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Rn Rac Auditor Jobs in Illinois (NOW HIRING)

Norwood Crossing

MDS Coordinator RN

Chicago, IL · On-site

$38.50 - $46.50/hr

Triple Check & Auditing: Participate in weekly Triple Check meetings prior to billing submission ... RAC-CT (Resident Assessment Coordinator-Certified) preferred. * Regulatory Knowledge: Deep ...

Norwood Crossing

MDS Coordinator RN

Chicago, IL · On-site

$38.50 - $46.50/hr

Triple Check & Auditing: Participate in weekly Triple Check meetings prior to billing submission ... RAC-CT (Resident Assessment Coordinator-Certified) preferred. * Regulatory Knowledge: Deep ...

Norwood Crossing

MDS Coordinator RN

Chicago, IL · On-site

$38.50 - $46.50/hr

Triple Check & Auditing: Participate in weekly Triple Check meetings prior to billing submission ... RAC-CT (Resident Assessment Coordinator-Certified) preferred. * Regulatory Knowledge: Deep ...

Morris Hospital

MANAGER CASE MANAGEMENT

Morris, IL

$19.50 - $25/hr

Bachelor's Degree in Nursing with Current IL RN Licensure or Master's Degree in Social Work ... Experience in RAC auditing / review. * DCFS Mandated Reporter Certificate of Completion required.

Morris Hospital

MANAGER CASE MANAGEMENT

Morris, IL · On-site

$93K - $140K/yr

Bachelor's Degree in Nursing with Current IL RN Licensure or Master's Degree in Social Work ... Experience in RAC auditing / review. * DCFS Mandated Reporter Certificate of Completion required.

Elara Caring

Senior Compliance Auditor - RN

Chicago, IL · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there's no place like home, and that's why our teams ...

Elara Caring

Senior Compliance Auditor - RN

Chicago, IL · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there's no place like home, and that's why our teams ...

Capstone Health

RN

Rockford, IL · On-site

$2.0K - $2.4K/wk

Registered Nurse Rockford, IL Specialty: Registered Nurse (RN) Position Type: Travel Contract ... Maintaining, reviewing, and auditing medical records to monitor health concerns and document the ...

Pavilion of Logan Square

MDS Auditor

Chicago, IL · On-site

$70 - $110/hr

Licensed Registered Nurse (RN), Licensed Practical Nurse (LPN), or equivalent healthcare credential ... Experience auditing MDS assessments, Section GG documentation, and reimbursement-related components ...

Legacy Healthcare

MDS Coordinator RN

Lombard, IL · On-site

$36 - $44/hr

) MDS Coordinator RN Salary range: $36 - $44/hour Comprehensive benefits package We are looking to ... auditing, and modifying each resident's care plan for their individual needs and goals, performing ...

Legacy Health Care

MDS Coordinator RN

Lombard, IL · On-site

$36 - $44/hr

MDS Coordinator RN Salary range: $36 - $44/hour Comprehensive benefits package We are looking to ... auditing, and modifying each resident's care plan for their individual needs and goals, performing ...

Legacy Healthcare

MDS Coordinator RN

Lombard, IL

$36 - $44/hr

MDS Coordinator RN Salary range: $36 - $44/hour Comprehensive benefits package We are looking to ... auditing, and modifying each resident's care plan for their individual needs and goals, performing ...

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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.

What are popular job titles related to Rn Rac Auditor jobs in Illinois?

For Rn Rac Auditor jobs in Illinois, the most frequently searched job titles are:

What job categories do people searching Rn Rac Auditor jobs in Illinois look for?

The top searched job categories for Rn Rac Auditor jobs in Illinois are:

Rn Rac Auditor jobs near you
Infographic showing various Rn Rac Auditor job openings in Illinois as of August 2026, with employment types broken down into 2% As Needed, 53% Full Time, 18% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

MDS Coordinator RN

Chicago, IL • On-site

Norwood Crossing
Health Care and Social Assistance • 201 - 500 employees
Learn more about Norwood Crossingexternal

$38.50 - $46.50/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago

Job description

MDS Coordinator (RN)
Location: Chicago, IL (Norwood Park area)
Facility: Norwood Crossing
Job Type: Full-Time
Department: Nursing / Clinical Reimbursement
Licensure: Registered Nurse (RN)
About Us
Located in the charming Norwood Park neighborhood of Chicago, Norwood Crossing has provided exceptional, compassionate care to older adults for over a century. Our non-profit community offers a warm, welcoming environment where our dedicated team members are valued, supported, and empowered to deliver top-tier care.
We are committed to maintaining clinical excellence, regulatory integrity, and a culture of continuous quality improvement.
The Role
We are seeking an experienced, detail-oriented MDS Coordinator (RN) to oversee our Minimum Data Set (MDS) assessment process and clinical reimbursement functions!
In this key clinical leadership role, you will be responsible for completing accurate, timely MDS assessments, developing interdisciplinary resident care plans, and ensuring appropriate Medicare/Medicaid clinical reimbursement under the PDPM model. If you are an RN with strong analytical skills, in-depth knowledge of RAI guidelines, and a passion for advocating for resident care needs, we want to meet you!
Key Responsibilities
  • MDS & Assessment Management: Coordinate, schedule, and complete all required MDS assessments (OBRA and PPS) accurately and in strict compliance with federal and state timelines.
  • Care Planning: Facilitate interdisciplinary care plan meetings, working closely with nursing, therapy, social services, and dining teams to establish individualized care plans.
  • PDPM & Reimbursement Oversight: Monitor and optimize Patient-Driven Payment Model (PDPM) coding, ICD-10 diagnosis coding, and documentation to ensure accurate reflection of care delivered and proper clinical reimbursement.
  • Triple Check & Auditing: Participate in weekly Triple Check meetings prior to billing submission; perform routine audits of clinical documentation to support MDS coding.
  • Staff Education: Educate floor nurses and interdisciplinary team members on documentation standards, MDS coding requirements, and care plan compliance.
Qualifications
  • Licensure: Active, unencumbered Registered Nurse (RN) license in the State of Illinois.
  • Experience: Minimum 2+ years of experience as an MDS Coordinator in a Skilled Nursing Facility (SNF) or long-term care setting.
  • Certification: RAC-CT (Resident Assessment Coordinator-Certified) preferred.
  • Regulatory Knowledge: Deep understanding of CMS RAI guidelines, Medicare Part A/B, Medicaid, PDPM, and IDPH long-term care regulations.
  • Technical Skills: Proficient with PointClickCare (PCC) or similar Electronic Health Record (EHR) systems.
What We Offer
  • Competitive Salary: Highly competitive salary package commensurate with experience.
  • Immediate Pay Access: On-demand access to earned wages before payday using the RAIN app!
  • Comprehensive Benefits: Choice of high-tier medical, dental, and vision insurance packages.
  • Paid Time Off: Generous PTO allowance and paid holidays.
  • Retirement: 401(k) plan with company matching options.
  • Supportive Culture: A mission-driven, non-profit community culture that prioritizes staff appreciation and work-life balance.

To Apply: Submit your resume today! Qualified candidates will be contacted promptly for an initial screening call.

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