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Rn Rac Auditor Jobs in Florida (NOW HIRING)

Skilled Nursing Facility

MDS Coordinator

Sarasota, FL · On-site

$33 - $42.25/hr

The position also serves as a key resource for education, auditing, and interim facility support ... Active Registered Nurse (RN) license (preferred/required based on organization needs) * RAC-CT ...

Skilled Nursing Facility

MDS Coordinator

Clearwater Beach, FL · On-site

$31.50 - $40.25/hr

The position also serves as a key resource for education, auditing, and interim facility support ... Active Registered Nurse (RN) license (preferred/required based on organization needs) * RAC-CT ...

Aviata at Fletcher

MDS Coordinator, (RN)

Tampa, FL · On-site

$85K - $95K/yr

MDS Coordinator, (RN) Aviata Health Group is seeking a qualified RN or LPN MDS Coordinator to join ... RAC-CT or RNAC preferred. • You must be qualified, compassionate, and dedicated to a job well ...

NHC HomeCare - Chipley

Compliance Auditor

Chipley, FL · On-site

Valid, unencumbered multi-state RN or LPN license with at least 5 years clinical experience; * Minimum five (5) years' experience in Medicare-reimbursed home health care; * Experience in auditing and ...

NHC HomeCare - Quincy

Compliance Auditor

Quincy, FL · On-site

Valid, unencumbered multi-state RN or LPN license with at least 5 years clinical experience; * Minimum five (5) years' experience in Medicare-reimbursed home health care; * Experience in auditing and ...

NHC HomeCare - Chipley

Compliance Auditor

Chipley, FL · On-site

Valid, unencumbered multi-state RN or LPN license with at least 5 years clinical experience; * Minimum five (5) years' experience in Medicare-reimbursed home health care; * Experience in auditing and ...

NHC HomeCare - Quincy

Compliance Auditor

Quincy, FL · On-site

Valid, unencumbered multi-state RN or LPN license with at least 5 years clinical experience; * Minimum five (5) years' experience in Medicare-reimbursed home health care; * Experience in auditing and ...

Aviata at Fletcher

MDS Coordinator, (RN)

Tampa, FL · On-site

$85K - $95K/yr

MDS Coordinator, (RN) Job Location: Tampa, Florida Company Name: Aviata at Fletcher Aviata Health ... RAC-CT or RNAC preferred. * You must be qualified, compassionate, and dedicated to a job well done.

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Rn Rac Auditor information

What is an RN RAC Auditor?

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 as an RN RAC Auditor?

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.

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Rn Rac Auditor jobs near you
Infographic showing various Rn Rac Auditor job openings in Florida as of September 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 93% In-person, and 7% Remote job distribution.

RN, DRG Coder / Clinical Auditor

Destin, FL • Remote

Pivotal Placement Services
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Pivotal Placement Servicesexternal

$95K - $105K/yr

Full-time

Posted 7 days ago

Job description

RN, DRG Coder / Clinical Auditor
Must be a Registered Nurse with experience

Remote | Full-Time | Healthcare | Clinical Documentation & Coding

About the Role

We’re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This role ensures accurate coding and clinical support for DRG assignments, helping improve billing accuracy, reimbursement, and compliance. You’ll work independently to review records, validate coding, and communicate findings clearly and professionally.

Key Responsibilities

  • Chart Review & Validation
    Review medical records to validate DRG assignments and ensure clinical documentation supports coding decisions.

  • Physician Documentation Review
    Confirm that physician notes and clinical indicators support assigned DRGs.

  • Audit & Compliance
    Conduct audits to verify coding accuracy, enhance reimbursement, and identify cost-saving opportunities.

  • Coding Expertise
    Apply ICD-10-CM and PCS coding guidelines, payer rules, and regulatory standards (Medicare, Medicaid, CMS).

  • Communication & Reporting
    Clearly document findings and communicate results in a professional and concise manner.

  • Other Duties
    Support additional documentation and coding-related tasks as assigned.

Qualifications
  • Licensure: RN
  • Experience:
    • Minimum 1 year of recent DRG auditing experience in a hospital or health plan setting.
    • Inpatient ICD-10 coding experience required.
    • CDI candidates are encouraged to apply.
  • Certifications:
    • National coding certification through AHIMA (preferred) or AAPC.
    • CCS or CIC strongly preferred.
  • Technical Skills:
    • Proficient in MS and APR DRG methodology.
    • Familiarity with Coding Clinic citations and Official Coding Guidelines.
    • Strong understanding of Medicare/CMS documentation requirements.
  • Soft Skills:
    • Exceptional attention to detail.
    • Strong problem-solving and critical thinking abilities.
    • Effective verbal and written communication.
    • Ability to work independently in a fast-paced, production-driven environment.
  • Tools:
    • Proficient in Microsoft Office Suite.
Compensation

Pay Range: $90,000 – $104,841
Salary is based on location, experience, qualifications, and internal equity. Final compensation may vary depending on assessment during the interview process.

Who We Are

Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals—from staff to leadership—with both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.