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Rn Rac Auditor Jobs in Florida (NOW HIRING)

Aviata Health Group

RN MDS Coordinator

Palm Coast, FL · On-site

$33.50 - $40.50/hr

) Job Title: RN MDS Coordinator Job Location: Palm Coast, Florida Company: Aviata at Grand Oaks About ... RAC-CT or RNAC preferred. * You must be qualified, compassionate, and dedicated to a job well done.

Aviata at Grand Oaks

RN MDS Coordinator

Palm Coast, FL

$33.50 - $40.50/hr

Job Title: RN MDS Coordinator Job Location: Palm Coast, Florida Company: Aviata at Grand Oaks About ... RAC-CT or RNAC preferred. * You must be qualified, compassionate, and dedicated to a job well done.

Lee Health

RN MDS Coordinator GC

Fort Myers, FL

$30.27 - $40.86/hr

RAC-CT preferred. License: Current license or eligible for RN licensure in the State of Florida Other: Excellent communication and customer service skills required. US:FL:Fort Myers

Bear Creek Nursing

RN, MDS Coordinator

Hudson, FL · On-site

$29.25 - $35.25/hr

RN MDS Coordinator - Sign-On Bonus Bear Creek Nursing & Rehab Center 8041 State Road 52, Hudson, FL ... RAC-CT Certification * Experience with reimbursement audits and CMI management What Makes You a ...

Bear Creek Nursing

RN, MDS Coordinator

Hudson, FL · On-site

$29.25 - $35.25/hr

RN MDS Coordinator - Sign-On Bonus Bear Creek Nursing & Rehab Center 8041 State Road 52, Hudson, FL ... RAC-CT Certification * Experience with reimbursement audits and CMI management What Makes You a ...

Lee Health

RN MDS Coordinator GC

Fort Myers, FL · On-site

$30.27 - $40.86/hr

RAC-CT preferred. License: Current license or eligible for RN licensure in the State of Florida Other: Excellent communication and customer service skills required. US:FL:Fort Myers

Nspire

MDS Coordinator RN

Lauderhill, FL · On-site

$36.75 - $44.50/hr

Looking for qualified MDS Coordinator RN to join our team! You will have flexibility to build your ... RAC-CT or RNAC preferred. * You must be qualified, compassionate, and dedicated to a job well done.

Nspire

(RN) MDS Coordinator

Fort Lauderdale, FL · On-site

$36.75 - $44.50/hr

Looking for qualified MDS Coordinator RN to join our team! You will have flexibility to build your ... RAC-CT or RNAC preferred. * You must be qualified, compassionate, and dedicated to a job well done.

nSpire LLC

MDS Coordinator RN

Lauderdale Lakes, FL

$37 - $44.75/hr

Looking for qualified MDS Coordinator RN to join our team! You will have flexibility to build your ... RAC-CT or RNAC preferred. * You must be qualified, compassionate, and dedicated to a job well done.

Nspire

MDS Coordinator RN

Fort Lauderdale, FL

$36.75 - $44.50/hr

Looking for qualified MDS Coordinator RN to join our team! You will have flexibility to build your ... RAC-CT or RNAC preferred. * You must be qualified, compassionate, and dedicated to a job well done.

NHC HomeCare - Quincy

Compliance Auditor

Quincy, FL

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 ...

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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 June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.
Auditor, Clinical Services

Auditor, Clinical Services

Molina Healthcare

Saint Petersburg, FL

$29.05 - $56.64/hr

Full-time

Posted 6 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

146th of 261 rated insurance

Job description

JOB DESCRIPTION Job Summary

Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care. 

Essential Job Duties


• Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. May also perform non-clinical system and process audits as needed. 
• Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met. 
• Assesses clinical staff regarding appropriate clinical decision-making. 
• Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership. 
• Ensures auditing approaches follow a Molina standard in approach and tool use. 
• Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and professionalism in all communications. 
• Adheres to departmental standards, policies and protocols. 
• Maintains detailed records of auditing results. 
• Assists healthcare services training team with developing training materials or job aids as needed to address findings in audit results. 
• Meets minimum production standards related to clinical auditing. 
• May conduct staff trainings as needed. • Communicates with quality and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct. 

Required Qualifications


• At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience. 
• Registered Nurse (RN). License must be active and restricted in state of practice. 
• Strong attention to detail and organizational skills. 
• Strong analytical and problem-solving skills. 
• Ability to work in a cross-functional, professional environment. 
• Ability to work on a team and independently. 
• Excellent verbal and written communication skills. 
• Microsoft Office suite/applicable software program(s) proficiency. 

Preferred Qualifications


• Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience.

#PJCorp

#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $29.05 - $56.64 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

What Molina Healthcare employees say

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Benefits

Hours and flexibility

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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