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Medical Records Examiner Supervisor pay range

Commonwealth of Pennsylvania · class code 39580

$78,925 to $119,844 per year$78,925$119,844MINIMUM · MIDPOINT $99,384 · MAXIMUM

Published per year range, Commonwealth of Pennsylvania

Class code
39580
Pay scale group
ST 09
Pay unit
Year
Bargaining unit
G5
State
Pennsylvania

Class specification

The Commonwealth job specification for this class is published by Commonwealth of Pennsylvania Office of Administration. The passages below are quoted from it as published, not paraphrased, and cut to their opening sentences; the full specification is the authority on duties and qualifications. It was last revised 09/05/2023.

What the state says the job is

This is supervisory professional regulatory nursing work in the evaluation of the medical necessity, appropriateness, quality, and compensability of care and services provided under the Commonwealth medical assistance program or the PA Workers’ Compensation Act. An employee in this job supervises staff engaged in the evaluation of medical information and records to ensure medical assistance program compliance and adherence to the PA Workers Compensation Act. Work involves planning and providing training programs for subordinate staff and developing standards and procedures pertaining to specific service provider review programs. Work performed under the medical assistance program includes ensuring the program is properly billed for services rendered; and ensuring that provider and recipient fraud and abuse is detected and referred for appropriate action.

Examples of the work

• Plans, organizes, prioritizes, assigns, and reviews the work of staff engaged in the examination and evaluation of medical records, invoices, and related documentation used to assess the medical necessity, appropriateness, quality, and compensability of medical care and services rendered by service providers under the Commonwealth medical assistance program or the PA Workers’ Compensation Act. • Plans and directs medical record reviews and surveys at provider facilities or in central office which involve the collection, analysis, and evaluation of medical data to determine medical necessity, appropriateness, quality, and compensability of medical care and services.

Minimum qualifications

• One year as a Medical Records Examiner (Commonwealth title); or • Four 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

• All positions require 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.

Quoted from the Commonwealth job specification, read 2026-10-21.

Where this comes from

Commonwealth of Pennsylvania Office of Administration publishes this figure in Classification and Pay Plan (online, current annual salary ranges). Every number on this page is read from that document; nothing is estimated, modelled or averaged.

The Commonwealth also links this class code to its own job title and specification. That page is the official description of the classification; this page publishes its pay range.

The listed pay scale is available in the Commonwealth's current ST schedule.

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