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Rn Rac Auditor Jobs in Florida (NOW HIRING)

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 ...

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 ...

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 ...

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 ...

Showing results 41-60

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:

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 RN (Registered Nurse) Licensed Practical Nurse (LPN)

Viera Health & Rehabilitation Center

Melbourne, FL • On-site

$34.50 - $41.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago


Job description

MDS Coordinator

Viera is looking for a RN (Registered Nurse) Licensed Practical Nurse (LPN) to be their MDS Coordinator.


Position Summary

The MDS Coordinator is responsible for coordinating and managing the Resident Assessment Instrument (RAI) process, including Minimum Data Set (MDS) assessments, care planning, Medicare and Medicaid reimbursement documentation, and regulatory compliance. This position works closely with the interdisciplinary team to ensure accurate resident assessments, timely submissions, quality outcomes, and optimal reimbursement.

What we offer you:

Competitive Pay

Referral Bonuses

PayActiv & Uber Rides

Paid Time Off

Paid Holidays

Medical * Dental * Vision * Life * STD Insurances.

401K retirement plan.

ABOUT VIERA HEALTH & REHAB CENTER- Located in Viera, FL, we are a skilled nursing and rehabilitation facility that is dedicated to helping our residents maximize their potential and live their lives to the fullest. We offer a modern, comfortable, and secure facility staffed by caring professionals where individuals receive the finest sub-acute medical care, rehabilitation services, and 24-hour skilled nursing care. We are committed to maintaining a facility where compassionate care is provided in an environment of respect, dignity. It is also a great working environment for our staff as we truly value and appreciate each member of our team!

Essential Duties and Responsibilities

MDS & Assessment Management

  • Coordinate and complete all MDS assessments in accordance with CMS, Medicare, Medicaid, and Florida regulations.

  • Maintain the MDS assessment schedule and ensure timely completion of OBRA and PPS assessments.

  • Conduct resident interviews, chart reviews, and clinical assessments.

  • Submit MDS assessments accurately and within required deadlines.

  • Monitor Assessment Reference Dates (ARDs) and ensure compliance with federal guidelines.

Care Planning

  • Develop, implement, and update individualized resident care plans.

  • Coordinate interdisciplinary care plan meetings.

  • Collaborate with nursing, therapy, dietary, social services, activities, and medical staff.

  • Ensure care plans reflect resident needs, goals, and services provided.

Reimbursement & Compliance

  • Ensure documentation supports Medicare and Medicaid reimbursement.

  • Review clinical records for accuracy, completeness, and regulatory compliance.

  • Monitor PDPM coding and reimbursement opportunities.

  • Participate in audits, quality assurance activities, and regulatory surveys.

  • Assist with survey preparation and plan-of-correction activities as needed.

Quality Assurance

  • Conduct routine chart audits.

  • Track quality measures and clinical outcomes.

  • Identify documentation deficiencies and implement corrective actions.

  • Participate in Quality Assurance and Performance Improvement (QAPI) programs.

Education & Leadership

  • Educate nursing staff regarding MDS documentation requirements and regulatory changes.

  • Serve as a resource for MDS, RAI, Medicare, Medicaid, and PDPM questions.

  • Assist with orientation and training of clinical staff.

Qualifications

Required

  • Current Florida Registered Nurse (RN) license or Licensed Practical Nurse (LPN)

  • Minimum 1–2 years of skilled nursing or long-term care experience.

  • Experience with MDS 3.0, RAI process, and Medicare/Medicaid regulations.

  • Knowledge of PDPM reimbursement methodology.

  • Proficiency with Electronic Medical Records (EMR).

Preferred

  • RAC-CT certification or willingness to obtain.

  • Previous MDS Coordinator experience in a skilled nursing facility.

  • Experience with Florida AHCA regulations and survey process.

Skills & Competencies
  • Strong knowledge of CMS regulations and reimbursement systems.

  • Excellent assessment and clinical documentation skills.

  • Attention to detail and accuracy.

  • Strong organizational and time-management skills.

  • Effective communication and interdisciplinary collaboration.

  • Ability to analyze clinical data and identify reimbursement opportunities.


We are an Equal Opportunity Employer https://www.eeoc.gov/poster

Our facility uses the Florida Background Screening Clearinghouse, 435.12, Florida Statutes. Learn more at https://info.flclearinghouse.com
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