RN Senior Medical Reviewer

Company: Broadway Ventures
Location: San Antonio
Posted on: February 13, 2026

Job Description:

Job Description Job Description At Broadway Ventures , we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider—we're your trusted partner in innovation. RN Senior Medical Reviewer Position Summary The RN Senior Medical Reviewer provides advanced medical review expertise and supports oversight of the medical review process, focusing on complex services and quality assurance. Education Bachelor of Science in Nursing (BSN) Licensure / Certifications Current, active, unencumbered Registered Nurse license in the United States Certified Coder credentials required Experience Minimum of three (3) years of medical record review experience At least three (3) years of current and/or relevant clinical experience Two (2) years of quality assurance experience required Additional Qualifications Extensive knowledge of the Medicare program Working knowledge of CMS FFS RAC Program requirements and activities Key Responsibilities Assist Medical Review Management with monitoring the medical review process Conduct medical record reviews for complex services Evaluate compliance with Medicare coverage, coding, and billing rules Contribute to medical review and proposal deliverables Participate in quality assurance activities to ensure consistency and accuracy What to Expect Next: After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting. Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law. Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).

Keywords: Broadway Ventures, New Braunfels , RN Senior Medical Reviewer, Healthcare , San Antonio, Texas