Gini Loh System Tools

AI Automation Index

Will AI Replace Medical Secretaries and Administrative Assistants?

Task-level automation exposure for Medical Secretaries and Administrative Assistants: 15 O*NET tasks scored against their work activities, plus the simulator.

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Developed & audited by Gini Loh

Automation Exposure

64% weighted task index

15 of 15 tasks scored

Median Salary

$45,930 / year

BLS OEWS, May 2025 — this exact occupation

Employment Level

Very High

961,610 people hold this job — size, not growth

Projected 2025–35

+4.8% employment change

89,200 openings a year · BLS line item

Pay by state

BLS OEWS publishes 54 state estimates for this occupation. Each is its own survey estimate, not the national median adjusted for local prices.

$29,620 – $58,100

Highest medians

Washington $58,100
California $54,490
Massachusetts $50,290
Oregon $50,130
Minnesota $50,030

Lowest medians

Puerto Rico $29,620
Guam $31,680
Mississippi $36,290
Virgin Islands $36,710
Louisiana $36,930

State figures come from the 43-6013 row in the May 2025 state panel. States where the estimate was suppressed or too small to publish are absent.

What the score is made of

Each task is mapped to its work activities, scored for AI automation potential, and weighted by how important those activities are to the job. These are the components.

Automation potential 64%

Importance-weighted mean of the scored tasks. This is the headline index.

Physical work 8%

Share of weighted tasks in hands-on or machine-operating work activities.

Judgment & influence 25%

Share in analysis, decisions, teaching, directing, advising, or caring for others.

Routine administration 44%

Share in documenting, recording, and administrative activities.

Rewritten by O*NET 0%

Share of weighted tasks O*NET rewrote in a recent update. Reported, not folded into the score.

Consequence of error 10/100 Low

O*NET's own rating of how serious an uncorrectable mistake would be here — respondents, not us. Deliberately not in the index: the score measures what AI can do with the task content, and multiplying it by stakes would be our judgment dressed as data.

Constituent Task Mix

15 tasks for this occupation, weighted by work-activity importance. Shares below are of total task weight, not task count.

High exposure (≥ 60% of the task is automatable) 77%

12 tasks

Medium exposure (≥ 35%) 8%

1 tasks

Low exposure (below 35%) 15%

2 tasks

How would you survive?

Move your week away from the high-exposure tasks and toward the ones that need judgment. The simulator recalculates the index as you shift the mix.

Simulate Upskilling →

Constituent Tasks

#777 · Core · 72% automatable

Answer telephones and direct calls to appropriate staff.

interpersonal — Call routing automatable; nuanced calls need human

Answer telephones to direct calls or provide information.
#775 · Core · 80% automatable

Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations.

decision support — Calendar scheduling automatable; exceptions need human judgment

Schedule appointments.
#788 · Core · 68% automatable

Complete insurance or other claim forms.

text generation — Compliance docs drafted; human owns regulatory accuracy

Prepare documentation for contracts, transactions, or regulatory compliance.
#779 · Core · 43% automatable

Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.

decision support — Routing referrals from criteria; human confirms fit

Refer customers to appropriate personnel. Greet customers, patrons, or visitors.
#783 · Core · 75% automatable

Transmit correspondence or medical records by mail, e-mail, or fax.

text generation — Sending digital materials automatable; physical mailing human

Send information, materials or documentation.
#781 · Core · 72% automatable

Maintain medical records, technical library, or correspondence files.

data analysis — Maintain records; human owns clinical accuracy

Maintain medical records.
#778 · Core · 60% automatable

Receive and route messages or documents, such as laboratory results, to appropriate staff.

interpersonal — Relaying information needs real-time human channel

Relay information between personnel.
#780 · Core · 30% automatable

Interview patients to complete documents, case histories, or forms, such as intake or insurance forms.

interpersonal — Live interviewing is human relational work

Interview employees, customers, or others to collect information.
#782 · Core · 25% automatable

Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records.

physical manipulation — Operating computers is physical interface work

Operate office equipment. Operate computers or computerized equipment.
#787 · Core · 63% automatable

Perform bookkeeping duties, such as credits or collections, preparing and sending financial statements or bills, and keeping financial records.

data analysis — Maintain financial records; human reconciles exceptions

Maintain financial or account records. Send information, materials or documentation. Collect deposits, payments or fees.
#784 · Core · 75% automatable

Perform various clerical or administrative functions, such as ordering and maintaining an inventory of supplies.

decision support — Ordering via systems automatable; human approves spend

Order materials, supplies, or equipment.
#786 · Supplemental · 82% automatable

Transcribe recorded messages or practitioners' diagnoses or recommendations into patients' medical records.

text generation — Transcribe spoken or written information accurately

Transcribe spoken or written information. Maintain medical records.
#776 · Supplemental · 79% automatable

Compile and record medical charts, reports, or correspondence, using typewriter or personal computer.

data analysis — Compiling data or documentation is largely automatable

Compile data or documentation. Maintain medical records.
#20438 · Supplemental · 80% automatable

Schedule tests or procedures for patients, such as lab work or x-rays, based on physician orders.

decision support — Calendar scheduling automatable; exceptions need human judgment

Schedule appointments.
#789 · Supplemental · 88% automatable

Prepare correspondence or assist physicians or medical scientists with preparation of reports, speeches, articles, or conference proceedings.

text generation — Routine business correspondence fully draftable by AI

Prepare business correspondence.
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Method

How this was scored

  1. 1. Tasks. O*NET task statements for this occupation, from a release whose newest record is dated 08/2026.
  2. 2. Work activities. Each task maps to 1–5 Detailed Work Activities; each activity belongs to one of 41 Generalized Work Activities that O*NET rates for importance (1–5) in this occupation.
  3. 3. Automation potential. Every work activity carries one score for how far current AI can perform it end-to-end. Tasks inherit the mean of their activities.
  4. 4. Weighting. Task weight = 0.35 + 0.65 × (importance − 1)/4, scaled by how often the task is performed and by 0.7 for Supplemental tasks. Importance is the task's own O*NET rating where it exists (18,369 of 18,838 tasks); the rest inherit their work activities' importance. The index is the weighted mean.

Check: across the 910 occupations where O*NET also rates how far machine speed sets the pace, this index moves opposite to it (Spearman ρ = -0.49). The more a job is paced by equipment, the less of its task content AI can address — the relationship you would expect if the scoring is working.

Sources · O*NET 31.0 (task records to 08/2026) · BLS OEWS May 2025 · BLS projections 2025-2035 · rubric v2.1 · tasks for O*NET, not a forecast

See the full method →

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