Nurse Assessment Coordinator
$85K - $95K/yr
... Medicare requirements. About Us: Ecumen is an industry leader dedicated to advocating for older ... Resident Assessment Coordinator - Certified (RAC-CT) * Prior senior care experience * Experience ...
Nurse Assessment Coordinator
$85K - $95K/yr
... Medicare requirements. About Us: Ecumen is an industry leader dedicated to advocating for older ... Resident Assessment Coordinator - Certified (RAC-CT) * Prior senior care experience * Experience ...
MDS RN
$41/hr
... Assessment Coordination (RAC-CT). * Medicaid amp; Medicare program experience preferred ... Actively participate in case mix audits and in Facility surveys (inspections) made by authorized ...
MDS RN
$41/hr
... Assessment Coordination (RAC-CT). * Medicaid amp; Medicare program experience preferred ... Actively participate in case mix audits and in Facility surveys (inspections) made by authorized ...
MDS Nurse (PRN)
Anoka, MN · On-site +1
$65K - $95K/yr
... audits, and staff communication to support accurate documentation. • Follow and update the ... Medicare Basics, ICD-10-CM, RAC-CT). • Attend required in-services, meetings, and educational ...
MDS Nurse (PRN)
Anoka, MN · On-site +1
$65K - $95K/yr
... audits, and staff communication to support accurate documentation. • Follow and update the ... Medicare Basics, ICD-10-CM, RAC-CT). • Attend required in-services, meetings, and educational ...
MDS Nurse (PRN)
Rochester, MN · On-site +1
$65K - $95K/yr
... audits, and staff communication to support accurate documentation. • Follow and update the ... Medicare Basics, ICD-10-CM, RAC-CT). • Attend required in-services, meetings, and educational ...
Quick apply
MDS Nurse (PRN)
Rochester, MN · On-site +1
$65K - $95K/yr
... audits, and staff communication to support accurate documentation. • Follow and update the ... Medicare Basics, ICD-10-CM, RAC-CT). • Attend required in-services, meetings, and educational ...
MDS Nurse (PRN)
Rochester, MN · On-site +1
$65K - $95K/yr
... audits, and staff communication to support accurate documentation. • Follow and update the ... Medicare Basics, ICD-10-CM, RAC-CT). • Attend required in-services, meetings, and educational ...
MDS Nurse (PRN)
Rochester, MN · On-site +1
$65K - $95K/yr
... audits, and staff communication to support accurate documentation. • Follow and update the ... Medicare Basics, ICD-10-CM, RAC-CT). • Attend required in-services, meetings, and educational ...
MDS Nurse (PRN)
Anoka, MN · On-site +1
$65K - $95K/yr
... audits, and staff communication to support accurate documentation. • Follow and update the ... Medicare Basics, ICD-10-CM, RAC-CT). • Attend required in-services, meetings, and educational ...
Quick apply
MDS Nurse (PRN)
Anoka, MN · On-site +1
$65K - $95K/yr
... audits, and staff communication to support accurate documentation. • Follow and update the ... Medicare Basics, ICD-10-CM, RAC-CT). • Attend required in-services, meetings, and educational ...
MDS Nurse (PRN)
Anoka, MN · On-site +1
$65K - $95K/yr
... audits, and staff communication to support accurate documentation. • Follow and update the ... Medicare Basics, ICD-10-CM, RAC-CT). • Attend required in-services, meetings, and educational ...
MDS Nurse (PRN)
Anoka, MN · On-site +1
$65K - $95K/yr
... audits, and staff communication to support accurate documentation. • Follow and update the ... Medicare Basics, ICD-10-CM, RAC-CT). • Attend required in-services, meetings, and educational ...
Medicare Rac Audit information
What are the key skills and qualifications needed to thrive in the Medicare Rac Audit position, and why are they important?
To excel in a Medicare RAC Audit role, you need a thorough understanding of Medicare regulations, auditing practices, and healthcare compliance, often supported by credentials such as a Certified Professional Medical Auditor (CPMA) or similar. Familiarity with audit management software, electronic health records (EHRs), and data analysis tools is commonly required. Attention to detail, analytical thinking, and clear written and verbal communication are important soft skills for producing accurate audit findings and interacting with providers. These skills ensure the identification of improper payments, maintenance of compliance, and support for healthcare organizations in navigating complex Medicare requirements.
What type of auditor gets paid the most?
In the field of Medicare RAC auditing, senior or lead auditors typically earn the highest salaries due to their experience and responsibility levels. These roles often require advanced knowledge of healthcare regulations, strong analytical skills, and sometimes certifications like RAC-CRA, with compensation reflecting their expertise and leadership duties.
How do I become a Medicare auditor?
To become a Medicare auditor, candidates typically need a background in healthcare, accounting, or auditing, along with knowledge of Medicare policies and regulations. Relevant certifications such as Certified Healthcare Auditor (CHA) or Certified Public Accountant (CPA) can enhance prospects. Gaining experience in healthcare compliance, auditing procedures, and working with government programs is also beneficial.
What is a Medicare RAC Audit job?
A Medicare RAC (Recovery Audit Contractor) Audit job involves reviewing Medicare claims to identify and recover improper payments made to healthcare providers. RAC auditors analyze medical records, billing data, and coding practices to ensure compliance with Medicare guidelines. They work to detect overpayments and underpayments, helping to prevent fraud, waste, and abuse in the Medicare system. This role requires knowledge of medical coding, billing regulations, and healthcare compliance.
What are the typical daily responsibilities for someone working in Medicare RAC Audit?
Professionals in Medicare RAC Audit roles are primarily responsible for reviewing medical records and claims to identify and report improper payments or billing errors under Medicare guidelines. On a daily basis, you may analyze complex data, prepare detailed audit reports, communicate findings with healthcare providers, and collaborate with other compliance or billing team members to ensure corrections are implemented. The work often involves balancing independent research with collaborative meetings to resolve issues and maintain compliance. This position offers a fast-paced environment that requires strong organizational skills and provides significant exposure to Medicare policies and healthcare operations.
Is an auditor a high paying job?
Auditors can earn competitive salaries, especially with experience and certifications such as CPA or CIA. The pay varies by industry, location, and level of responsibility, but auditing roles generally offer solid compensation compared to many entry-level positions.
What is a Medicare RAC audit?
A Medicare RAC (Recovery Audit Contractor) audit is a review conducted by contracted organizations to identify and correct improper Medicare claims, ensuring compliance with billing rules. For jobs in this field, knowledge of Medicare policies, auditing procedures, and claims review is essential.
What are the most commonly searched types of Medicare Rac Audit jobs in Minnesota? The most popular types of Medicare Rac Audit jobs in Minnesota are:
What are popular job titles related to Medicare Rac Audit jobs in Minnesota? For Medicare Rac Audit jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Medicare Rac Audit jobs in Minnesota look for? The top searched job categories for Medicare Rac Audit jobs in Minnesota are:
$85K - $95K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 4 days ago
Ecumen rating
7.4
Based on 52 frontline employees who took The Breakroom Quiz
17th of 228 rated social care providers
Job description
Nurse Assessment Coordinator
The Nurse Assessment Coordinator (NAC) is responsible for the oversight and coordination of the federally mandated resident assessment instrument (RAI) process, which includes the MDS assessment, care area assessment, and care plan development or revisions. The NAC is responsible for working with the interdisciplinary team (nursing, therapy, dietary, social services, activities, etc.) to complete MDS assessments, analyze care areas, and develop and revise a comprehensive care plan and ensure that compliance is maintained with state and federal guidelines. This position also serves as the expert resource for the Patient-Driven Payment Model (PDPM) and is responsible for complying with ethical and timeliness standards when setting ARDs, completing assessments, and upholding Medicare requirements.
About Us:
Ecumen is an industry leader dedicated to advocating for older adults by providing housing choices, compassionate healthcare, and innovative services. For 160 years Ecumen has cared for those in need. Now, as Minnesota's 8th largest senior living provider, we continue to advocate for those we serve. Join a team where you can make a difference in advancing our mission to serve our older adults, while we commit to creating a place where everyone belongs.
Pay:
The targeted pay range for this job is $85,000 - $95,000 per year. Ecumen considers a variety of factors when determining new hire pay including experience, qualifications, and, when applicable, certifications, licenses, and education.
Benefits:
Ecumen offers a comprehensive benefits package to our full-time team members including medical, dental, vision, flexible spending and health savings accounts, life & disability insurance, paid time off benefits, a generous 6% 401(k) match, and other well-being resources. Learn more at https://www.ecumen.org/find-a-career/benefits/.
You'll also enjoy the convenience and flexibility of working remote.
Essential Job Responsibilities:
1. Coordinate the RAI process, which includes, at a minimum, the following elements:
2. Maintains the OBRA and PPS assessment schedules
3. Highly involved in determining skilled level of care for Medicare residents and procuring required Medicare-specific documentation; be responsible for physician certification/recertification of a skilled level of care throughout the Medicare stay; be involved in making Medicare eligibility determinations
4. Maintains compliance with state-specific regulations regarding the RAI process
5. Provides insight and analysis of MDS-based Quality Measures
6. Serves as a member of the quality assessment and assurance (QAA) and/or the quality assurance and performance improvement (QAPI) committees
7. Audits and improve staff education/competency as needed to ensure accurate and timely completion of supporting documentation and MDS assessments
8. Possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for ensuring the accurate and timely completion of the RAI documents
Nurse Assessment Coordinator Minimum Required Qualifications
Preferred Qualifications:
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
The Nurse Assessment Coordinator (NAC) is responsible for the oversight and coordination of the federally mandated resident assessment instrument (RAI) process, which includes the MDS assessment, care area assessment, and care plan development or revisions. The NAC is responsible for working with the interdisciplinary team (nursing, therapy, dietary, social services, activities, etc.) to complete MDS assessments, analyze care areas, and develop and revise a comprehensive care plan and ensure that compliance is maintained with state and federal guidelines. This position also serves as the expert resource for the Patient-Driven Payment Model (PDPM) and is responsible for complying with ethical and timeliness standards when setting ARDs, completing assessments, and upholding Medicare requirements.
About Us:
Ecumen is an industry leader dedicated to advocating for older adults by providing housing choices, compassionate healthcare, and innovative services. For 160 years Ecumen has cared for those in need. Now, as Minnesota's 8th largest senior living provider, we continue to advocate for those we serve. Join a team where you can make a difference in advancing our mission to serve our older adults, while we commit to creating a place where everyone belongs.
Pay:
The targeted pay range for this job is $85,000 - $95,000 per year. Ecumen considers a variety of factors when determining new hire pay including experience, qualifications, and, when applicable, certifications, licenses, and education.
Benefits:
Ecumen offers a comprehensive benefits package to our full-time team members including medical, dental, vision, flexible spending and health savings accounts, life & disability insurance, paid time off benefits, a generous 6% 401(k) match, and other well-being resources. Learn more at https://www.ecumen.org/find-a-career/benefits/.
You'll also enjoy the convenience and flexibility of working remote.
Essential Job Responsibilities:
1. Coordinate the RAI process, which includes, at a minimum, the following elements:
- Minimum Data Set (MDS)
- Care Area Assessment process
- Care plan development
- Care plan implementation
- Evaluation
- Provide oversight of assessment completion and transmission to the national repository.
- Review final validation reports and correct or modify assessments in response to warnings or errors as needed
- Coordinate the completion of the comprehensive care plan according to regulatory requirements
2. Maintains the OBRA and PPS assessment schedules
3. Highly involved in determining skilled level of care for Medicare residents and procuring required Medicare-specific documentation; be responsible for physician certification/recertification of a skilled level of care throughout the Medicare stay; be involved in making Medicare eligibility determinations
4. Maintains compliance with state-specific regulations regarding the RAI process
5. Provides insight and analysis of MDS-based Quality Measures
6. Serves as a member of the quality assessment and assurance (QAA) and/or the quality assurance and performance improvement (QAPI) committees
7. Audits and improve staff education/competency as needed to ensure accurate and timely completion of supporting documentation and MDS assessments
8. Possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for ensuring the accurate and timely completion of the RAI documents
Nurse Assessment Coordinator Minimum Required Qualifications
- Associate's Degree in Nursing
- Must be licensed as a Registered Nurse within the state in which working and must maintain licensure
- Two (2) years related experience
- Ability to communicate effectively in both verbal and written formats
- Ability to follow all safety rules, regulations, policies and procedures of the facility including but not limited to: Vulnerable Adult and Abuse Policy, HIPAA, Resident's Bill of Rights, Universal Precaution, AWAIR, OSHA, Right to know, SDS, ADA, HUD Policy and Procedures, Fair Housing laws and regulations
Preferred Qualifications:
- Bachelor's Degree in Nursing
- Resident Assessment Coordinator - Certified (RAC-CT)
- Prior senior care experience
- Experience with medical coding and coverage requirements for various payer types
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.