Medical Records Examiner Jobs

The Department of Human Services, Office of Medical Assistance Programs, is looking for Registered Nurses who are interested in a Monday through Friday, 7:30-4:00 position offering non-direct patient care with evenings and weekends off. This is a great opportunity to work for one of the largest employers in Pennsylvania.

As a Medical Records Examiner located in the Division of Clinical Review, Bureau of Fee-for-Service Programs, in the Office of Medical Assistance Programs, you will be responsible for reviewing and monitoring certain services for Medical Assistance recipients to ensure that medical necessity is evident, that the Place of Service is appropriate, and that all compensable and necessary services are approved for payment in accordance with applicable State and Federal laws and regulations.
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:

• Full-time employment.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
• Work hours are 7:30 am to 4:00 pm, Monday - Friday, with 60-minute lunch.
• Telework: This position has been designated as a Telework Eligible Position. Your supervisor will determine if/when you may be eligible to participate in a telework arrangement. In order to telework, you must have a securely configured high-speed internet connection. If you are unable to telework, you will have the option to report to the headquarters office inHarrisburg.
  • Telework is not an employee right or guaranteed employee benefit, and is at the sole discretion of, and subject to, the prior written approval of management.
• Salary: In some cases, the starting salary may be non-negotiable.
• Telework is not an employee right or guaranteed employee benefit, and is at the sole discretion of, and subject to, the prior written approval of management.

QUALIFICATIONS
Minimum Experience and Training Requirements:

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

• All positions require an active license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or possession of a non-renewable temporary practice permit issued by the Pennsylvania State Board of Nursing.
• All employees having non-renewable temporary practice permits issued by the Pennsylvania State Board of Nursing must obtain licensure as a Registered Nurse, within the one (1) year period as defined by the Pennsylvania State Board of Nursing.

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

• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• 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).
• Failure to comply with the above application requirements will eliminate you from consideration for this position.

• 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 www.employment.pa.gov/Additional%20Info/Pages/default.aspx and click the Veterans’ Preference tab or contact us at [email protected].

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

• Your results will be provided via email.
• You may only apply/test once for this posting.
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score may be lower than deserved.
• You may be disqualified.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• Your score is valid for this specific posting only.

Learn more about our Total Rewards by watching this short video!

Health & Wellness

We offer multiple health plans so our employees can choose what works best for themselves and their families. Our comprehensive benefits package includes health coverage, vision, dental, and wellness programs.*

• Eligibility rules apply.