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Medical Records Tech Jobs in Texas (NOW HIRING)

Medical Records Clerk

Houston, TX · On-site

$15.25 - $18.75/hr

... Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more. We are ... Various locations across Texas The Medical Records Clerk is responsible for organizing and ...

... Medical Records Registered in Amarillo,TX Why Join Us? Thrive in a People-First Environment and ... We use advanced technology to support our team and enhance patient care. Get to Know Your Team:

Medical Records Coordinator

Dallas, TX · On-site

$17.75 - $22.75/hr

... technologies quickly. * Understanding of privacy, confidentiality, and applicable regulations ... In litigation, medical records are not simply administrative paperwork--they are the foundation of ...

... Medical Records Registered in Amarillo,TX Why Join Us? Thrive in a People-First Environment and ... We use advanced technology to support our team and enhance patient care. Get to Know Your Team:

Medical Records Clerk

Waco, TX · On-site

$15 - $17/hr

As a member of our Medical Records team, you'll spend your day making calls, sending emails, and ... Ability to interact with standard office technology (e.g., keyboard, computer, headset, mouse) with ...

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Showing results 1-20

Medical Records Tech information

See Texas salary details

$26.6K

$41.3K

$56.4K

How much do medical records tech jobs pay per year?

As of Sep 9, 2026, the average yearly pay for medical records tech in Texas is $41,295.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,500.00 and $47,000.00 per year, depending on experience, location, and employer.

What is a medical records tech?

Medical Records Technicians, also known as Health Information Technicians, are professionals responsible for organizing, managing, and maintaining patients' health information in both paper and electronic systems. They ensure the accuracy, security, and privacy of medical records in compliance with healthcare regulations. Their work is essential for supporting quality patient care, billing, and insurance processes. Medical Records Technicians often work in hospitals, clinics, and other healthcare facilities.

How does a medical records tech typically collaborate with healthcare providers and other staff?

Medical Records Techs regularly interact with physicians, nurses, and administrative staff to ensure that patient records are accurate, up-to-date, and compliant with regulations. They may clarify information, help retrieve records for appointments, and support billing or insurance processes. Effective communication and attention to detail are key, as these collaborations help maintain the quality and confidentiality of patient data. Teamwork is essential, and Medical Records Techs often serve as a bridge between clinical and administrative departments.

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

To thrive as a Medical Records Tech, you need proficiency in medical terminology, attention to detail, and a background in health information management, often supported by a certificate or associate degree. Familiarity with electronic health record (EHR) systems, coding software (such as ICD-10 and CPT), and HIPAA compliance is typically required. Strong organizational skills, discretion, and effective communication help ensure accuracy and maintain patient confidentiality. These skills are crucial for ensuring precise health data management, supporting quality patient care, and complying with legal and regulatory standards.

What is the difference between Medical Records Tech vs Medical Records Clerk?

AspectMedical Records TechMedical Records Clerk
CredentialsTypically requires a health information technology certification or associate degreeOften requires a high school diploma or equivalent; certification is a plus
Work EnvironmentHospitals, clinics, healthcare facilities, handling electronic and paper recordsAdministrative offices, healthcare facilities, managing paper and digital records
Job ResponsibilitiesMaintains, organizes, and updates electronic health records; ensures data accuracyPrepares, files, and retrieves paper or digital records; data entry tasks

Medical Records Techs focus on managing electronic health records with specialized certifications, while Medical Records Clerks handle administrative record-keeping tasks, often with less formal education. Both roles are essential in healthcare settings but differ in technical requirements and responsibilities.

What is the average salary for a Medical Records Technician?

The average salary for a Medical Records Technician is approximately $45,000 to $50,000 per year, depending on experience, certifications, and work setting. Salaries can vary based on location, with higher wages typically found in urban areas and healthcare facilities with specialized needs.

What cities in Texas are hiring for Medical Records Tech jobs?

Cities in Texas with the most Medical Records Tech job openings:

Infographic showing various Medical Records Tech job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $41,295 per year, or $19.9 per hour.

MEDICAL RECORDS TECH (ROI)

San Antonio, TX • On-site

$36K/yr

Full-time

Posted 5 days ago


Job description

The Medical Records Technician - Release of Information (ROI) serves in the Release of Information Health Information Management Section (HIMS) of the South Texas Veterans Health Care System (STVHCS), and is under the supervision of the Assistant Chief, HIMS. Occupation involves technical work concerned with processing and maintenance of medical records. Work requires practical knowledge of human anatomy, physiology, medical terminology and legal requirements of the medical record.
Qualifications:Basic Requirements: All applicants must meet the following basic qualifications.
  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • English Language Proficiency. MRTs (ROI) must be proficient in spoken and written English, as required by 38 U.S.C. 7403(f).
  • One year of creditable experience that indicates knowledge of medical terminology and general understanding of health records. Six months of the required one year of creditable experience must have provided the knowledge, skills, and abilities (KSAs) needed to perform MRT (ROI) work.
Or
  • An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, legal aspects of health care, and introduction to health records).
Or
  • Equivalent combinations of creditable experience and education are qualifying towards meeting basic experience
    requirements. The following experience and educational/training substitutions are appropriate for combining education and creditable experience:
  • (a) Six months of creditable experience that indicates knowledge of medical terminology, privacy and release of information, the health record, and one year above high school with a minimum of six semester hours of health information technology/health information management courses.
  • (b) Six months of creditable experience that indicates knowledge of medical terminology, privacy and release of information, the health record, and successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision. The training program may be substituted on a month3 for-month basis for up to six months of experience provided the training program included courses in anatomy and physiology, and health record techniques and procedures.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).
Grade Determinations: In addition to the basic requirements above, all applicants must also meet one of the following grade requirements to qualify for a specific grade level.
GS-04: None beyond basic requirements, entry level.
GS-05:
(1) Experience. One year of creditable experience equivalent to the GS-04 grade level.
Or
(2) Education. Successful completion of a bachelor's degree from an accredited college or university recognized by the U.S. Department of Education, with a major field of study in health information management, or a related degree with a minimum of 24 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, legal aspects of health care, and introduction to health records).
In addition to the experience above, the candidate must demonstrate all of the following KSAs:
(a) Ability to utilize health information technology and various office software
products utilized in MRT (ROI) positions (e.g., the electronic health record,
release of information systems, etc.).
(b) Knowledge of health record documentation guidelines and processes for
disclosing protected health information.
(c) Ability to manage priorities and coordinate work in order to complete duties within
required timeframes, and the ability to follow-up on pending issues.
(d) Knowledge of policies, procedures, laws, and regulations governing privacy and
release of information.
(e) Ability to communicate with individuals from various backgrounds to obtain the
desired effect or gaining information by establishing rapport.
GS-06: Full Performance Level
(1) Experience. One year of creditable experience equivalent to the GS-05 grade level.
In addition to the experience above, the candidate must demonstrate all of the following KSAs:
(a) Knowledge of the laws and regulations related to the authorization and disclosure
of health information (e.g., Privacy Act, Freedom of Information Act, Health
Insurance Portability and Accountability Act (HIPAA), and 38 U.S.C. 7332,
Confidentiality of Certain Medical Records).
(b) Ability to apply health record documentation guidelines and processes to
navigate efficiently through the paper and/or electronic health record to locate,
assemble, and disclose protected health information.
(c) Ability to apply policies, procedures, laws, and regulations governing privacy and
release of information to process requests for release of information.
(d) Ability to research and solve difficult questions related to release of health
information in an accurate and timely manner.
Preferred Experience:
  • Knowledge of medical terminology
  • Prior work handling medical records
  • Processing requests in accordance with HIPAA and VA regulations.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-04 to GS06.
Physical Requirements: Pre-Employment/Post-Employment Physical Examination: May be required, depending on the needs of the organization.Education:An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, legal aspects of health care, and introduction to health records).
IMPORTANT:
A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.Employment Type: OTHER