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Rn Rac Auditor Jobs in Florida (NOW HIRING)

Westside Oaks

MDS Coordinator (RN)

Jacksonville, FL · On-site

$32 - $38.50/hr

MDS/PDPM RN Wages are negotiable To plan, organize, and direct the MDS/PDPM process in accordance ... RAC-CT or RNAC preferred. COVID-19 vaccination is a requirement of employment. Accommodation ...

Molina Healthcare

Auditor, Clinical Services

Orlando, FL · On-site

$29.05 - $56.64/hr

Registered Nurse (RN). License must be active and restricted in state of practice. Strong attention ... auditing experience. #PJCorp #LI-AC1 To all current Molina employees: If you are interested in ...

Molina Healthcare

Auditor, Clinical Services

Orlando, FL · On-site

$29.05 - $56.64/hr

Registered Nurse (RN). License must be active and restricted in state of practice. Strong attention ... auditing experience. #PJCorp3 #LI-AC1 To all current Molina employees: If you are interested in ...

Molina Healthcare

Auditor, Clinical Services

Tampa, FL · On-site

$29.05 - $56.64/hr

Registered Nurse (RN). License must be active and restricted in state of practice. Strong attention ... auditing experience. #PJCorp #LI-AC1 To all current Molina employees: If you are interested in ...

Molina Healthcare

Auditor, Clinical Services

Miami, FL

$29.05 - $56.64/hr

Registered Nurse (RN). License must be active and restricted in state of practice. Strong attention ... auditing experience. #PJCorp #LI-AC1 To all current Molina employees: If you are interested in ...

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Rn Rac Auditor information

What is an RN RAC Auditor job?

An RN RAC (Recovery Audit Contractor) Auditor is a registered nurse who reviews medical records to ensure compliance with Medicare and Medicaid billing regulations. They analyze documentation, identify improper payments, and help healthcare providers correct billing errors. Their role is crucial in preventing fraud, ensuring accurate reimbursement, and improving healthcare compliance.

What are the key skills and qualifications needed to thrive in the Rn Rac Auditor position, and why are they important?

To thrive as an RN RAC Auditor, you need a current RN license, strong clinical background, and in-depth knowledge of Medicare and healthcare reimbursement systems. Familiarity with tools such as electronic health records (EHRs), the Resident Assessment Instrument (RAI), and coding software like ICD-10 is crucial, and certification such as RAC-CT (Resident Assessment Coordinator-Certified) is often preferred. Attention to detail, analytical thinking, and strong written and verbal communication are valuable soft skills for auditing complex medical records and collaborating with interdisciplinary teams. These competencies ensure accurate compliance, optimal reimbursement, and the maintenance of high regulatory standards within healthcare organizations.

What are some common challenges faced by RN RAC Auditors in their daily work?

RN RAC Auditors often encounter challenges such as keeping up with frequently changing Medicare regulations, ensuring meticulous accuracy in clinical documentation, and coordinating with various healthcare professionals to resolve discrepancies. The role may require balancing multiple audits simultaneously and adapting quickly to new software or compliance standards. Successful RAC Auditors rely on strong organizational skills and up-to-date industry knowledge to navigate these challenges and support their facility’s compliance and reimbursement objectives. Most auditors work closely with MDS coordinators, billing departments, and clinical teams, making clear communication and teamwork essential. Staying proactive with ongoing education and training can also help ease these hurdles and contribute to long-term career growth.

What are popular job titles related to Rn Rac Auditor jobs in Florida? For Rn Rac Auditor jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Rn Rac Auditor jobs in Florida look for? The top searched job categories for Rn Rac Auditor jobs in Florida are:
Rn Rac Auditor jobs near you
Infographic showing various Rn Rac Auditor job openings in Florida as of July 2026, with employment types broken down into 1% Locum Tenens, 87% Full Time, 9% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 5% Hybrid, and 6% Remote job distribution.

RN MDS Nurse / Resident Assessment Coordinator (RAC)

CommuniCare Family of Companies

Crestview, FL • On-site

$31.50 - $38/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

Job Address:
199 Court StreetJane Lew, WV 26378
Crestview Manor Healthcare Center, a member of the CommuniCare Family of Companies, is currently recruiting an RN MDS Nurse / Resident Assessment Coordinator (RAC) to join our team.At CommuniCare, MDS Nurses are treated as key members of our Operations team. We appreciate your contribution to our facility's success!
WHAT WE OFFER
Beyond our competitive wages and Paid Time Off, we offer all full-time employees a variety of benefit options including:
  • Life
  • LTD/STD
  • Medical, Dental, and Vision
  • 401(k) Employer Match with Flexible Spending Accounts

CATCH THE SPIRIT!
When you join the CommuniCare family, you'll quickly catch the team spirit. Coworkers and residents become family, the workplace becomes a home, and a touch of spontaneity and fun keeps everyone smiling. Our core values promote an environment of respect, courtesy, and professional excellence where you can dedicate yourself to a career you love.
Do you have what it takes to be an RN MDS Nurse with CommuniCare?
QUALIFICATIONS & EXPERIENCE REQUIREMENTS
  • Graduate of an accredited school of nursing; RN
  • Valid RN license in the state employed
  • Three years of experience in a long term care environment preferred
  • Experience with the MDS/RAI process and/or case management preferred
  • Energetic, good time management, attention to detail

JOB RESPONSIBILITIES
The MDS Nurse RAC (Resident Assessment Coordinator) reports to the Executive Director and is responsible for accurate and timely completion of mds assessments and coordination of the RAI process. Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. This includes ensuring that the centers are in compliance with federal and state regulations as well as the CommuniCare Family of Companies' guidelines and policies and procedures. This role serves as a key member of the facility's management team in helping the facility obtain/maintain quality outcomes.
THE COMMUNICARE COMMITMENT
A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.

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