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How much do medical record summary jobs pay per year?

As of Aug 16, 2026, the average yearly pay for medical record summary in the United States is $44,324.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,000.00 and $50,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a medical record summarizer, and why are they important?

To thrive as a Medical Record Summarizer, you need a solid understanding of medical terminology, attention to detail, and experience with health information management or related fields. Familiarity with electronic health records (EHR) systems, HIPAA compliance, and sometimes certification as a Registered Health Information Technician (RHIT) are often required. Strong analytical skills, discretion, and effective written communication help to accurately condense and convey complex medical information. These skills ensure summaries are precise, confidential, and useful for legal, insurance, and clinical decision-making.

What is a medical record summary?

A Medical Record Summary is a concise document that organizes and highlights critical information from a patient's medical records. It is typically prepared by professionals such as medical record summarizers or legal nurse consultants and is used to present complex medical histories in an easily understandable format. These summaries are essential for legal cases, insurance claims, or medical reviews, as they save time and help non-medical professionals quickly grasp relevant details. They may include timelines, treatment summaries, diagnoses, and important test results.

What is the difference between Medical Record Summary vs Medical Records Clerk?

AspectMedical Record SummaryMedical Records Clerk
Primary RoleSummarizes patient medical histories and key health informationOrganizes, files, and retrieves patient medical records
Required SkillsMedical terminology, data analysis, report writingRecord management, data entry, organization skills
Work EnvironmentHealthcare settings, clinics, hospitalsMedical offices, hospitals, health information departments
CertificationsOften requires medical terminology knowledge; certifications varyTypically requires health information management certifications

The Medical Record Summary focuses on creating concise summaries of patient histories for quick reference, while the Medical Records Clerk manages the organization and retrieval of full medical records. Both roles are essential in healthcare settings but serve different functions related to patient information management.

What are some common challenges faced by professionals in medical record summary roles, and how can they be managed effectively?

Professionals in Medical Record Summary roles often encounter challenges such as handling large volumes of complex medical data, maintaining accuracy under tight deadlines, and ensuring patient confidentiality. To manage these challenges, it's important to develop strong organizational skills, stay updated on relevant privacy regulations like HIPAA, and utilize reliable health information management software. Effective communication with healthcare providers and legal teams can also help clarify ambiguous records and streamline the summarization process, making the role both impactful and manageable.
More about Medical Record Summary jobs

What states have the most Medical Record Summary jobs?

States with the most job openings for Medical Record Summary jobs include:

What job categories do people searching Medical Record Summary jobs look for?

The top searched job categories for Medical Record Summary jobs are:

Medical Record Summary jobs near you
Infographic showing various Medical Record Summary job openings in the United States as of August 2026, with employment types broken down into 78% Full Time, and 22% Part Time. Highlights an 100% In-person job distribution, with an average salary of $44,324 per year, or $21.3 per hour.

Experienced Inpatient Medical Record Coder

Stony Brook Medicine

Commack, NY • On-site

$19.50 - $26/hr

Other

Re-posted 24 days ago

Stony Brook Medicine rating

7.6

Company rating: 7.6 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

190th of 887 rated healthcare providers

Job description

Position Summary
At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes.
Duties of a Coder may include the following, but are not limited to:
  • Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance.
  • Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
  • Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
  • Follows all HIPAA regulations and upholds a higher standard around privacy requirements.
  • Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
  • Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
  • Maintains a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
  • Must meet all coder productivity and quality goals.
  • Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures. Supports and promotes the HIM department by participating in special projects.
  • Assigns and sequences ICD-10CM-PCS diagnostic and procedural codes for designated service lines. Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis, procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements.
  • Other duties as assigned.
Qualifications
Required Qualifications:
  • Associate's degree, at least 5 years of facility inpatient coding experience and CCS certification OR, in lieu of a degree,
  • At least 8 years of facility inpatient coding experience and CCS certification OR
  • At least 10 years of facility inpatient coding experience
    Preferred Qualifications:
  • Bachelor's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics or related field
  • 10 or more years facility inpatient coding experience
  • Experience coding facility inpatient encounters for an academic medical center
Special Notes: Resume/CV should be included with the online application.
Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
  • Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
  • All Hospital positions may be subject to changes in pass days and shifts as necessary.
  • This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
  • This function/position may be designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements:
  • Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
  • Complete electronic reference check with a minimum of three (3) professional references.
  • Successfully complete a 4 panel drug screen*
  • Meet Regulatory Requirements for pre employment screenings.
  • Provide a copy of any required New York State license(s)/certificate(s).

Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
*The hiring department will be responsible for any fee incurred for examination.
Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access at (631)632-6280.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewedhere.
Visit ourWHY WORK HERE page to learn about the total rewards we offer.
Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
Anticipated Pay Range:
The starting salary range (or hiring range) for this position has been established as $77,000 - $97,653 / year.
The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting.
In addition, all full time UUP positions have a $4,000 location pay.
Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line.

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