Medical Records Examiner pay range
Commonwealth of Pennsylvania · class code 39570
- Class code
- 39570
- Pay scale group
- ST 08
- Pay unit
- Year
- Bargaining unit
- G4
- State
- Pennsylvania
- The Commonwealth of Pennsylvania published pay range for Medical Records Examiner is $69,086 to $104,959 per year.
- Commonwealth of Pennsylvania Office of Administration keys this classification as class code 39570.
- This is the range the plan authorises, not the salary of any individual employee.
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 professional regulatory nursing work in evaluating the medical necessity, appropriateness, quality, and compensability of care and services provided under the Commonwealth medical assistance program or PA Workers’ Compensation Act. An employee in this job evaluates medical information and records to ensure medical assistance patients receive appropriate and quality medical care, that the medical assistance program is properly billed, and provider or patient fraud and abuse of the program is identified and addressed. Work involves analyzing documentation submitted by program service providers and other data to make professional medical judgments regarding care and services provided.
Examples of the work
• Compiles and prepares medical records and related documentation for reports conveying noncompliance with medical assistance program regulations by service providers or eligible patients; recommends the appropriate administrative action or referral to the appropriate legal entity for action. • Evaluates medical records and documentation for services considered necessary and appropriate under the medical assistance program and recommends proper reimbursement. • Examines medical documentation for nursing home residents to determine whether continued nursing home placement is appropriate and recommends appropriate placement.
Minimum qualifications
• 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
• 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.