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An Administrative Medical Assistant would be a well-paid secretary, perhaps to a teaching physician or a hospital administrator. A Medical Records Clerk would do clerical work, filing and pulling medical records, perhaps placing the transcribed medical records on the patient's chart, answering the phone, general clerical work, not very high paying. A medical assistant can do the functions of a medical records clerk if there is no records clerk in the office but a records clerk could not perform certain duties of a medical assistant.

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