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Rn Rac Auditor Jobs in Illinois (NOW HIRING)

Morris Hospital

MANAGER CASE MANAGEMENT

Morris, IL · On-site

$93K - $140K/yr

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

Morris Hospital

MANAGER CASE MANAGEMENT

Morris, IL · On-site

$19.50 - $25/hr

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

Allure HCS

IL

$35.50 - $43/hr

Regional MDS Consultant (RN)Company: Allure Healthcare Services (Allure HCS) Position Type ... RAC-CT or RNAC certification preferred. * Strong leadership, coaching, and communication skills.

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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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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 100% Full Time. Highlights an 100% In-person job distribution.

MANAGER CASE MANAGEMENT

Morris Hospital

Morris, IL • On-site

$93K - $140K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Morris Hospital & Healthcare Centers rating

6.8

Company rating: 6.8 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

Job description

  • DESCRIPTION OF POSITION
    • Responsible and accountable for managing and directing of day to day operations of Case Management. Works cooperatively with leadership of other departments to integrate clinical services, administrative and educational aspects throughout the continuum. Has 24 hour accountability. Responsible for planning, development, implementation and evaluation of the Case Management department for Morris Hospital & Healthcare Centers; provides leadership and guidance for functions related to Case Management, Utilization Review, and Social Services. Develops strategies to manage high risk patients in our community and reduce re-admissions and progression of care delays.
  • QUALIFICATIONS
    • Professional/Educational
      • Current IL RN Licensure.
      • Bachelor's Degree in Nursing required, Master's degree preferred with current Illinois RN license.
      • Five years of healthcare or business experience, at least three of which have been in a supervisor or manager.
      • Two years previous experience in case management/utilization review.
      • Certification in Case Management preferred.
      • Experience in RAC auditing / review.
      • DCFS Mandated Reporter Certificate of Completion required.
    • Personal
      • Demonstrated ability to manage both clinicians and non-clinicians.
      • Proven leadership and interpersonal skills
      • Ability to exhibit / promote progressive management skills in order to facilitate change.
      • Ability to envision the whole picture while focusing on major issues.
      • Demonstrated flexibility and dedication to team involvement.
      • Capable of accepting new challenges and development of programs from start to finish.
      • Self-directed with sound decision making and communication skills.
      • Ability to promote team building skills and to empower others.
      • Ability to give both oral and written presentations to physicians and staff.

Actual pay will be determined by qualifications, experience, and internal equity.
Morris Hospital & Healthcare Centers offers a comprehensive benefit package including:
- Medical, dental, vision plans
- Paid time off
- Retirement plan, including immediate 100% vesting
- Life insurance
- Disability coverage
- Nurse residency program
- Wellness program
- Health club / gym membership reimbursement
- Reward & Recognition programs
- Tuition Reimbursement
- Employee Assistance Program
https://www.morrishospital.org/careers/employee-benefits/#medical--dental--vision-and-flexible-spending-account

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