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Medical Records Senior Manager Salary in the United States

How much does a Medical Records Senior Manager make in the United States?

As of August 01, 2026, the average salary for a Medical Records Senior Manager in the United States is $143,676 per year, which breaks down to an hourly rate of $69.

However, a Medical Records Senior Manager's salary can vary significantly. Here’s a look at the typical salary range:

  • Top Earners (90th percentile): $176,039
  • Majority Range (25th-75th percentile): $126,720 to $160,616
  • Entry-Level (10th percentile): $111,282

Key Factors That Influence Medical Records Senior Manager Salaries

A Medical Records Senior Manager's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location, education and company size can directly affect your earning potential.

How Experience Level Affects Medical Records Senior Manager Salaries?

Experience is a primary driver of a Medical Records Senior Manager's salary. As you build your skills and take on more complex tasks, your compensation generally increases. Here's how the average salary grows at different career stages:

  • Medical Records Supervisor (4+ years): $58,617
  • Medical Records Senior Supervisor (3-5 years): $83,014
  • Medical Records Manager (5+ years): $101,257
  • Medical Records Senior Manager (5+ years): $143,676
  • Medical Records Information Services Director (5+ years): $162,634
Job Role Years of Experience Average Salary
Medical Records Supervisor4+ years$58,617
Medical Records Senior Supervisor3-5 years$83,014
Medical Records Manager5+ years$101,257
Medical Records Senior Manager5+ years$143,676
Medical Records Information Services Director5+ years$162,634

Top Paying Cities for Medical Records Senior Manager

Salaries can also vary between different cities. Major metropolitan areas or cities with a high demand for technicians often offer more competitive pay. Here are a few examples of average annual salaries in different U.S. cities:

  • San Jose: $181,219
  • San Francisco: $179,234
  • Oakland: $175,457

What Skills Can Increase a Medical Records Senior Manager's Salary?

Demanded Skills for the Role:

  • Confidentiality (Mentioned in 8.01% Job Postings): The process of and obligation to apply and enforce rules and practices that ensure that specific types of information are accessible only to those authorized to use it.
  • Medical Records Systems (Mentioned in 4.06% Job Postings): Rubbing and kneading the muscles and other soft tissues of the body to treat body stress, relieve pain, and improve blood circulation.
  • Economics (Mentioned in 1.83% Job Postings): Economics is a social science that focuses on the production, distribution, and consumption of goods and services, and analyzes the choices that individuals, businesses, governments, and nations make to allocate resources.
Skills Demand Percentage
Confidentiality 8.01%
Medical Records Systems 4.06%
Economics 1.83%

What skills can make your compensation higher?

Mastering certain specialized skills can lead to a significant increase in pay. Here are examples of skills and the potential impact they can have on a Medical Records Senior Manager's salary.

  • Budgeting: Can increase your salary by up to 14%.
  • Caring For Others: Can increase your salary by up to 10%.
  • Initiative: Can increase your salary by up to 9%.
Skill Salary Salary % Increase
Budgeting $163,791
14%
Caring For Others $158,044
10%
Initiative $156,607
9%

Medical Records Senior Manager Salary by Company Size: Startups vs. Enterprise

Medical Records Senior Manager salary potential scales significantly with company size. Data shows that Enterprise companies (5,000+ employees) pay the highest average salary at around $154,778. While startup companies pay approximate $131,362.

Medical Records Senior Manager Salary by Company Size

Company Size Employees Average Salary
Startup 1~50 $131,362
Growth Stage 51~500 $138,833
Established 501~5000 $149,558
Enterprise 5000+ $154,778

Medical Records Senior Manager Salary by Industry: Top Paying Sectors

For Medical Records Senior Manager roles, the industry you choose can affect earning potential by as much as 40% (the gap between the highest and lowest paying industries). Data shows that the Healthcare and Edu., Gov't. & Nonprofit sectors offer the strongest compensation, at 20% above the average. In contrast, Medical Records Senior Manager positions in Business Services or Insurance typically offer lower base pay, as these industries often view Medical Records Senior Manager as a support function rather than a direct revenue driver.

The top paying industries for a Medical Records Senior Manager

Industry Sector Average Annual Salary Average Hourly Rate Pay vs.Avg
Healthcare$172,411$83.020%
Edu., Gov't. & Nonprofit$158,044$76.010%

How Education impacts an Medical Records Senior Manager's Salary?

Your level of education can impact your salary potential. While many Medical Records Senior Manager enter the field with a Bachelor's Degree, higher education can lead to more specialized and higher-paying roles.

According to our 100% employer-reported salary data, the median salary for an Medical Records Senior Manager with a Bachelor's Degree is between $135,984 and $147,177.

Medical Records Senior Manager Salaries by Degree Level

Typical Education for Medical Records Senior Manager
Degree Level % of user with this level of education
No Diploma 13.2%
High School 13.2%
Associates 25.2%
Bachelors 42.1%
Masters 19.5%
Doctorate 0.0%

Medical Records Senior Manager Salary: Hourly Rate, Weekly Pay, and Monthly Pay

Understanding how a Medical Records Senior Manager's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.

Last Updated on August 01, 2026
$126,720
Average $143,676/year
$160,616
$10,560
Average $11,973/month
$13,385
$2,437
Average $2,763/week
$3,089
$61
Average $69/hour
$77
Annual Salary Monthly Pay Weekly Pay Hourly Wage
75th Percentile $160,616 $13,385 $3,089 $77
Average $143,676 $11,973 $2,763 $69
25th Percentile $126,720 $10,560 $2,437 $61

Medical Records Senior Manager Salary Growth & Career Path

For a Medical Records Senior Manager, the most direct path to higher earnings is advancing to the Medical Records Information Services Director role. This promotion typically comes with a significant pay increase, bringing the average annual salary to $162,634 - a projected growth of 13% over your current level.

Most common benefits for Medical Records Senior Manager

  • Social Security
  • 401 (k)
  • Disability
  • Healthcare
  • Pension
  • Time Off (days)

Common company salaries for Medical Records Senior Manager

Here are companies hiring for Medical Records Senior Manager and their salaries, click below for more details.

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FAQ about Medical Records Senior Manager

1. Where can a Medical Records Senior Manager earn the most?

A Medical Records Senior Manager's earning potential can vary widely depending on several factors, including location, industry, experience, education, and the specific employer. According to the latest salary data by Salary.com, a Medical Records Senior Manager earns the most in San Jose, CA, where the annual salary of a Medical Records Senior Manager is $181,219.

2. What is the highest pay for Medical Records Senior Manager?

The highest pay for Medical Records Senior Manager is $176,039.

3. What is the lowest pay for Medical Records Senior Manager?

The lowest pay for Medical Records Senior Manager is $111,282.

4. What are the responsibilities of Medical Records Senior Manager?

Directs medical record-keeping operations and healthcare information management to ensure secure, accurate, and reliable patient information management that complies with data and privacy regulations. Develops policies and procedures and conducts continuous improvement activities to ensure effective and compliant record management. Implements digital technologies and tools to gain efficiencies, facilitate record retrieval, and ensure secure storage. Provides training for medical records staff and information resources to end-users. Coordinates with clinical and technical professionals to maintain robust records management systems and manage data for analysis and reporting. Typically requires a bachelor's degree in healthcare administration, a related field, or equivalent. May require Registered Health Information Administrator (RHIA) certification. Typically reports to a director. Typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments.

5. What industry pays the highest salary for Medical Records Senior Manager?

The Healthcare industry offers the highest average compensation for Medical Records Senior Manager roles, with salaries approximately 20% above the market median.

Where Does Our Salary Data Come From?

Salary.com provides salary estimates, histograms, trends, and comparisons using data from employer job postings and third-party sources.

We offer detailed salary information across multiple percentiles for your reference. (Click here to learn Why the Salary Midpoint Formula Is Crucial for Achieving Pay Equity.)

With the most extensive online, real-time compensation data available, Salary.com helps you pinpoint your exact pay target.

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