Healthcare Support

Medical Transcriptionist Salary (2026), outlook and how to become one

Transcribe medical reports recorded by physicians and other healthcare practitioners using various electronic devices, covering office visits, emergency room visits, diagnostic imaging studies, opera…

Median pay
$40,410
Growth to 2035
-4.4%
Openings a year
6,200
Typical entry
Certificate

Medical Transcriptionists earn a median of $40,410 per year ($19.43/hr) (BLS OEWS, May 2025). Employment is projected to fall 4.4% through 2035, with about 6,200 openings a year (BLS EP, 2025–2035). Typical entry-level education: Postsecondary nondegree award.

  • SOC 31-9094
  • Healthcare Support
  • Last updated October 9, 2026

At a glance

Medical Transcriptionist in four numbers

Median pay
$40,410a year, or $19.43/hr
Lowest 10% $28KTop 10% $56K

US median, all jobs: $50,980

BLS OEWS, May 2025
Projected growth
-4.4%Declining
This career
−4.4%
All jobs
+3.5%
Projected employment change, 2025–2035
ItemValue
This career−4.4%
All jobs+3.5%
BLS EP, 2025–2035
Openings a year
6,20042,000 jobs today
  • Jobs in 202542K
  • Projected 203540.2K
Employment, 2025–2035
ItemValue
Jobs in 202542K
Projected 203540.2K
BLS EP, 2025–2035
Typical education
Certificateneeded to enter
  • High school16.7%
  • Certificate38.9%
  • Some college33.7%
  • Associate's10.7%
Highest education held by medical transcriptionists
SegmentValue
High school16.7%
Certificate38.9%
Some college33.7%
Associate's10.7%
BLS EP, 2025–2035; mix: O*NET

Also advertised as: Clinical Medical Transcriptionist, Documentation Specialist, Medical Language Specialist, Medical Scribe, Medical Transcriber, Medical Transcriptionist.

Pay

How much do Medical Transcriptionists make?

Annual pay, lowest-paid to highest-paid

Every medical transcriptionist in the US, by percentile of annual wage

Median

$40,410

Middle half earn $34,150 to $48,000

10th
$28,250
25th
$34,150
75th
$48,000
90th
$55,950

All US occupations: $50,980

Medical Transcriptionist annual wages
PercentileValue
10th$28,250
25th$34,150
Median$40,410
75th$48,000
90th$55,950
All US occupations$50,980

Source: BLS OEWS, May 2025

Median annual wage
$40,410
Median hourly wage
$19.43/hr
Mean annual wage
$41,710
People employed
41,550

Versus all US occupations

At $40,410, Medical Transcriptionists earn 21% below the $50,980 median across all US occupations, a difference of $10,570 a year.

Versus healthcare support occupations

Inside the Healthcare Support group, where the middle occupation pays $42,260, this is 4% below the group median.

Pay range

The top 10% earn $55,950 or more while the bottom 10% earn $28,250, a gap of 2.0×. That is a typical spread for a US occupation.

Rank in the bank

This median pays more than 8% of the 1,741 occupations in the NueCareer career bank.

Cost of living

Minnesota posts the highest raw median ($50,030), but once local prices are taken into account Wisconsin leads at $52,234 in national-average dollars.

Pay by state

Which states pay Medical Transcriptionists the most?

State medians come from the same OEWS release as the national figures. The cost-of-living column divides each state median by that state's BEA Regional Price Parity, restating pay in national-average dollars so a high-cost state and a low-cost one can be compared directly.

Top 10 states by median annual wage for Medical Transcriptionists
StateMedianCOL-adjustedEmployed
1Minnesota$50,030$50,730270
2Wisconsin$49,150$52,234590
3Maine$48,600$50,07780
4Alaska$48,360$47,245110
5Connecticut$48,190$46,511390
6Wyoming$48,100$51,89340
7Oregon$46,280$44,775510
8South Dakota$46,070$52,006240
9Nebraska$45,880$50,920230
10Illinois$45,490$45,509970
See all 51 states, sortable, with cost-of-living adjustments

Job outlook

Is Medical Transcriptionist a growing career?

Projected change in jobs

Employment change over 2025–2035, against every US occupation

Medical Transcriptionists
−4.4%
All US occupations
+3.5%

Declining. -4.4% projected growth vs 3.5% for all occupations.

Projected employment change, 2025–2035
ItemValue
Medical Transcriptionists−4.4%
All US occupations+3.5%

Source: BLS EP, 2025–2035

Declining

BLS projects employment of Medical Transcriptionists to change -4.4% over 2025–2035, while total US employment is projected to rise 3.5%. That is 1,900 fewer jobs.

Annual openings

About 6,200 openings are projected each year, 14.8% of the 42,000 jobs that existed in 2025. Most come from workers leaving the occupation, not from growth alone.

Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.

Technological advances in speech recognition and natural language processing allow physicians to document patient encounters in real time, reducing the need for medical transcriptionists. In addition, these technologies increase medical transcriptionists' productivity, allowing more transcription by fewer workers.

Getting in

How to become a Medical Transcriptionist

Medical transcriptionists typically need postsecondary education that leads to a certificate. Prospective medical transcriptionists must know basic medical terminology, anatomy and physiology, and rules of grammar. Some choose to become certified.

  1. 1

    Typical entry-level education

    Postsecondary nondegree award

  2. 2

    Work experience in a related occupation

    None

  3. 3

    Typical on-the-job training

    None

  4. 4

    Preparation needed (O*NET job zone)

    Some preparation

BLS Employment Projections, 2025–2035; job zone from O*NET 31.0 Database.

What education people in the job have

O*NET incumbent survey: the highest level of education reported by people already working as medical transcriptionists.

  • Post-Secondary Certificate38.9%
  • Some College Courses33.7%
  • High School Diploma or the equivalent (such as a GED)16.7%
  • Associate's Degree or other 2-year degree10.7%
Highest education held by medical transcriptionists
ItemValue
Post-Secondary Certificate38.9%
Some College Courses33.7%
High School Diploma or the equivalent (such as a GED)16.7%
Associate's Degree or other 2-year degree10.7%

Source: O*NET 31.0 Database

Full BLS Occupational Outlook Handbook entry

The work

What does a Medical Transcriptionist do?

Transcribe medical reports recorded by physicians and other healthcare practitioners using various electronic devices, covering office visits, emergency room visits, diagnostic imaging studies, operations, chart reviews, and final summaries. Transcribe dictated reports and translate abbreviations into fully understandable form. Edit as necessary and return reports in either printed or electronic form for review and signature, or correction.

Medical transcriptionists, sometimes referred to as healthcare documentation specialists, use electronic devices to convert voice recordings from physicians and other healthcare workers into formal reports. Transcriptionists also may edit medical records for accuracy and return documents for review and approval.

Day-to-day tasks

  1. Translate medical jargon and abbreviations into their expanded forms to ensure the accuracy of patient and health care facility records.
  2. Return dictated reports in printed or electronic form for physician's review, signature, and corrections and for inclusion in patients' medical records.
  3. Transcribe dictation for a variety of medical reports, such as patient histories, physical examinations, emergency room visits, operations, chart reviews, consultation, or discharge summaries.
  4. Identify mistakes in reports and check with doctors to obtain the correct information.
  5. Perform data entry and data retrieval services, providing data for inclusion in medical records and for transmission to physicians.
  6. Produce medical reports, correspondence, records, patient-care information, statistics, medical research, and administrative material.
  7. Perform a variety of clerical and office tasks, such as handling incoming and outgoing mail, completing and submitting insurance claims, typing, filing, or operating office machines.
  8. Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology.

O*NET core tasks, ordered by reported importance.

Working conditions and hours

Most medical transcriptionists are full time, but part-time work is common. Medical transcriptionists who work from home may work outside typical business hours and may have flexibility in determining their schedules.

Where the work happens

  • Indoors, climate-controlled

    NeverEvery day

    Indoors, in a climate-controlled space, every day.

  • Outdoors in all weather

    NeverEvery day

    Almost never works outdoors.

Physical demands

  • Sitting

    NeverAlmost all the time
  • Standing

    NeverAlmost all the time
  • Bending or twisting

    NeverAlmost all the time

Working with people

  • Contact with other people

    NoneConstant
  • Face-to-face discussions

    NeverEvery day

    Face-to-face discussions every day.

  • Dealing with the public

    Not importantExtremely important

Pressure and stakes

  • Strict deadlines

    NeverEvery day

    Meeting strict deadlines at least weekly.

  • Conflict situations

    NeverEvery day
  • Cost of a mistake

    Not seriousExtremely serious

Autonomy

  • Freedom to decide

    NoneA lot

Schedules: BLS Occupational Outlook Handbook, 2025–2035 edition. Conditions: O*NET Work Context survey. Each item has its own scale, so each dot is read against the two answers that end its own line.

Where medical transcriptionists work

Share of jobs by employer type

  • Offices of physicians39%
  • Administrative and support services30%
  • Hospitals; state, local, and private11%
  • Outpatient care centers4%
  • Offices of other health practitioners4%
Largest employers of Medical Transcriptionists
ItemValue
Offices of physicians39%
Administrative and support services30%
Hospitals; state, local, and private11%
Outpatient care centers4%
Offices of other health practitioners4%

Source: BLS Occupational Outlook Handbook, 2025–2035 edition

Core skills

O*NET importance, 1 to 5

  • Active Listening4.1
  • Reading Comprehension4.0
  • Writing3.9
  • Monitoring3.1
  • Speaking3.0
  • Critical Thinking3.0
  • Active Learning2.9
  • Learning Strategies2.1
Core skills for Medical Transcriptionists
ItemValue
Active Listening4.1
Reading Comprehension4.0
Writing3.9
Monitoring3.1
Speaking3.0
Critical Thinking3.0
Active Learning2.9
Learning Strategies2.1

Source: O*NET 31.0 Database

Transferable skills

O*NET importance, 1 to 5

  • Judgment and Decision Making3.0
  • Time Management3.0
  • Social Perceptiveness2.8
  • Complex Problem Solving2.6
  • Coordination2.5
  • Instructing2.1
  • Service Orientation2.1
  • Persuasion1.9
Transferable skills for Medical Transcriptionists
ItemValue
Judgment and Decision Making3.0
Time Management3.0
Social Perceptiveness2.8
Complex Problem Solving2.6
Coordination2.5
Instructing2.1
Service Orientation2.1
Persuasion1.9

Source: O*NET 31.0 Database

Tools and software

  • Data base user interface and query software · in demand
  • Electronic mail software · in demand
  • Medical software · in demand
  • Office suite software · in demand
  • Operating system software · in demand
  • Presentation software · in demand
  • Spreadsheet software · in demand
  • Web platform development software · in demand
  • Word processing software · in demand
  • Billing and invoicing software
  • Calendar and scheduling software
  • Desktop communications software

“In demand” marks an O*NET Employer-Based Hot Technology, software named in real job postings for this occupation.

Personality fit

What personality type suits a Medical Transcriptionist?

Interest profile

O*NET Occupational Interests (RIASEC), scored 1 to 7

Medical Transcriptionist · Realistic: 2Medical Transcriptionist · Investigative: 4Medical Transcriptionist · Artistic: 2Medical Transcriptionist · Social: 4Medical Transcriptionist · Enterprising: 1Medical Transcriptionist · Conventional: 6
Medical Transcriptionist interest profile
AxisMedical Transcriptionist
Realistic2
Investigative4
Artistic2
Social4
Enterprising1
Conventional6

Source: O*NET 31.0 Database

What the work is built around

Day to day this is work built around organising, following procedures and working precisely with data, combined with teaching, helping and working directly with other people.

  • Conventional6.3
  • Social3.7
  • Investigative3.6
  • Realistic2.5
  • Artistic1.7
  • Enterprising1.3

Closest MBTI types

NueCareer fit scores: cosine similarity between each MBTI type's interest vector and this occupation's O*NET interest profile. Not a BLS or O*NET figure; the method is documented on our methodology page.

Questions

Medical Transcriptionist: frequently asked questions

How much do Medical Transcriptionists make?

Medical Transcriptionists earn a median of $40,410 a year (BLS OEWS, May 2025), 21% below the $50,980 median for all US occupations. That works out at $19.43/hr. The middle half earn between $34,150 and $48,000. The top 10% earn $55,950 or more.

Do you need a degree to become a Medical Transcriptionist?

Not a degree, but you do need credentialed training: BLS lists a postsecondary non-degree award (a certificate or license program) as the typical entry route for Medical Transcriptionists. In O*NET's survey of people already doing the job, 38.9% hold post-secondary certificate.

Is Medical Transcriptionist a growing career?

No. BLS projects employment to fall 4.4% over 2025–2035, a loss of 1,900 jobs (BLS EP, 2025–2035). BLS still projects about 6,200 openings a year, mostly from workers retiring or moving to other work.

What does a Medical Transcriptionist do?

Medical transcriptionists, sometimes referred to as healthcare documentation specialists, use electronic devices to convert voice recordings from physicians and other healthcare workers into formal reports. A core O*NET task: translate medical jargon and abbreviations into their expanded forms to ensure the accuracy of patient and health care facility records. Employers most often ask for Data base user interface and query software, Electronic mail software, Medical software.

Which states pay Medical Transcriptionists the most?

The highest state medians for Medical Transcriptionists are Minnesota ($50,030), Wisconsin ($49,150), Maine ($48,600) (BLS OEWS, May 2025). Adjusted for local prices using BEA Regional Price Parities, Wisconsin moves to the top at $52,234.

What personality type suits a Medical Transcriptionist?

O*NET scores Medical Transcriptionists highest on the Conventional, Social and Investigative interest areas, so the work mixes organising, following procedures and working precisely with data with teaching, helping and working directly with other people. On NueCareer's MBTI-to-interest mapping that lines up most closely with ISFJ personalities. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 1,731 careers in the bank.