What Does a Medical Records Supervisor Do?
Although patients rarely see the records office, every bill, audit and court request depends on it. Medical records supervisors run that office in hospitals, clinics and university health centers, leading the clerks and technicians who file, release, code and correct patient records. In the case of a lawsuit or an insurance audit, the work might be something as exacting as producing a complete chart before a legal deadline.
Also known as: Health Records Supervisor
Other Job Titles for This Work
Workers in this occupation report titles such as Coder, Health Information Clerk, Health Information Specialist, Health Information Technician (Health Information Tech), Medical Records Clerk, Medical Records Coordinator, Medical Records Technician (Medical Records Tech), Registered Health Information Technician (RHIT).
Medical Records Supervisor Duties and Responsibilities
The primary responsibilities of a medical records supervisor include:
- Supervise records clerks, coders and release-of-information staff and set their daily priorities.
- Review release-of-information requests and approve disclosures that meet HIPAA rules.
- Track incomplete charts and follow up with physicians until records are signed.
- Audit coding and documentation samples and share findings with providers and coders.
- Maintain retention and destruction schedules for paper and electronic records.
- Respond to subpoenas, court orders and attorney requests for patient records.
- Correct duplicate or merged medical record numbers in the patient index.
- Train staff and clinicians on privacy, record access and documentation standards.
- Prepare productivity and backlog reports for the health information manager.
- Investigate privacy complaints and suspected breaches with the compliance officer.
Required Skills and Qualifications
To succeed as a medical records supervisor, you will need the following skills and qualifications:
- Registered Health Information Technician (RHIT) credential
- HIPAA privacy and release-of-information rules
- Electronic health record systems such as Epic or Cerner
- ICD and CPT coding knowledge
- Staff supervision and scheduling
- Record retention and legal request procedures
- Accuracy and discretion with confidential information
- Clear written policies and training materials
Education and Training
Promotion to supervisor usually follows time as a medical records clerk or health information technician. BLS lists a postsecondary certificate as the typical entry education for records specialists, while the RHIT (Registered Health Information Technician) exam generally requires an associate degree in health information technology. Candidates with the degree and the credential are more likely to get the job.
Salary and Job Outlook
Typical pay: varies widely for this role, and BLS does not publish pay for it separately. In the wider BLS group it belongs to (Medical Records Specialists), the middle half of earners made $43,490 to $64,820 a year, and the median was $51,140.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, Medical Records Specialists.
Employment of medical records specialists, the group that includes records supervisors, should grow about 8 percent from 2025 to 2035, according to BLS projections. That group should see roughly 14,000 openings a year. Pay figures cover the specialists as well, so a supervisor may earn toward the upper end. More records now live in electronic systems, so supervisors who know privacy rules and the record system itself are likely to stay in demand.
Outlook source: U.S. Bureau of Labor Statistics, Employment Projections, 2025 to 2035, Medical records specialists.
Medical Records Supervisor Pay Range
| Earners | Annual pay |
|---|---|
| Bottom 10% earn less than | $37,000 |
| Bottom 25% earn less than | $43,490 |
| Median (half earn more, half less) | $51,140 |
| Top 25% earn more than | $64,820 |
| Top 10% earn more than | $81,150 |
Highest-Paying States for Medical Records Supervisors
The states with the highest median pay for this occupation are District of Columbia ($72,040), Rhode Island ($63,960), Hawaii ($63,180), Washington ($62,270), California ($61,810). Pay is lowest in Alabama ($43,810), Arkansas ($41,740), Mississippi ($41,500).
Median pay in all 51 states with BLS data
| State | Median annual pay |
|---|---|
| Alabama | $43,810 |
| Alaska | $61,090 |
| Arizona | $47,630 |
| Arkansas | $41,740 |
| California | $61,810 |
| Colorado | $59,020 |
| Connecticut | $60,940 |
| Delaware | $56,060 |
| District of Columbia | $72,040 |
| Florida | $45,760 |
| Georgia | $51,550 |
| Hawaii | $63,180 |
| Idaho | $53,460 |
| Illinois | $56,440 |
| Indiana | $47,670 |
| Iowa | $50,640 |
| Kansas | $48,160 |
| Kentucky | $48,410 |
| Louisiana | $44,610 |
| Maine | $52,090 |
| Maryland | $54,220 |
| Massachusetts | $60,350 |
| Michigan | $48,120 |
| Minnesota | $61,530 |
| Mississippi | $41,500 |
| Missouri | $50,750 |
| Montana | $50,190 |
| Nebraska | $51,670 |
| Nevada | $50,300 |
| New Hampshire | $49,210 |
| New Jersey | $50,240 |
| New Mexico | $57,470 |
| New York | $61,720 |
| North Carolina | $49,620 |
| North Dakota | $46,280 |
| Ohio | $50,990 |
| Oklahoma | $53,460 |
| Oregon | $59,000 |
| Pennsylvania | $46,840 |
| Rhode Island | $63,960 |
| South Carolina | $54,280 |
| South Dakota | $51,610 |
| Tennessee | $48,780 |
| Texas | $48,860 |
| Utah | $52,870 |
| Vermont | $57,560 |
| Virginia | $53,290 |
| Washington | $62,270 |
| West Virginia | $47,360 |
| Wisconsin | $60,280 |
| Wyoming | $54,210 |
Tools and Software Medical Records Supervisors Use
Tools and equipment
Software
Is This Job a Good Fit for You?
People who do well in this job tend to enjoy organized work with data, records and clear procedures as well as analyzing problems and working with ideas.
Preparation: O*NET places this occupation in Job Zone 3 of 5, which means medium preparation.
Related Careers
These jobs use similar skills, according to O*NET's related-occupation data:
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Sources
- U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025.
- U.S. Bureau of Labor Statistics, Employment Projections, 2025 to 2035.
- O*NET 30.1 Database, occupation 29-2072.00 (Medical Records Specialists). View on O*NET OnLine.
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