369 Results for

Medical Review Specialist Jobs in Houston, TX

Jobs

New!

Houston, TX1 day ago

$95,000–$115,000 Per Year

Resolve a variety of purchasing issues/problems for both internal and external customers (i.e., unblock invoices to secure payment for vendors, provide expediting services as necessary, disputes for "out of scope" changes, contractual performance issues, etc.). Review Customers' IT requisitions and process Purchase Orders in SAP to procure software, hardware, cloud services, and IT professional services at the most favorable price consistent with requirements for quantity, quality, safety, and delivery to support the assigned Business Unit(s).

New!

Houston, TX3 days ago

$69,920–$133,620 Per Year

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

New!

Houston, TX1 day ago

$18.50–$38.82

The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Computer skills: Ability to quickly navigate and use multiple computer programs to include, but not limited to: Gmail, MS Word or Google Docs, Excel or Google Sheets, etc.

New!

Pasadena, TX1 day ago

$17–$31.30

Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.

New!

Houston, TX1 day ago

$18.50–$38.82

The Lead Clinic Scribe acts as an in-clinic expert on all Scribe related matters including: training, coordinating coverage and assistance with implementation of any new clinic initiatives. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

New!

Houston, TXToday

Position Competencies: Competency 1 – Must be organized, detail-oriented and able to effectively manage multiple competing priorities, including working independently and presenting management with measurable progress and status of tasks. Employment is contingent upon a successful background screening and compliance with federal requirements, including drug testing for controlled substances under the federal Controlled Substances Act, which includes marijuana.

HOUSTON, TX30+ days ago

Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.

Houston, TX13 days ago

Remote

$21.42–$21.42 Per Hour

This role requires a strong background in inpatient coding, including extensive experience with CPT codes, modifiers, reimbursement methodologies, and retrospective coding reviews. We are seeking an experienced Inpatient Medical Coding Specialist to support retrospective payment reimbursement reviews in a fast-paced, deadline-driven environment.

Katy, TX11 days ago

By joining our team at Proesis Bio Katy, you will not only be embarking on an exciting professional journey, but you'll also have the chance to make a real, tangible difference in the lives of people across our global communities, each and every day. We don’t simply say our employees are our most valuable resource – we live it with emphasis on providing outstanding benefits related to your time (our PTO and paid Holidays are legit!); health and dental insurance, wages and much, much more.

Houston, TX30+ days ago

$10–$15 Per Hour

We don’t simply say our employees are our most valuable resource – we live it with emphasis on providing outstanding benefits related to your time (our PTO and paid Holidays are legit!); health and dental insurance; wages (some sources show we pay in the top 10-15% of the market); and much, much more. By joining our team at Proesis Bio Houston, you will not only be embarking on an exciting professional journey, but you'll also have the chance to make a real, tangible difference in the lives of people across our global communities, each and every day.

Houston, TX30+ days ago

Overview Join Pediatrix Medical Group as a Diagnostic Medical Sonographer in our Maternal‑Fetal Medicine Clinic (Maternal-Fetal Medicine Specialists of Houston, part of Pediatrix Medical Group), performing high‑risk MFM ultrasounds and supporting patients and physicians in a collaborative care environment. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices.

New!

Houston, TX2 days ago

With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. Supporting HCA Healthcare''s 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system.

Houston, TX30+ days ago

Full-time

Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position.

Houston, Texas30+ days ago

Overview: Join Pediatrix Medical Group as a Diagnostic Medical Sonographer in our Maternal‑Fetal Medicine Clinic (Maternal-Fetal Medicine Specialists of Houston, part of Pediatrix Medical Group), performing high‑risk MFM ultrasounds and supporting patients and physicians in a collaborative care environment. Satisfactory completion of one of the following; graduate of an accredited sonography program with a degree in ultrasonography or equivalent, at least two (2) years in Allied Health Educational Program and one (1) year on-the-job- training in ultrasonography, or graduate from an accredited sonography program with a degree in ultrasonography or equivalent.

Houston, TX17 days ago

Part-time

You’ll work directly with insurance carriers, review claims, and resolve billing issues to secure payment—while also working accounts to drive resolution and reduce outstanding balances. Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.

Houston, TX24 days ago

Digestive & Liver Disease Consultants is seeking an experienced Senior Medical Accounts Receivable (AR) & Revenue Cycle Specialist with strong expertise in Gastroenterology, Endoscopy, Ambulatory Surgery Center (ASC), and Anesthesia billing operations. The ideal candidate must possess deep knowledge of insurance follow-up, denial management, collections, and revenue cycle workflows within specialty healthcare practices.

New!

Houston, TX3 days ago

Staffed by board-certified pediatricians who have privileges at Texas Children's Hospital, our Urgent Care team can diagnose and treat a wide variety of common pediatric ailments, illnesses and conditions, including: asthma, strep throat, fever, minor burns, influenza, ear infections, allergic reactions and more. Texas Children's Urgent Care offers high-quality, efficient and affordable after-hours patient care in nine convenient community locations across the greater Houston area.

Houston, TX30+ days ago

Demonstrates expertise and serves as the subject matter expert with all payers, including Medicare, Medicaid, and commercial payers, and applicable department's revenue cycle operations. Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security.

New!

Tomball, TX3 days ago

With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system.

Pearland, TX10 days ago

Remote

$20.38–$36.44 Per Hour

The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to determine medical necessity for health care services requiring authorization prior to rendering services to members.

Houston, TX30+ days ago

Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Minimum of three (3) years HCC experience performing concurrent and retrospective risk adjustment chart reviews required .

Houston, Texas30+ days ago

TxO – Houston Willowbrook stands as a beacon of hope, offering advanced cancer care including chemotherapy, radiation therapy, CAR-T therapy, and precision medicine—all delivered by a compassionate team of specialists. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby.

Houston, TX10 days ago

The Blood Bank (Transfusion) Laboratory at MD Anderson Cancer Center plays a critical role in supporting patient care by ensuring the safe and timely provision of blood products for oncology patients. Additionally, you will support training and continuous improvement efforts, assisting in onboarding new staff and students, participating in process improvement initiatives, and supporting validation of new methodologies and systems.

Bellaire, TX17 days ago

This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers.

Houston, TX11 days ago

development, maintenance, and delivery of educational services by creating and updating curriculum, ensuring effective instruction, preparing course materials, and supervising faculty and staff. • Teach MBCC/CRCM courses as needed and support effective online curriculum delivery.

Houston, TX30+ days ago

Full-time

You will:Review construction contracts, vendor agreements, supplier contracts, professional services agreements, and third-party contracts before signature, identifying any potential unusual items and questions . You are actively reviewing contracts, identifying risk, asking smart first-level questions, and knowing when something needs to be clarified or escalated.

Houston, TX7 days ago

$110,700–$218,300 Per Year

Other skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.

Houston, Texas30+ days ago

$70,000–$85,000 Per Year

Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines . Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.

Houston, TX13 days ago

$99,308–$168,880 Per Year

WORK EXPERIENCE Successful completion of an ASHP-accredited post-graduate year one (PGY1) residency training program or equivalent experience (i.e., three years of pharmacy experience per residency year); ASHP-accredited post-graduate year two (PGY2) or fellowship preferred. QUALITY/SAFETY ESSENTIAL FUNCTIONS Collaborates with other health care professionals to manage patient's drug therapy for maximal effectiveness while minimizing side effects, adverse drug reactions, toxicities, drug interactions, and incompatibilities using established internal and external guidelines.

Houston, TX13 days ago

$99,308–$168,880 Per Year

houston, TX30+ days ago

Remote

This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. As a Senior Clinical Coding Specialist in our Revenue Operations and Coding Department, your expertise ensures accurate coding that supports patient care and institutional compliance.

Houston, TX30+ days ago

This role requires a strong background in cost management, forecasting, and financial reporting, with hands-on experience using SAP, EcoSys, and Power BI.The Cost Specialist II will work closely with Project Managers, Planners, Finance teams, and stakeholders to ensure accurate cost tracking, forecasting, and variance analysis. This position plays a critical role in identifying cost risks, supporting budgeting activities, and driving financial discipline across projects.

Pasadena, TX30+ days ago

Coordinates and oversees the After-School Program, including: Developing daily program plans tailored to participant needs, Preparing and organizing program materials, Assisting with or implementing daily schedules and activities, Confirming outing locations and securing transportation, Assigning staff to participants, Communicating with families regarding schedules, changes, and participant needs, Distributing flyers and program updates, Addressing behavioral or program concerns with parents and guardians. Safely transports participants and staff using City buses, vans, or other vehicles as required for programs, field trips, and special events, including properly securing passengers and wheelchairs using approved restraint systems.

Houston, TX30+ days ago

$105,000–$125,000 Per Year

The Clinical Sales Specialist partners closely with Account Managers, other Clinical Specialists, Inside Sales, Field Applications, and Medical & Scientific Affairs to support growth across the Nova portfolio and deliver a coordinated, high-quality customer experience. With headquarters in Norwood and Waltham, Massachusetts, and a global team of nearly 2,000 employees, we’re building a collaborative, empowered culture grounded in shared values: Customer Centricity, Ingenuity, Ownership & Accountability, Collaboration, and Integrity.

New!

Pasadena, TX4 days ago

$17–$31.30 Per Hour

Houston, Texas30+ days ago

Specializing in advanced care for retinal conditions like macular degeneration, diabetic retinopathy, and retinal detachment, we combine cutting-edge technology with compassionate, personalized treatment. Working knowledge of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; and strong knowledge of Federal payer regulations.

Houston, TX12 days ago

$71,583–$114,597 Per Year

What we are looking for: As the Digital Press Sales Specialist for Heidelberg's Digital press business located in Heidelberg USA's Central Region, the position's purpose is to drive digital print equipment (current and future products) sales in this region in both the commercial print and in-plant sectors, working cooperatively and supporting the full line Heidelberg Account Manager sales team. Be a self-driven independent sales specialist for Heidelberg's Digital Equipment portfolio (currently Versafire digital presses and Jetfire Inkjet presses) and work cooperatively with the full line Account Manager sales team with their Digital sales opportunities.

Houston, TX30+ days ago

Joseph Medical Center (SJMC), Houston's first and only downtown hospital delivering world-class care for the last 137 years and looking forward to the next century of exceptional care to Houstonians when they need us most. Reviews care routines, policies, procedures and/or other aspects of the mother-baby hospital experience with involved clinical staff in order to highlight successes or needs of the breast feeding dyad.

Houston, TX16 days ago

A joint venture with Baylor College of Medicine, Baylor St. Luke's is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care, neuroscience, oncology, transplantation, and more. Provides excellent patient care through clinical correlation of results, identification of patterns of bias, rapid notification of appropriate caregivers of critical values, and completion of testing within established turn-around-time limits.

Houston, TX30+ days ago

At Houston Methodist, the Regulatory Compliance Specialist position is responsible for coordinating and performing study specific regulatory processes such as local IRB submissions in compliance with Good Clinical Practices (GCP) and all local, state, and federal laws, regulations, guidance, policy and procedure developed by Houston Methodist Research Institute Institutional Review Board (IRB), Food and Drug Administration (FDA) Code of Federal Regulations (CFR), and the International Conference on Harmonization (ICH). Houston Methodist Research Institute supports research programs and infrastructure that enable faculty across the system to bring new scientific discoveries to patients as rapidly as possible through the full cycle of a cure from conceptual bench research, to prototyping and development, to clinical trials and FDA approval.

New!

Houston, TXToday

$23–$26 Per Hour

HVAC Quality Control Specialist Responsibilities: Review HVAC project documentation including drawings, specifications, scopes of work, submittals, and change orders for accuracy and completeness . HVAC Quality Control Specialist Skills and Abilities: Strong attention to detail with excellent organizational and documentation skills .

Houston, TX30+ days ago

$100–$110 Per Hour
Contractor

Technical Specifications: Develop technical specifications for RICEFW (Reports, Integrations, Customizations, Extensions, Forms, Workflows). Key Responsibilities: Preparation and Execution: Develop and execute functional requirements for solution design workshop sprints, including PLM and PIM requirements.

New!

Houston, TX5 days ago

$71,181–$111,966 Per Year

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position. Please make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50s (current/former Federal employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees).

Houston, TX30+ days ago

Applicants must have first-hand project experience in nuclear power plant outages or nuclear projects, demonstrating a deep understanding of the unique regulatory, technical, and logistical challenges inherent in the nuclear industry. About Protingent: Protingent is an Award-Winning provider of top-tier Engineering and IT talent, trusted by companies at the forefront of innovation — from Software and Aerospace to AI, Clean Tech, Medical Devices, and Connected Technologies.

New!

Houston, TX3 days ago

$20–$25 Per Hour

This role will focus heavily on reviewing a large volume of pre-recorded candidate interviews, evaluating candidates against established hiring rubrics, and supporting various recruiting and onboarding activities. The ideal candidate is highly detail-oriented, comfortable performing repetitive tasks with consistency, and experienced in high-volume recruiting environments.

New!

GALENA PARK, TX5 days ago

Able to understand and assess risk based on process operating changes and lead a team through a robust risk assessment of physical changes to an operating process (based on P&ID's, ISO's, Electrical Drawings, Safe Operating Limits, Technical Drawings, PSV studies, Facility Siting, SDSs, Hazard Analysis, etc. This role, which will be based at our Galena Park Splitter, ensures regulatory compliance, reduces operational risk, drives process safety performance, and partners closely with operations, engineering, maintenance and other facility support roles to promote a strong process safety culture.

Houston, TX14 days ago

$79,092–$80,000 Per Year

If you have experience with ASP.NET, C#, SQL Server, and modern web technologies and are eager to learn, grow, and make a real-world impact, this is your opportunity to join a mission-driven team at the forefront of academic medicine. The Office of Research IT at BCM is seeking a motivated entry-level developer to help create web-based applications that drive groundbreaking biomedical research.

New!

Houston, TX3 days ago

$79,092–$80,000 Per Year

Houston, TX24 days ago

We are a well-established and expanding Ear, Nose & Throat (ENT) medical group seeking a detail-oriented and proactive Credentialing Specialist to join our administrative team. This role is critical to ensuring our providers are credentialed, compliant, and able to focus on what they do best—delivering exceptional patient care.

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Medical Review Specialist Jobs in Houston, TX

Purchasing Agent-IT Contract specialist Jobot

Property Adjuster Specialist - Field USAA

Medical Assistant-OSH Oak Street Health

Medical Scribe (bilingual) Oak Street Health

Lead Medical Scribe Oak Street Health

Contract Review Specialist Bray Architects

HIM/MEDICAL RECORDS ANALYST/CODING SPECIALIST-FT University Health Services Inc

Medical Coding Specialist TalentBridge

Medical Specialist - Nurse (LVN/LPN/RN) Proesis Biologics, Inc

EMT-A/B or Paramedic (Medical Specialist) Proesis Biologics, Inc

Sonographer (MFM Office Maternal Fetal Medicine Specialists of Houston, part of Pediatrix Medical Group) Pediatrix Medical Group Inc

Medical Office Specialist Methodist Healthcare System

Systems & Applications Specialist III - Hospital and Medical School UTHealth

Sonographer (MFM Office- Maternal-Fetal Medicine Specialists of Houston, part of Pediatrix Medical Group) Pediatrix

Insurance Follow-Up & Medical Collections Specialist (Sugar Land, TX) ARstrat, LLC

Medical Accounts Receivable (AR) & Revenue Cycle Specialist – Gastroen Gastroenterology Clinic

Front Office Specialist II/Medical Assistant - TC Urgent Care Fairfield Texas Children's Hospital

Revenue Cycle Specialist - Plastics (Medical Center) Houston Methodist Hospital

Medical Office Specialist HCA Healthcare

Utilization Review Spec LVN Remote - Kelsey Seybold Clinics - Remote UnitedHealth Group Inc

Certified Medical Coder Apex Health Solutions

PRN Certified Medical Assistant (CMA/RMA) - Willowbrook - Houston, Tx Texas Oncology

Medical Laboratory Scientist - Blood Bank - Evenings University of Texas MD Anderson Cancer Center

Medical Compliance Auditor Texas Children's Hospital

Medical Coding and Billing Associate Program Director CHCP Healthcare and Educational Services LLC

Contracts Specialist TRIO Electric

Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu Ltd

Risk Adjustment Coding Specialist II - Houston, Texas Astrana Health, Inc.

Pharmacy Clinical Specialist - Full Time - Days - Hematology/Oncology Macpower Digital Assets Edge Private Limited

Pharmacy Clinical Specialist - Full Time - Days - Solid Organ Transplant Macpower Digital Assets Edge Private Limited

Senior Clinical Coding Specialist - OR Surgery MD Anderson

Cost Specialist GTT

Recreation Specialist III - Verne Cox Multi-Purpose Center City of Pasadena

Clinical Sales Specialist - POC, Osmometers - Houston Nova Biomedical

Medical Scribe (bilingual) CVS Health Corp

AR Specialist Houston Retina Associates

Sales Specialist, Digital Heidelberg USA Inc

Registered Nurse- Lactation Specialist St. Josephs Medical Center

Medical Laboratory Scientist CommonSpirit Health

Regulatory Compliance Specialist Houston Methodist Hospital

HVAC Quality Control Specialist CLAYTON SERVICES

Teamcenter Specialist Pyramid, Inc

Program Specialist U.S. Department of Veterans Affairs

Senior Project Controls Specialist (P6 Scheduler) Protingent

Talent Acquisition Coordinator / Recruiting Specialist -#26-13295 US Tech Solutions, Inc.

Process Safety Management (PSM) Specialist - Splitter Kinder Morgan Inc

Software Engineering and Programming Specialist -ASP.NET/ Full Stack Developer Baylor College of Medicine

Software Engineering and Programming Specialist - ASP.NET/ Full Stack Developer Baylor College of Medicine

Credentialing Specialist Elevate ENT Partners

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