医療事務 医療事務
What 医療事務 do
An English description is being prepared. Japanese description:
医療機関での具体的な業務は、診察が終わった患者のカルテを見て、診察の内容、検査の種類、薬の量などをコンピュータに入力して点数化し、患者が自己負担する金額を計算する。保険診療では疾病名に対応した治療、投薬や療養の基準に基づいてレセプト（診療報酬請求明細書）を作成し、その後、そのチェックを行う。
ほとんどの医療機関で、レセプトを用いた保険請求事務はコンピュータで処理される。入力に見落としや誤りがないかどうかなど、レセプトのチェックを慎重に行う。レセプトは、毎月の決められた期日までに、被保険者が国民健康保険に加入していれば国民健康保険団体連合会に、被用者保険の被保険者については社会保険診療報酬支払基金に提出する。
また、窓口での具体的業務は、外来患者を受け付け、初診の患者は、健康保険証を預かり、診察券やカルテを作成する。診察が終った患者等の診察料の計算と会計、カルテの整理・保管を行う。入退院の手続を行うこともある。薬剤、備品及び資材の購入に関する事務手続きをする場合もある。
◇ よく使う道具、機材、情報技術等
電子カルテ、レセコン・レセプトソフト、医療事務システム、パソコン
Employment type of workers
医療事務 salary
The average annual pay for 医療事務 in Japan is ¥5.29M (≈ $33,620; Basic Survey on Wage Structure (2025), national). The estimated median is ¥4.92M, the typical range is ¥3.64M–¥9.00M and the top 10% earn about ¥7.76M.
How does your pay compare with people your age?
Your numbers are not sent or stored. The distribution is estimated from Japan's national wage statistics, including pay differences by age.
Pay by ageest.
Estimated from the average pay and average age (44.0) using the age-wage curve of the Basic Survey on Wage Structure.
Pay by experienceest.
Pay by employment typeest.
The average hourly wage of ¥2,686 is 2.3× Japan's national average minimum wage of ¥1,177 (fiscal 2026). Minimum wage by prefecture →
Japanese pay is shown in yen (¥5.57M = 5.57 million yen ≈ 557万円). Dollar figures use the current rate of 157.25 yen per dollar and are for reference only; purchasing power differs.
Pay over time
| Year | Average pay | Employment | Openings ratio |
|---|---|---|---|
| 2021 | ¥4.40M | — | — |
| 2022 | ¥4.37M | — | — |
| 2023 | ¥4.78M | — | 0.36x |
| 2024 | ¥4.81M | — | 0.35x |
| 2025 | ¥5.29M | — | 0.34x |
Projected pay for 医療事務 (3, 5 and 10 years)est.
Today ¥5.29M → in 3 years ¥5.50M → in 5 years ¥5.64M → in 10 years ¥6.01M (10-year range ¥5.17M–¥6.98M). The model assumes pay growth of +1.3% per year.
What drives the annual growth rate
Projected pay = current pay × (1 + annual growth)^years. The annual growth rate starts from a base wage-growth rate and adds or subtracts labor demand (the job-openings-to-applicants ratio), wage momentum and AI replacement risk for each occupation. Projections are not guarantees. How it is calculated →
Outlook score for 医療事務
Each component is a percentile rank among all occupations in the same country (0–100). Weights: labor demand 25, wage momentum / openings 15, pay level 15, AI resistance 25, aging workforce 10 (Japan only), entry barrier 10.
Will AI replace 医療事務? AI replacement risk
How AI is changing this job
A written analysis for this occupation is being prepared.
AI replacement risk compares the parts of a job that are easy to hand to AI or software (processing information, documentation, repetitive computer work) with the parts that are hard to automate (physical work, working closely with people, judgment in unpredictable settings), using the MHLW job tag survey on work activities, work context, skills and knowledge. The result is a relative position among all occupations in the country, scaled to 0–100%. Methodology →
Labor demand for 医療事務
A ratio above 1.0 means there are more job openings than applicants (a labor shortage). The 5- and 10-year figures are estimates from the openings ratio, wage momentum and AI replacement risk.
The same job in the United States
| 医療事務 Japan | Medical Secretaries and Administrative Assistants United States | |
|---|---|---|
| Median / average pay | ¥5.29M ≈ $33,620 | $45,930 |
| Pay in 10 years (est.) | ¥6.01M | $57,400 |
| Outlook score | 39 | 41 |
| AI replacement risk | 75% High | 76% High |
| Workers | — | 962K |
Matched by occupation (SOC code). Yen converted at 157.25 JPY/USD for reference; Japanese figures are averages, U.S. figures are medians, and the surveys define occupations differently.
Skills, education and requirements for 医療事務
Key skills
Skill levels from the MHLW job tag worker survey.
Key knowledge areas
What the work involves
Important abilities
Licenses and certifications (Japan)
- 診療報酬請求事務能力認定試験（医科・歯科）
- 医療事務実務士1級
- 医療事務実務士2
Related qualifications listed on job tag (names in Japanese). Some are mandatory, others recommended.
Education of workers
Training before entry
Related work experience
Difficulty of entry: ★★★☆☆ Moderate (from education, training, experience, licenses)
How to become 医療事務
The typical path in Japan is shown by the education, training and experience of current workers above and in the Japanese guidance below. A detailed English guide for this occupation is being prepared.
Guidance from job tag (Japanese)
診察料と投薬料の点数など簡単な計算から始めて経験を積み、次第にレントゲンや注射、検査、手術、入院料など複雑な点数計算をするようになる。経験を積み重ね、多くのケースをこなして仕事に習熟してゆく。
関連資格として民間の「診療報酬請求事務能力認定試験」、「医療事務技能審査試験」がある。
書類に転記し点数を計算する反復作業のため、集中力を切らさず着実に仕事をこなせる粘り強さが求められる。また、見落としや間違いに気付く注意力が求められる。
Career path and how to earn more as 医療事務
Career-path guidance is being prepared. Pay by experience is shown in the Pay section.