h 32m that AI mostly does alone. The other 3h 21m (42%) stays with people. Separately, BLS expects about 7.8% more of these jobs by 2035 (all jobs: +3.5%).
⤢ Full sizeEach mark is 5 minutes of a typical shift for medical records specialists, colored by who does that task today. Estimates from O*NET tasks and Anthropic Economic Index data. How it's made
Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the healthcare system. Classify medical and healthcare concepts, including diagnosis, procedures, medical services, and equipment, into the healthcare industry's numerical coding system. Includes medical coders.
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Task, by time spent
Human
With AI
AI
Robot
Identify, compile, abstract, and code patient data, using standard classification systems.1h 37m a shift · Observed in AI use
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.45m a shift · Observed in AI use
Review records for completeness, accuracy, and compliance with regulations.45m a shift · Observed in AI use
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.39m a shift · Observed in AI use
Release information to persons or agencies according to regulations.32m a shift · No AI or robot evidence found
Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.32m a shift · No AI or robot evidence found
Post medical insurance billings.26m a shift · No AI or robot evidence found
Process patient admission or discharge documents.26m a shift · No AI or robot evidence found
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.19m a shift · No AI or robot evidence found
Consult classification manuals to locate information about disease processes.19m a shift · No AI or robot evidence found
Process and prepare business or government forms.19m a shift · Observed in AI use
Retrieve patient medical records for physicians, technicians, or other medical personnel.19m a shift · Observed in AI use
Scan patients' health records into electronic formats.19m a shift · Robots only in factory cells
Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.13m a shift · No AI or robot evidence found
Protect the security of medical records to ensure that confidentiality is maintained.13m a shift · No AI or robot evidence found
Schedule medical appointments for patients.6m a shift · Observed in AI useTypical AI request: about 40m alone, 20m with AI
Transcribe medical reports.6m a shift · Observed in AI use
CoxHealth cuts 53 revenue cycle roles after automating coding entry
CoxHealth cut 53 revenue cycle roles, citing strategic advances in technology. The affected roles centered on manual medical coding entry that has been automated.
Cleveland Clinic rolls out Ambience AI notes to ambulatory providers
Cleveland Clinic began a phased rollout of Ambience Healthcare's AI platform, which records appointments and drafts medical notes that providers review and approve. A 2024 pilot covered more than 80 specialties and subspecialties.
Some tasks are already handled by AI or machines; the rest still needs a person. About 4h 32m of an 8-hour shift goes to tasks that AI or robots largely take over. The breakdown: 7m done by people with AI help, 4h 32m that AI mostly does alone. The other 3h 21m (42%) stays with people. Separately, BLS expects about 7.8% more of these jobs by 2035 (all jobs: +3.5%).
What can AI already do for medical records specialists?
AI shows up regularly in 8 of 17 tasks, about 4h 39m of a typical shift. The biggest ones:
Identify, compile, abstract, and code patient data, using standard classification systems. (1h 37m a shift, AI mostly does it alone)
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer. (45m a shift, AI mostly does it alone)
Review records for completeness, accuracy, and compliance with regulations. (45m a shift, AI mostly does it alone)
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. (39m a shift, AI mostly does it alone)
Process and prepare business or government forms. (19m a shift, AI mostly does it alone)
Where do robots fit in?
Not in workplaces like this one, based on a 2026 review of robot deployments. 1 more task has only been done in factory setups built around the machine, so it stays with people here.
What still needs a person?
3h 21m of a typical shift, or 42%, goes to tasks with no AI or robot evidence yet. No AI usage or robot deployment has shown up for these so far. The biggest:
Release information to persons or agencies according to regulations. (32m a shift)
Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings. (32m a shift)
Post medical insurance billings. (26m a shift)
Process patient admission or discharge documents. (26m a shift)
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software. (19m a shift)
What are companies actually doing?
We track 2 sourced company moves that affect this job. Most recent:
Feb 19, 2025: Cleveland Clinic rolls out Ambience AI notes to ambulatory providers (Rolling out)
How much time does AI save on these tasks?
For the 1 task in this job where AI shows up and timing data exists, a typical request takes about 40m for a person alone and about 20m with AI. These are Claude's own estimates from real conversations in April and May 2026 (Anthropic Economic Index). They describe single requests, not whole workdays, and time saved on a task doesn't mean jobs are cut. The biggest gaps:
Schedule medical appointments for patients (about 40m alone, 20m with AI)
Are employers still hiring medical records specialists?
On Indeed, job postings in the Medical Information sector are at 89% of their February 2020 level (all U.S. postings: 104%), down 6.4% from a year earlier, as of Oct 9, 2026. BLS separately expects about 14,000 openings a year in this job through 2035. Across all U.S. postings, 7.3% now mention AI skills. Sector postings cover more than this one job and move for many reasons besides AI.
How much do medical records specialists make?
The median pay is about $51,140 a year ($24.59 an hour), about the same as the median for all U.S. jobs ($50,980). Most people in this job earn between $37,000 and $81,150 a year; that range covers the middle 80%. Pay figures are from BLS, May 2025, and vary a lot by state and employer. Pick a state to compare:
Is this job growing or shrinking?
BLS projects growth of 7.8% from 2025 to 2035, compared with 3.5% growth for all jobs. That's about 216,000 jobs in 2035. It expects about 14,000 openings a year, mostly from people retiring or changing careers. These projections don't single out AI as a cause.
How many medical records specialists are there in the U.S.?
About 195,000 people in the U.S., roughly 0.13% of all workers (BLS, May 2025). That makes it the 175th largest of the 796 jobs on this site. BLS expects about 216,000 in 2035.
What training do medical records specialists need?
O*NET rates the job at level 3 of 5 for preparation, which usually means: vocational school or associate's degree. Requirements vary by state and employer, especially for licensed work.
What should I learn to stay ahead of AI?
These come from the job's official skill ratings and from the tasks that AI and robots touch least today. Building them keeps you strong in the parts of the work that still need a person:
Get strong at the parts of the job that stay with people (listed above), which take 3h 21m of a typical shift
Tools employers list: Microsoft Word, Microsoft Outlook, Microsoft Office software, Microsoft Excel, Epic Systems
Learn to use AI well on the tasks where it already shows up in this job (listed above)
What other jobs could medical records specialists move into?
These use similar skills. Matches come from 109 official ratings of skills, knowledge and work activities, and each needs the same or less preparation unless the official list relates the jobs directly:
Medical Transcriptionists (5h 26m touched, $40k median pay)
Health Information Technologists and Medical Registrars (3h 1m touched, $68k median pay)
Medical Secretaries and Administrative Assistants (3h 4m touched, $46k median pay)
Medical Assistants (19m touched, $46k median pay)
File Clerks (1h 43m touched, $44k median pay)
How solid are these numbers?
Each task carries its own evidence label. For this job: 8 observed in real AI use, 9 with no AI or robot evidence found. The minutes per task are estimates, not measured hours, and "no evidence" doesn't prove a task is safe.
Tools in demand
Microsoft Word
Microsoft Outlook
Microsoft Office software
Microsoft Excel
Epic Systems
eClinicalWorks EHR software
Henry Schein Dentrix
IBM SPSS Statistics
Also called
Certified Coding Specialist, Certified Medical Coder, Certified Professional Coder (CPC), Clinical Documentation Specialist, Clinical Office Technician (Clinical Office Tech), Coder, Coding Specialist, Disability Rater, Electronic Health Records Specialist (EHR Specialist), Fee Coder, Health Informatics Specialist, Health Information Clerk, Health Information Coder, Health Information Management Hospital Coder (HIM Hospital Coder)