BLS metro-level wage data places Medical Records Specialists pay in Manchester-Nashua, NH at a median of $50,770 per year ($24.41/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $51,140, Manchester-Nashua pays 1% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 290 medical records specialistss are employed across the Manchester-Nashua MSA in SOC 29-2072.

The Manchester-Nashua pay distribution spans from $40,440 at the 10th percentile to $66,370 at the 90th — a 1.6× 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 $47,000 and the 75th at $62,380, so half of Manchester-Nashua-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 Manchester-Nashua, NH 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 NH data, and peer-metro comparisons — a median is a starting point, not a ceiling.