Job Class Search
Job Details
DDSSA MEDICAL SPECIALIST
The Disability Determination for the Social Security Administration (DDSSA) Medical Specialist is responsible for evaluating claimant medical records and determining if the evidence meets or equals the medical or mental criteria listed in the federal Social Security disability regulations, determining claimant's residual functional capacity, and providing a medical rationale substantiating findings within require timeframes. This position is governed by state and federal laws and agency policy.
Class Code:
L024N
Job Grade:
MP07
Special Job Requirements:
Typical Functions:
Evaluates claimants’ medical and mental records and evidence to determine whether a medical or mental condition meets or equals the medical criteria listed in the federal social security listing of impairments for social security disability benefit eligibility.
Determines claimants’ physical residual functional capacity based on impairments/conditions and third party evidence.
Establishes the earliest medical or mental onset date of claimants’ disability by reviewing the claimants’ medical and mental records based on acceptable medical theories, concepts, and methods, and federal social security disability rules and regulations.
Provides a reasoned statement integrating social security administration disability determination principles with clinical medicine for the purpose of substantiating findings.
Conducts medical consultations with professional adjudicative staff by explaining medical concepts, theories, and methodologies and how these relate to the medical or mental criteria in the listing of impairments.
Participates in training and staff development for new and current adjudicative staff.
Performs other duties as assigned.
Knowledge, Abilities, and Skills:
Knowledge of medical theories, concepts, and methods.
Knowledge of psychiatric theories, concepts, and methods.
Knowledge of medical terminology, procedures, anatomy, and disease processes.
Knowledge of policy and procedures of disability determination as enacted by the congress of the United States and later set forth by the social security administration.
Ability to integrate clinical medicine/psychology with the principles of disability determination.
Ability to interpret manuals, rules, and regulations.
Ability to present orally and/or in writing medical and non-medical case information.
Ability to establish and maintain effective working relationships with appropriate personnel.
Ability to apply federal social security disability regulations and eligibility to complex cases.
Ability to analyze medical reports according to criteria and make appropriate determinations.
Ability to review and analyze medical evidence/records and understand information pertinent to federal social security disability rules and regulations.
Minimum Qualifications:
The formal education equivalent of medical degree from an approved institution and successful completion of the internship or resident postgraduate requirements; plus three years of progressively more responsible experience in the medical field, plus two years of experience in the disability determination process.
Required Certificates:
Must be licensed as a Physician by a State Medical Board within the United States.
Exempt:
E
