Medical Records Examiner

Are you a self-motivated, detailed-oriented Registered Nurse looking for an opportunity to use your extensive background for the of review medical records in nursing facilities? The Department of Human Services is searching for a Medical Records Examiner to review and evaluate clinical and fiscal records at certified Medicaid nursing facilities in order to assess compliance with all applicable federal and state requirements. Apply today to contribute to the integrity of patient care and health services!

As a Medical Records Examiner, you will be responsible for conducting OBRA and MDS reviews on a regular basis as well as processing MA 408's and submitting them to the administrative assistant to be reviewed and entered into the Nursing Home Information System. At times, you may also be asked to assist with financial reviews. This position requires excellent communication skills, as you will be interacting with your assigned nursing facilities regularly. Work involves creating OBRA and MDS summaries on the computer to distribute to your facilities during a review and conducting entrance and exit conferences with nursing facility staff. You will have the opportunity to coordinate with other agencies and departments to ensure appropriate services are provided for individuals using long-term living services. Additional responsibilities include:

• Performing evaluations of identified targeted individuals
• Completing financial reviews to identify recoveries to ensure adjustments are made for any inappropriate payments or billings
• Performing follow-up reviews to ensure compliance with corrective action plans
• Officering technical assistance to staff as needed to achieve compliance

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

Work Schedule and Additional Information:

• Full-time employment
• Travel is required
• Work hours are 7:30 AM to 3:30 PM, Monday - Friday, with a 30-minute lunch.
• Telework: 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:

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.
• 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 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.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

Telecommunications Relay Service (TRS):

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.

• 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 is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.