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Rn Rac Auditor Jobs in Florida (NOW HIRING)

Skilled Nursing Facility

MDS Coordinator

Fort Pierce, FL

$29 - $37/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 ...

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 ... auditing experience. #PJCorp3 #LI-AC1 To all current Molina employees: If you are interested in ...

Molina Healthcare

Auditor, Clinical Services

Tampa, FL

$29.05 - $56.64/hr

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

Molina Healthcare

Auditor, Clinical Services

Orlando, FL

$29.05 - $56.64/hr

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

Aviata Health Group

RN MDS Coordinator

Palm Coast, FL · On-site

$31.25 - $37.75/hr

RN MDS Coordinator Aviata at Grand Oaks Address: 3001 Palm Coast Parkway SE, Palm Coast, FL, 32137 ... 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 · On-site

$31.25 - $37.75/hr

RN MDS Coordinator Aviata at Grand Oaks 3001 Palm Coast Parkway SE, Palm Coast, FL, 32137 Aviata ... RAC-CT or RNAC preferred. * You must be qualified, compassionate, and dedicated to a job well done.

SNI USA Inc

Registered Nurse (RN)

Jacksonville, FL · On-site

$35 - $43/hr

SNI Companies is searching for RNs to support our client in the Jacksonville, FL area. Our client ... Familiarity with quality assurance processes and medical record auditing * Detail-oriented with ...

nSpire LLC

RN MDS Coordinator

Lauderdale Lakes, FL · On-site

$37 - $44.75/hr

NSPIRE HEALTHCARE is Looking for qualified RN MDS to join our team! Perks and Benefits * Get paid ... RAC-CT or RNAC preferred. * You must be qualified, compassionate, and dedicated to a job well done.

Nspire

RN MDS Coordinator

Lauderhill, FL · On-site

$36.75 - $44.50/hr

NSPIRE HEALTHCARE is Looking for qualified RN MDS to join our team! Perks and Benefits * Get paid ... 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

NSPIRE HEALTHCARE is Looking for qualified RN MDS to join our team! Perks and Benefits * Get paid ... 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

NSPIRE HEALTHCARE is Looking for qualified RN MDS to join our team! Perks and Benefits Get paid in ... RAC-CT or RNAC preferred.You must be qualified, compassionate, and dedicated to a job well done.We ...

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All JobsRn Rac Auditor JobsRn Rac Auditor Jobs in Florida

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.

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 August 2026, with employment types broken down into 100% Full Time. Highlights an 85% In-person, and 15% Remote job distribution.

MDS Coordinator

Skilled Nursing Facility

Fort Pierce, FL

$29 - $37/hr

Full-time

Posted 13 days ago

Job description

Department: MDS
Reports To: Administrator

Position Summary

The Regional MDS Coordinator is responsible for overseeing MDS processes, PDPM optimization, and reimbursement integrity across assigned facilities. This role provides clinical, regulatory, and operational support to ensure accurate coding, timely submissions, and maximized reimbursement while maintaining compliance with all CMS guidelines. The position also serves as a key resource for education, auditing, and interim facility support.

Key Responsibilities

PDPM & Reimbursement Oversight

  • Maintain and update the Regional PDPM Review Spreadsheet to ensure accurate tracking of all PDPM-related data.

  • Review key reimbursement drivers (e.g., clinical conditions, functional status) to determine optimal Assessment Reference Dates (ARDs); utilize available tools or services as needed.

  • Identify opportunities for Interim Payment Assessments (IPAs) and ensure appropriate implementation.

  • Ensure compliance with CMS-required timeframes for MDS completion and submission.

  • Verify that complete and accurate clinical documentation is obtained from hospitals for all admissions.

  • Monitor and validate diagnoses for accuracy, appropriateness, and alignment with reimbursement and care planning.

  • Review and track Utilization Review (UR) sheets weekly to ensure alignment between clinical status and payer coverage.

  • Ensure appropriate issuance and accuracy of beneficiary notices, including NOMNC and ABN, when applicable.

MDS Completion & Clinical Support

  • Provide direct support in completing MDS assessments during staffing shortages, vacations, or open MDS Coordinator positions.

  • Provide RN signature on MDS assessments as required to ensure regulatory compliance (if applicable).

  • Deliver ongoing education and guidance to facility MDS staff and interdisciplinary team members on best practices, regulatory updates, and documentation accuracy.

Quality Measures & Team Collaboration

  • Support the Regional MDS Director in monitoring and improving Quality Measures (QMs), including follow-up and coordination for analysis and action planning.

  • Participate in weekly meetings with the Regional MDS Director to review performance, address challenges, and develop strategies.

  • Attend and actively engage in monthly MDS team meetings to align with organizational initiatives, share best practices, and address system-wide opportunities.

Auditing & Additional Support

  • Assist in completing requested audits to ensure compliance and identify opportunities for improvement.

  • Review and sign MDS assessments as needed.

  • Support the Regional MDS Director with additional tasks, special projects, and operational needs as assigned.

Qualifications

  • Active Registered Nurse (RN) license (preferred/required based on organization needs)

  • RAC-CT certification preferred

  • Minimum 3–5 years of MDS experience in a skilled nursing facility

  • Strong knowledge of PDPM, CMS regulations, and reimbursement systems

  • Experience with MDS software systems and clinical documentation review

  • Strong analytical, organizational, and communication skills

  • Ability to travel regionally as needed

Competencies

  • Regulatory compliance expertise

  • Clinical reimbursement optimization

  • Critical thinking and problem-solving

  • Leadership and team support

  • Time management and adaptability

https://info.flclearinghouse.com/


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