Medical Compliance Auditor

Location

Houston, TX, United States

Workplace

Not stated

Pay

Not stated

Contract

Not stated

Detected

8 Nov 2026

Posted

10 Jun 2026

We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. 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. 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 uti

The full description is on Texas Children's Hospital’s careers site (opens in a new tab).