Medical Records Examiner

Posting number: CS-2026-55283-39570

Department: Department of Human Services

Division: HS Div Fe Serv Op

Job classification: Medical Records Examiner

Posting type: SCSC E&T Vacancy

Categories: Medical/Dental

Summary

Examples of duties

This position focuses on reviewing clinical and financial records to confirm that nursing facilities follow federal and state requirements. As a Medical Records Examiner, you will perform the following duties:

• Care Review: Assess medical, physical, rehabilitative, and restorative services to determine their appropriateness
• Regulation Compliance: Compare facility practices with federal, state, and departmental policies to ensure adherence
• Program Evaluation: Examine Minimum Data Set submissions and verify documentation accuracy in clinical records
• Admission Assessment: Monitor nursing facility admissions and evaluate discharge planning through clinical record review
• Financial Monitoring: Review billing and payment activity to identify recoveries and validate proper documentation
• Facility Coordination: Conduct entrance and exit conferences and manage required activities before, during, and after facility reviews

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

• Full-time employment
• Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.
• Home Headquartered: This position is home headquartered. In order to be home headquartered, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. 
• Salary: In some cases, the starting salary may be non-negotiable. 
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

Qualifications

QUALIFICATIONS

Minimum Experience and Training Requirements:

• Three years of professional experience in the field of medical assistance, health care services, or human services; or
• An equivalent combination of experience and training.

Special Requirements:

• This position requires active authorization to practice as a Registered Nurse in Pennsylvania.
• All employees possessing an active temporary practice permit must obtain licensure as a Registered Nurse within the one (1) year period defined by the Pennsylvania State Board of Nursing.
• This position requires an active motor vehicle license.

Other Requirements:

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency Guidelines.
• You must be able to perform essential job functions.

How to Apply:

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• If you are claiming education in your answers to the supplemental app