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Medical Record Abstraction Jobs (NOW HIRING)

New England Baptist Hospital

... medical record documentation for accounts and assigns appropriate ICD-10CM and CPT-4 codes ... Knowledge of application and abstraction of ICD-9CM & CPT-4 codes according to established Coding ...

HealthCare Resolution Services

Medical Coder

Columbia, MD · Remote

$19.25 - $25.50/hr

The ideal candidate will possess a comprehensive understanding of hierarchical condition categories (HCC) coding, medical billing, and medical record abstraction. As an HCC Coding Analyst, you will ...

Integrated Resources INC

HEDIS Specialist I

Houston, TX · On-site

Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection, and abstraction of medical records and other data in ...

Integrated Resources INC

HEDIS Specialist I

Irving, TX · On-site

Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in ...

Managed Staffing

HEDIS Reviewer

MI · Remote

$44 - $45/hr

Complete assigned medical record abstraction and data entry daily. * Review medical charts, copy supporting documentation, and enter all abstracts into designated software. * Work with provider ...

Healthcare Support Staffing

HEDIS Specialist

Troy, MI · On-site

$35 - $40/hr

MUST HAVE medical record abstraction experience (5+ years) * 5+ years managed care experience * Basic knowledge of HEDIS and NCQA. * Basic Microsoft Office Products experience, Adobe or Nitro PDF, a ...

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Medical Record Abstraction information

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How much do medical record abstraction jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for medical record abstraction in the United States is $30.10, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $31.73 per hour, depending on experience, location, and employer.

What is the difference between Medical Record Abstraction vs Medical Coding?

AspectMedical Record AbstractionMedical Coding
Primary FocusExtracting and reviewing patient data from medical recordsAssigning standardized codes to diagnoses and procedures
Required CertificationsNone specific, often familiarity with medical recordsCertified Professional Coder (CPC) or similar
Work EnvironmentHospitals, clinics, health information departmentsHospitals, insurance companies, billing services
Industry UsageHealth information management, data collectionMedical billing, reimbursement, coding compliance

Medical Record Abstraction involves reviewing and extracting relevant patient information from medical records, while Medical Coding focuses on translating clinical data into standardized codes for billing and documentation. Both roles are essential in healthcare data management but serve different functions within the health information field.

How much do nurse abstractors make?

Nurse abstractors typically earn between $50,000 and $75,000 annually, depending on experience, location, and employer. They often require strong clinical knowledge, attention to detail, and familiarity with electronic health records systems.

What are some common challenges faced by Medical Record Abstractors, and how can they be addressed?

Medical Record Abstractors often encounter challenges such as incomplete or inconsistent documentation, navigating different electronic health record (EHR) systems, and maintaining high accuracy under tight deadlines. To address these, abstractors typically develop strong attention to detail, keep up-to-date with EHR software training, and communicate frequently with clinical staff to clarify missing or ambiguous information. Joining a supportive team environment and participating in regular quality audits also help improve efficiency and data accuracy.

What is medical record abstraction?

Medical record abstraction is the process of reviewing and extracting specific information from patient medical records. This information is typically used for research studies, quality improvement, billing, or regulatory compliance. Medical record abstractors identify relevant data points such as diagnoses, treatments, and outcomes, and enter them into databases or standardized forms. The work requires attention to detail, knowledge of medical terminology, and adherence to privacy regulations like HIPAA.

What skills do you need to be a clinical abstractor?

A clinical abstractor, or medical record abstractor, needs strong attention to detail, excellent reading comprehension, and knowledge of medical terminology and coding systems such as ICD and CPT. Proficiency in electronic health record (EHR) systems and good organizational skills are also essential for accurately extracting and summarizing patient information.

How to become a medical records abstractor?

To become a medical records abstractor, individuals typically need a high school diploma or equivalent, with some roles preferring postsecondary education or certification in health information management. Relevant skills include attention to detail, knowledge of medical terminology, and familiarity with electronic health record (EHR) systems; certification through organizations like AHIMA can enhance job prospects.

What are the key skills and qualifications needed to thrive as a Medical Record Abstractor, and why are they important?

To excel as a Medical Record Abstractor, you need a thorough understanding of medical terminology, anatomy, and healthcare documentation standards, typically supported by a background in health information management or a related field. Familiarity with electronic health record (EHR) systems, coding software (such as ICD-10 and CPT), and HIPAA compliance is crucial. Attention to detail, analytical thinking, and strong organizational skills are essential soft skills for accurately extracting and recording clinical data. These skills and qualifications are vital to ensure precise data abstraction, regulatory compliance, and support for quality healthcare delivery.

What does a medical records abstractor do?

A medical records abstractor reviews and extracts relevant information from patient records to ensure accurate and complete documentation for healthcare providers, insurers, or research. They often use specialized software and must understand medical terminology and coding standards such as ICD or CPT. Attention to detail and knowledge of privacy regulations are essential for this role.
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Medical Record Abstraction jobs near you
Infographic showing various Medical Record Abstraction job openings in the United States as of July 2026, with employment types broken down into 31% Locum Tenens, 13% Full Time, 6% Part Time, 1% Contract, 48% Nights, and 1% Summer. Highlights an 66% Physical, 2% Hybrid, and 32% Remote job distribution, with an average salary of $62,612 per year, or $30.1 per hour.
Medical Record Coder

Medical Record Coder

New England Baptist Hospital

Full-time

Posted 24 days ago

Job description

Under direct supervision of the Dir. Coding & Patient Financial Services;  thoroughly reviews Outpatient & Ancillary medical record documentation for accounts and assigns appropriate ICD-10CM and CPT-4 codes according to established Coding Guidelines (ICD-10CM, AHA, Coding Clinic, CPT Assistant, etc) and hospital policy; abstracts other required data items; reviews documentation/orders/signatures for appropriateness

  • Knowledge of  application and abstraction of  ICD-9CM & CPT-4 codes according to established Coding guidelines
  • Knowledge of Anatomy and Physiology, computerized coding applications
  • Understanding of documentation requirements
  • Understanding of HIPAA regulations
  • Utilization of Meditech, 3M Encoding software, Scanning & Archiving system
  • Review of all medical record documents/reports/ for all necessary documentation requirements
  • Consistent recognition of problem accounts and appropriate referral
  • Manages personal workflow appropriately and keeps within expected productivity range
  • Understands and exemplifies the values of New England Baptist Hospital and the ROSE Philosophy
  • Understands and adheres to NEBH policies and compliance standards as they appear in the NEBH Organizational Policies and Procedures, including but not limited to the NEBH Compliance Policy, Code of Business Conduct, Attendance, and Dress to Impress policies.
  • Keeps abreast of all pertinent federal, state, Joint Commission and NEBH regulations, laws, and policies as they presently exist and as they change or are modified
Employment Type: Full time

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