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Medical Transcriptionists

SOC: 31-9094 • Data from U.S. Bureau of Labor Statistics & O*NET

Key Insights

Medical Transcriptionists are a dynamic career within the sector, offering a unique blend of opportunities and challenges for professionals seeking meaningful work.

The median annual salary for this occupation is $37,550, which is below the typical salary for this field. Over the next decade, employment is projected to decline by -5.0%, which may mean increased competition for roles . The automation risk for this occupation is 75.0%. This suggests a high degree of job security, as automation is less likely to impact this role in the near future. Work-life balance is rated as 7.9, which can be an important factor for job satisfaction and overall well-being.

Individuals with Social, Conventional, or Investigative personality traits tend to thrive in this career. Key skills for success include Computer skills, Critical-thinking skills, Listening skills, Time-management skills, Writing skills. Developing and refining these abilities can set you apart from other candidates and help you excel in your role. Notable strengths for this occupation are High Demand, Flexible Work, Continuous Learning. Leveraging these strengths can lead to greater job satisfaction and career advancement. Some common challenges professionals may encounter include Burnout Risk, Rapid Technological Change. Being aware of these potential obstacles can help you prepare and develop strategies to overcome them.

The highest employment levels for this occupation are found in California, offering strong job prospects in that region. The leading industry for this role is Hospitals; state, local, and private, which may provide additional opportunities for specialization and growth.

Whether you are just starting your career journey or looking to make a change, Medical Transcriptionists offers a compelling mix of salary potential, job outlook, and personal fit. By understanding the key factors that influence success in this field, you can make informed decisions and position yourself for long-term achievement.

What They Do

Medical Transcriptionists are healthcare documentation professionals who convert voice-recorded medical reports into accurate written records. They play a critical role in maintaining clear, complete, and legally sound patient documentation by transcribing physicians’ notes, diagnostic reports, and treatment summaries into electronic health records (EHRs). Their work supports continuity of care, billing accuracy, and compliance with healthcare standards.

This career is well suited for individuals who enjoy detail-oriented work, medical language, and behind-the-scenes roles that support patient care.

What Do Medical Transcriptionists Do?

Medical transcriptionists listen to audio recordings made by healthcare providers and transform them into structured medical documents.

Common responsibilities include:

  • Transcribing physician dictations into written medical reports
  • Editing and proofreading automated or speech-recognition drafts
  • Reviewing medical terminology, abbreviations, and procedures
  • Ensuring accuracy, clarity, and consistency in documentation
  • Formatting reports according to facility or legal standards
  • Maintaining patient confidentiality and data security
  • Clarifying unclear dictation with providers when necessary

Types of Medical Transcription Work

Medical transcriptionists may specialize by document type or care setting:

  • Acute Care Transcriptionists: Work with hospital-based reports such as discharge summaries.
  • Clinic or Office Transcriptionists: Transcribe routine visit notes and correspondence.
  • Radiology Transcriptionists: Focus on imaging and diagnostic reports.
  • Pathology Transcriptionists: Handle detailed laboratory and pathology documentation.
  • Medical Editors (related role): Edit and correct speech-recognition–generated text.

Skills and Abilities Needed

Medical transcriptionists combine language proficiency with medical knowledge.

Core Professional Skills

- Strong typing speed and accuracy - Knowledge of medical terminology and anatomy - Grammar, spelling, and proofreading expertise - Familiarity with electronic health record systems - Ability to interpret varied accents and dictation styles - Attention to detail and consistency

Personal Qualities That Matter

- Focus and concentration - Confidentiality and ethical responsibility - Time management and self-discipline - Ability to work independently - Comfort with repetitive, detail-driven tasks - Willingness to learn evolving medical language

Education and Training Pathway

Medical transcriptionists typically enter the field through specialized training:

  • Postsecondary Certificate or Associate Degree: In medical transcription or healthcare documentation
  • Medical Terminology Coursework: Essential foundation for accuracy
  • On-the-Job Training: Learning employer-specific systems and templates
  • Certification (optional): Professional credentials demonstrating competency
  • Continuing Education: Updates on terminology, technology, and compliance

Where Do Medical Transcriptionists Work?

Medical transcriptionists work in a range of healthcare and remote settings:

  • Hospitals and Health Systems
  • Physician Offices and Clinics
  • Medical Transcription Service Companies
  • Insurance and Medical Review Organizations
  • Remote or Home-Based Work Environments

Many roles offer flexible or fully remote work arrangements.

How Much Do Medical Transcriptionists Earn?

Earnings vary by experience, specialization, and employment setting:

  • Entry-Level Transcriptionists: Typically earn hourly or per-line pay
  • Experienced or Specialized Transcriptionists: Often earn higher pay with speed and accuracy
  • Medical Editors or Quality Specialists: May earn more with advanced responsibilities

Compensation may be production-based and influenced by turnaround expectations.

Is This Career Difficult?

The work is mentally demanding and requires sustained focus. Transcriptionists must maintain high accuracy under time constraints while navigating complex medical terminology and varying dictation quality. The challenge lies in balancing speed with precision and adapting to evolving documentation technologies.

Who Should Consider Becoming a Medical Transcriptionist?

This career may be a strong fit if you:

  • Enjoy detailed, independent work
  • Have strong listening and language skills
  • Are interested in healthcare without direct patient contact
  • Value accuracy, structure, and confidentiality
  • Prefer flexible or remote work options

How to Prepare Early

  • Study medical terminology, anatomy, and grammar
  • Practice fast, accurate typing and proofreading
  • Learn basic healthcare documentation standards
  • Become familiar with speech-recognition editing tools
  • Explore accredited medical transcription training programs

Medical transcriptionists ensure that spoken medical care becomes clear, accurate written records—supporting patient safety, legal compliance, and effective communication throughout the healthcare system.

Career Video

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Key facts

Median: $37,550
Employment: 2,200
Growth (2024–2034): -5.0%
Education: Postsecondary

Top Skills

Computer skills Critical-thinking skills Listening skills Time-management skills Writing skills

StartRight Career Intelligence Metrics

Job Growth Outlook

-5.0%
Declining: Fewer jobs are expected in the future, so competition may be higher.

Automation Risk Assessment

High Risk
75.0% probability of being automated in the next 10-20 years. This job has many routine, predictable tasks that could potentially be automated.

Work-Life Balance Score

7.9/10
Good work-life balance based on typical work schedules, stress levels, and time demands.

Personality Fit (RIASEC Profile)

5.8
Realistic
6.0
Investigative
4.4
Artistic
8.4
Social
4.6
Enterprising
7.4
Conventional
Powered by O*NET Career Profiling

Personality Match: The higher the score (out of 10), the better this career matches that personality type. People with similar interests and work styles tend to be most satisfied in careers that match their personality profile.

O*NET Official Logo Official assessment tool by the U.S. Department of Labor

Strengths

  • High Demand
  • Flexible Work
  • Continuous Learning

Challenges

  • Burnout Risk
  • Rapid Technological Change

Median Salary Comparison

Employment projection (2024–2034)

Geographic Employment & Wage Analysis

BLS OEWS Data Updated 2024-05
View Interactive BLS Maps

States with Highest Employment

  • California 5,630
  • Texas 4,480
  • New York 3,990
  • Florida 2,000
  • Georgia 1,830
  • North Carolina 1,630
  • Illinois 1,500
  • New Jersey 1,500
  • Tennessee 1,420
  • Pennsylvania 1,380
BLS OEWS data (2024-05)

Regional Wage Variations

  • California 4%
    $39,090
  • Texas -23%
    $29,080
  • New York +14%
    $42,700
  • Florida 2%
    $38,430
  • Georgia -26%
    $27,750
  • North Carolina -27%
    $27,390
  • Illinois -3%
    $36,610
  • New Jersey +15%
    $43,280
  • Tennessee +8%
    $40,570
  • Pennsylvania -4%
    $36,190
BLS OEWS state wage data
Top Metropolitan Areas
New York-Newark-Jersey City
Employment: High Growth: +3.2%
Los Angeles-Long Beach
Employment: High Growth: +2.8%
Chicago-Naperville-Elgin
Employment: Medium Growth: +1.5%
Dallas-Fort Worth
Employment: Medium Growth: +4.1%
San Francisco-Oakland
Employment: High Growth: +2.3%
Based on BLS metropolitan area data
Industries with Highest Concentrations
Hospitals; state, local, and private
85%
Offices of physicians
70%
Outpatient care centers
55%
Regional Job Market Outlook
Strong
West Coast
Stable
Northeast
Growing
South