From medical records specialist to medical assistant
A career change with AI in view: what carries over, what to build, and how AI is changing both jobs.
Can a medical records specialist become a medical assistant?
It is a move the US Department of Labor's occupational database recognizes: O*NET lists medical assistants as one of the five occupations it rates most closely related to medical records specialists, from what people in both jobs do, know and are called. Of the skills the new job rates important, you already work at or above its level in time management. The biggest step up is in social perceptiveness, active listening and speaking. BLS says medical assistants typically need a postsecondary nondegree award to enter.
Both jobs, side by sideYour skills, comparedStart free: lesson 1
Both jobs, side by side
Published measures only, each from its own source. We do not blend them into a score.
| Measure | Medical records specialist | Medical assistant |
|---|---|---|
| Jobs outlook, 2025 to 2035 | up 7.8% | up 12.9% |
| Openings a year | 14,000 | 109,700 |
| Median pay, 2025 | $51,140 | $45,690 |
| Typical education to enter | Postsecondary nondegree award | Postsecondary nondegree award |
| Experience in a related job | None | None |
| On-the-job training | None | None |
| How people use AI on this work | 25% working with AI, 75% handing tasks over | 72% working with AI, 28% handing tasks over |
| How much of the work AI can assist (0 to 1) | 0.26 | 0.07 |
What these do not mean: the outlook, pay, education and training are the US Bureau of Labor Statistics' ten year projection and worker characteristics, revised every year, and say nothing about any one employer or person. How people use AI comes from Anthropic's Economic Index and describes people who already use one AI assistant. Microsoft Research rates how much AI can assist the work; “Our metrics should not be misconstrued or misrepresented as measuring the ability of AI to replace jobs.”
What you bring
Skills the new job rates important where O*NET rates your current job at or above the level it needs.
Time Management
Managing one's own time and the time of others.
O*NET level in your job 2.9, needed in the new job 2.9 (of 7); importance there 3.0 (of 5).
What to build
Skills the new job rates important and needs at a level 0.5 or more higher than your current job (on O*NET's scale of 0 to 7), biggest step first.
Social Perceptiveness
Being aware of others' reactions and understanding why they react as they do.
O*NET level in your job 2.6, needed in the new job 3.9 (of 7); importance there 4.0 (of 5).
Active Listening
Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
O*NET level in your job 3.1, needed in the new job 3.9 (of 7); importance there 3.9 (of 5).
Speaking
Talking to others to convey information effectively.
O*NET level in your job 3.3, needed in the new job 4.0 (of 7); importance there 3.9 (of 5).
Reading Comprehension
Understanding written sentences and paragraphs in work-related documents.
O*NET level in your job 3.3, needed in the new job 4.0 (of 7); importance there 3.8 (of 5).
Learning Strategies
Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
O*NET level in your job 2.4, needed in the new job 3.1 (of 7); importance there 3.1 (of 5).
Where AI already shows up in the new job
Core tasks of the work, from O*NET, that appear in real AI use. Arrive able to direct AI on these and check what it produces.
- Explain treatment procedures, medications, diets, or physicians' instructions to patients.
What to learn first for the move
The first AI skills for the new job, in order. Each is taught in GAGE's AI literacy program, Certified AI Practitioner: Workplace Foundations.
1.Check what AI scribes and intake tools write into the record
Taught in Module 4, Practical AI Workflow Design and Prompt Engineering; Module 5, Critical Thinking and Context Engineering
2.Explain instructions to patients in plain words, with AI helping you prepare
Taught in Module 2, AI Fundamentals; Module 4, Practical AI Workflow Design and Prompt Engineering
3.Keep patient data out of unapproved tools
Taught in Module 3, Ethical and Responsible AI and Operational Governance
Show a new employer you can do it
Changing careers means proving yourself to someone who has not seen your work. At GAGE you explain each idea back in your own words and it is graded against the lesson, so your record shows what you understood. An employer can check it with one link.
Other moves from medical records specialist
Other ways into medical assistant
Going the other way? From medical assistant to medical records specialist.
Questions
- Can a medical records specialist become a medical assistant?
- It is a move the US Department of Labor's occupational database recognizes: O*NET lists medical assistants as one of the five occupations it rates most closely related to medical records specialists, from what people in both jobs do, know and are called. Of the skills the new job rates important, you already work at or above its level in time management. The biggest step up is in social perceptiveness, active listening and speaking. BLS says medical assistants typically need a postsecondary nondegree award to enter.
- Is a medical assistant safer from AI than a medical records specialist?
- No published measure ranks jobs by safety, and we do not blend the measures into one. Through 2035, BLS projects medical assistants to grow 12.9 percent, and medical records specialists to grow 7.8 percent. On how much of the work AI can assist, Microsoft Research rates medical assistant 0.07 and medical records specialist 0.26 out of 1, which its authors say is not a measure of job loss. In both jobs, the person who can direct AI and check its work is the one a team keeps.
- What should I learn first to move from medical records specialist to medical assistant?
- Check what AI scribes and intake tools write into the record; Explain instructions to patients in plain words, with AI helping you prepare; Keep patient data out of unapproved tools. Those are the first AI skills for the new job, and GAGE teaches each of them in its AI literacy program. The first lesson is free.
How this move was chosen, and sources
O*NET lists medical assistants as one of the five occupations it rates most closely related to medical records specialists (number 4 in its order). We publish a move only when O*NET places it among the ten most related and both jobs have a page here, and we keep O*NET's order. A skill is compared when the new job rates it 3 or more for importance (of 5); it is a step up at a level 0.5 or more higher (of 7); it carries over when your current job is rated at or above the level needed. Ratings O*NET marks as low precision are left out.
- National Center for O*NET Development, for the U.S. Department of Labor, Employment and Training Administration, O*NET 31.0 Database: Related Occupations, O*NET 31.0, CC BY 4.0. Read 2026-09-27.
- National Center for O*NET Development, for the U.S. Department of Labor, Employment and Training Administration, O*NET 31.0 Database: Essential Skills, Transferable Skills and Content Model Reference, O*NET 31.0, CC BY 4.0. Read 2026-09-27.
- U.S. Bureau of Labor Statistics, Employment Projections program, Employment Projections, Table 1.2: Occupational projections, 2025 to 35, and worker characteristics, 2025, 2025 to 2035 projections, Public domain. Read 2026-09-25.
- Anthropic, Anthropic Economic Index, sixth release (claude_ai, monthly aggregates), release_2026_06_26, CC BY. Read 2026-09-25.
- Microsoft Research (Tomlinson, Jaffe, Wang, Counts, Suri), Working with AI: Measuring the Applicability of Generative AI to Occupations (AI applicability scores), v1.1, CC BY 4.0. Read 2026-09-25.
- This page includes information from O*NET OnLine by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. O*NET is a trademark of USDOL/ETA. GAGE has modified all or some of this information; USDOL/ETA has not approved, endorsed, or tested these modifications.
- Occupation codes 29-2072 and 31-9092. The comparison, grouping and plain language on this page are GAGE's own.