Medical Records Examiner

Commonwealth Of Pennsylvania; Harrisburg (Dauphin County); On-site; USD 69,086 - 104,959; Full time

Job summary

Commonwealth of Pennsylvania is seeking a Medical Records Examiner within the Department of Human Services to strengthen essential services across the state. This role focuses on reviewing critical incidents and service plans to ensure appropriate, consistent, and effective support for participants in home and community-based programs.

The position emphasizes accuracy in medical documentation, collaboration with providers and agencies, and trend analysis to improve care quality.

Qualifications

• Three years of professional experience in medical assistance, health care services, or human services.
• Equivalent combination of experience and training.
• Active authorization to practice as a Registered Nurse in Pennsylvania.

Responsibilities

• Incident Review: Examine critical incidents and service plans to confirm accuracy and appropriate service delivery.
• Collaboration: Work with service coordinators, providers, and agencies to address concerns and maintain participant well-being.
• Medical Evaluation: Evaluate medical documentation to determine service suitability and guide individuals to needed resources.
• Trend Analysis: Assess incident patterns to identify issues that may affect participant service plans.
• Program Support: Assist with monitoring waivers, reviewing policies, and supporting development of new initiatives.
• Stakeholder Guidance: Provide information and technical assistance to legislators, agencies, physicians, and families.

Skills

RN license

Medical records review

Healthcare experience

Job description

Salary

$69,086.00 - $104,959.00 Annually

Location

*Home Headquartered, PA

Job Type

Civil Service Permanent Full-Time

Job Number

CS-2026-54935-39570

Department

Department of Human Services

Division

HS Div Prtcpnt Spts

Opening Date

07/28/2026

Closing Date

8/11/2026 11:59 PM Eastern

Job Code

39570

Position Number

00108019

Union

FOP - Lodge #92

Bargaining Unit

G4

Pay Group

ST08

Bureau / Division Code

00211962

Bureau / Division

Bureau of Coordinated and Integrated Services / Division of Participant Supports

City

Home Headquartered

Contact Name

Winona Fedin

Contact Email

[e-mail]

THE POSITION

Are you a meticulous and dedicated professional who is inspired to strengthen essential services for communities across Pennsylvania? As a Medical Records Examiner for the Department of Human Services, you help ensure that individuals receive the resources they need to live safely and independently. This position allows you to apply your expertise to safeguard program quality and support participant well-being. Become part of a team committed to delivering reliable, person-centered care throughout the Commonwealth.

DESCRIPTION OF WORK

This position focuses on reviewing critical incidents and service plans to ensure participants in home and community-based programs receive appropriate, consistent, and effective support. It plays a central role in upholding standards of care and strengthening service delivery across the Commonwealth. As a Medical Records Examiner, you will perform the following duties:

• Incident Review: Examine critical incidents and service plans to confirm accuracy and appropriate service delivery
• Collaboration: Work with service coordinators, providers, and agencies to address concerns and maintain participant well-being
• Medical Evaluation: Evaluate medical documentation to determine service suitability and guide individuals to needed resources
• Trend Analysis: Assess incident patterns to identify issues that may affect participant service plans
• Program Support: Assist with monitoring waivers, reviewing policies, and supporting development of new initiatives
• Stakeholder Guidance: Provide information and technical assistance to legislators, agencies, physicians, and families

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

Work Schedule and Additional Information

• 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.

• This position requires travel.

• 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.

REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

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.
• You must be in possession of 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 www.pa.gov/agencies/employment/how-to-apply.html 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 creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.