Medical Records Examiner

THE POSITION

As a Medical Records Examiner with the Department of Human Services (DHS), you will have a direct impact on the quality of care delivered in nursing facilities across the state. This position gives you the opportunity to apply your expertise every day while strengthening essential compliance efforts. You will collaborate with committed professionals and help ensure that vital services reach the individuals who depend on them.

This role is an excellent match for someone who enjoys detailed work and is driven to support strong public service outcomes.

As a Medical Records Examiner with the Department of Human Services (DHS), you will have a direct impact on the quality of care delivered in nursing facilities across the state. This position gives you the opportunity to apply your expertise every day while strengthening essential compliance efforts. You will collaborate with committed professionals and help ensure that vital services reach the individuals who depend on them.

This role is an excellent match for someone who enjoys detailed work and is driven to support strong public service outcomes.

This position focuses on reviewing clinical, financial, and regulatory information to assess compliance in nursing facilities throughout the state. As a Medical Records Examiner, you will perform the following duties:

• Clinical Reviews:
  Evaluate clinical, physical, rehabilitative, and restorative care to determine appropriateness
• Policy Compliance:
  Review policies and regulations to ensure providers comply with state and federal requirements
• PASRR Evaluations:
  Conduct assessments of PA Pre-Admission Screening Resident Review (PA-PASRR-) positive individuals and submit recommendations to the appropriate program office
• Financial Analysis:
  Examine financial records to identify recoveries and support proper billing adjustments
• Facility Monitoring:
  Monitor nursing facility admissions, continued stays, discharge plans, and overall service adequacy
• Technical Support:
  Provide assistance to nursing facility staff to help them meet compliance requirements

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

• Full-time employment, 37.5 hours per week
• 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.

• 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.

• You must possess 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.
• You must possess an active motor vehicle license.

• 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.

• Pennsylvania law (51 Pa. C.S. 7103) provides employment preference for qualified veterans for…