Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to ... Coordinates and completes the clinical reviews for all patient medical records while working ...
New
Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to ... Coordinates and completes the clinical reviews for all patient medical records while working ...
New
Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to ... Coordinates and completes the clinical reviews for all patient medical records while working ...
New
Plano, TX · On-site
$42K - $52K/yr
The Reny Company's bill reviewer is a professional who combines experience in health insurance and medical billing with business insight and a passion for great service. Purpose of this role is to ...
Quick apply
Plano, TX · On-site
$42K - $52K/yr
The Reny Company's bill reviewer is a professional who combines experience in health insurance and medical billing with business insight and a passion for great service. Purpose of this role is to ...
Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to ... Responsible for reviewing patient charts in order to assess whether the clinical criteria for ...
New
Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to ... Responsible for reviewing patient charts in order to assess whether the clinical criteria for ...
New
Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to ... Responsible for reviewing patient charts in order to assess whether the clinical criteria for ...
Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to ... Responsible for reviewing patient charts in order to assess whether the clinical criteria for ...
... DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer ...
... DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer ...
Perform comprehensive medical necessity reviews (prospective, concurrent, and retrospective) for a wide range of healthcare services, applying clinical expertise, established medical policies, and ...
Perform comprehensive medical necessity reviews (prospective, concurrent, and retrospective) for a wide range of healthcare services, applying clinical expertise, established medical policies, and ...
Austin, TX · On-site +1
$260K - $280K/yr
Perform comprehensive medical necessity reviews (prospective, concurrent, and retrospective) for a wide range of healthcare services, applying clinical expertise, established medical policies, and ...
Austin, TX · On-site +1
$260K - $280K/yr
Perform comprehensive medical necessity reviews (prospective, concurrent, and retrospective) for a wide range of healthcare services, applying clinical expertise, established medical policies, and ...
Perform comprehensive medical necessity reviews (prospective, concurrent, and retrospective) for a wide range of healthcare services, applying clinical expertise, established medical policies, and ...
Perform comprehensive medical necessity reviews (prospective, concurrent, and retrospective) for a wide range of healthcare services, applying clinical expertise, established medical policies, and ...
TX · On-site
$52K/yr
Medical and dental insurance at no cost to the employee * Vision insurance is offered at a very low ... No professional plan review experience * Less than 1 year * 1-2 years * 3-5 years * More than 5 ...
TX · On-site
$52K/yr
Medical and dental insurance at no cost to the employee * Vision insurance is offered at a very low ... No professional plan review experience * Less than 1 year * 1-2 years * 3-5 years * More than 5 ...
Plano, TX · On-site
Reviewing the chain of title * Identifying potential title issues * Reviewing and auditing loan ... Medical, Dental and Vision Plans with Prescription coverage * 401K Retirement Savings Plan
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Plano, TX · On-site
Reviewing the chain of title * Identifying potential title issues * Reviewing and auditing loan ... Medical, Dental and Vision Plans with Prescription coverage * 401K Retirement Savings Plan
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Provides the documentation from the health care provider to the qualified medical reviewer(s) and communicates with the employee regarding the decision. • Preserves all documentation regarding ...
Provides the documentation from the health care provider to the qualified medical reviewer(s) and communicates with the employee regarding the decision. • Preserves all documentation regarding ...
Austin, TX · On-site +1
Reviews medical records/case file, writes a decision that is clear, concise, and impartial and supports the determination made, and documents review. * Makes sound, independent decisions based on ...
Austin, TX · On-site +1
Reviews medical records/case file, writes a decision that is clear, concise, and impartial and supports the determination made, and documents review. * Makes sound, independent decisions based on ...
Houston, TX · On-site
We are seeking a skilled and board-certified Toxicologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ...
Quick apply
Houston, TX · On-site
We are seeking a skilled and board-certified Toxicologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ...
We are seeking a skilled and board-certified Toxicologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ...
We are seeking a skilled and board-certified Toxicologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ...
Reviews, makes a determination of eligibility, and tracks all UTMB employee Family Medical Leave and Military Leave requests in an accurate and timely manner. * Documents leave requests in the ...
Reviews, makes a determination of eligibility, and tracks all UTMB employee Family Medical Leave and Military Leave requests in an accurate and timely manner. * Documents leave requests in the ...
Houston, TX · On-site
The Clinical Reviewer reviews medical records, clinical histories, assessments, and referral documentation to determine clinical appropriateness and program fit. This position develops thorough, high ...
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Houston, TX · On-site
The Clinical Reviewer reviews medical records, clinical histories, assessments, and referral documentation to determine clinical appropriateness and program fit. This position develops thorough, high ...
Houston, TX · On-site
$100 - $125/hr
The Clinical Reviewer reviews medical records, clinical histories, assessments, and referral documentation to determine clinical appropriateness and program fit. This position develops thorough, high ...
Houston, TX · On-site
$100 - $125/hr
The Clinical Reviewer reviews medical records, clinical histories, assessments, and referral documentation to determine clinical appropriateness and program fit. This position develops thorough, high ...
Houston, TX · On-site
We are seeking a skilled and board-certified Toxicologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ...
Houston, TX · On-site
We are seeking a skilled and board-certified Toxicologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ...
$10.97 - $18.49
14% of jobs
$22.62 is the 25th percentile. Wages below this are outliers.
$18.49 - $26
21% of jobs
The median wage is $29.89 / hr.
$26 - $33.51
30% of jobs
$33.51 - $41.02
9% of jobs
$43.53 is the 75th percentile. Wages above this are outliers.
$41.02 - $48.54
3% of jobs
$48.54 - $56.05
13% of jobs
$56.05 - $63.56
1% of jobs
$63.56 - $71.08
4% of jobs
$71.08 - $78.59
0% of jobs
$78.59 - $86.10
0% of jobs
$86.10 - $93.61
5% of jobs
$10
$39
$93
As a medical reviewer, your primary responsibilities are to review medical records to ensure accuracy. You address any issues or errors that you find with your supervisor’s assistance and contact medical providers to update information about patients. You may also audit medical files to determine whether the medical provider’s documentation complies with all federal and state regulations that affect accreditation, or if the facility qualifies for specific federal funding or participation in programs like Medicare. Medical reviewers most commonly work for an internal department at a hospital, medical care facility, or an outside organization, such as an insurance company or government agency.
| Aspect | Medical Reviewer | Medical Writer |
|---|---|---|
| Required Credentials | Medical degree (MD, DO, PharmD), licensure often preferred | Background in life sciences, writing skills, often with a degree in related fields |
| Work Environment | Pharmaceutical companies, CROs, regulatory agencies, hospitals | Pharmaceutical companies, marketing agencies, publishing firms |
| Employer & Industry Usage | Review clinical data, regulatory documents, ensuring accuracy | Create scientific content, clinical study reports, marketing materials |
Medical Reviewers primarily verify the accuracy and compliance of clinical and regulatory documents, requiring medical credentials. Medical Writers focus on creating clear, accurate scientific content, often with a background in life sciences. Both roles are essential in the healthcare and pharmaceutical industries but serve different functions in the documentation process.
The most popular types of Medical Reviewer jobs in Texas are:
For Medical Reviewer jobs in Texas, the most frequently searched job titles are:
The top searched job categories for Medical Reviewer jobs in Texas are:
Cities in Texas with the most Medical Reviewer job openings:
For Medical Reviewer jobs in TX, the most frequently searched job titles are:

Full-time
Posted 2 days ago
New
6.4
Based on 289 frontline employees who took The Breakroom Quiz
648th of 898 rated healthcare providers
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Dallas Regional Medical Center is a 202-bed acute care hospital accredited by The Joint Commission that offers a wide range of medical services including 24/7 emergency care, cardiology, wound care, surgical services, cardiac catheterization, and imaging. The hospital is the only Certified Stroke Center, Accredited Chest Pain Center, and Labor and Delivery Unit in the area. In addition, Dallas Regional is the only Trauma Center for 13 miles, and was the first Accredited Geriatric Emergency Room in Dallas County. The hospital is a recipient of Healthgrades Patient Safety Excellence Awards, 15 Healthgrades Five-Star ratings over the past three years, and Straight "A" Hospital Safety Grades from The Leapfrog Group since 2018. For more information visit www.dallasregionalmedicalcenter.com.
Coordinates and completes the clinical reviews for all patient medical records while working closely with CMO (Chief Medical Officer). Actively participates in the Case management and UR meetings. Serves as on-going educator to all departments. Responsible for reviewing patient charts in order to assess whether the clinical criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from payers/fiscal intermediary etc.; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment. Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. Performs other duties as assigned.
Education and Work Experience
Required qualifications:
1. Master of Public Health (MPH) or post-graduation in a related health care field is required.
2. Medical Graduate, Dental Graduate required.
3. Knowledge of Clinical Pathophysiology and Pharmacology required.
Preferred qualifications:
1. ECFMG Certification And/or Bachelor's or higher from a US-based accredited institution in a Health and Human Services field is highly preferred.
2. Utilization Review/Case Management experience is highly preferred.
3. 1+ year of clinical experience in acute care setting preferred.
4. Excellent written and verbal communication skills. Excellent critical thinking skills.
5. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff.
6. Ability to work independently in a time-oriented environment.
7. Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred.
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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Hospitals
10,000+ Employees
Ontario, CA, US