BLS metro-level wage data places Medical Records Specialists pay in Florence-Muscle Shoals, AL at a median of $43,870 per year ($21.09/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $51,140, Florence-Muscle Shoals pays 14% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 50 medical records specialistss are employed across the Florence-Muscle Shoals MSA in SOC 29-2072.

The Florence-Muscle Shoals pay distribution spans from $26,970 at the 10th percentile to $62,150 at the 90th — a 2.3× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $36,170 and the 75th at $60,110, so half of Florence-Muscle Shoals-based medical records specialistss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Florence-Muscle Shoals, AL covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide AL data, and peer-metro comparisons — a median is a starting point, not a ceiling.