Medical Records Examiner

$69,086.00 - $ Annually

* Home Headquartered, PA

Civil Service Permanent Full-Time

CS-

Department of Human Services

HS Div Fe Serv Op

07/30/2026

8/13/2026 11:59 PM Eastern

39570

FOP
- Lodge #92

G4

ST08

Bureau of Fee-for-Service Programs, Division of Fee-for Service Operations

Home Headquartered, Pennsylvania

Winona Fedin

wfedin

As a Medical Records Examiner with the Division of Fee-for Service Operations, you will contribute to the well‑being of individuals who rely on long term living services. This role plays an essential part in ensuring nursing facilities follow important rules and provide the care residents need. Your work helps strengthen the integrity of statewide programs by promoting compliance and quality. This is your opportunity to make a meaningful impact through dedicated public service.

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

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.

Veterans:

• Pennsylvania law (51 Pa. C.S.
  * 7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to (Use the "Apply for this Job" box below). and click on Veterans.

Telecommunications Relay Service (TRS):

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce.

The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania.

The Commonwealth does not discriminate on the basis of race, color, religious…