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Rn Rac Auditor Jobs in Illinois (NOW HIRING)

Carle Health

RN - Patient Advisory

Champaign, IL · On-site

Licensed Registered Professional Nurse (RN) - Indiana (IN) within 1 year - Indiana Professional ... Assists with department tracking, auditing, and reporting feedback for opportunities of improvement.

Sarahbush

$23.87/hr

Interacts with medical staff, nursing, ancillary departments, provider offices, and outside ... Registered Health Information Technician (RHIT) - American Health Information Management ...

DuPage Convalescent Center

MDS Coordinator

Wheaton, IL · On-site

$34 - $43.25/hr

This position requires possession of a current license in Illinois as a Professional Registered Nurse (RN) * AANAC RAC-CT certification is required within six (6) months of employment. The DuPage ...

New

County of DuPage

MDS Coordinator

Wheaton, IL · On-site

$83K - $95K/yr

... (RN). AANAC RAC-CT certification is required within six (6) months of employment The DuPage County Care Center will reimburse selected candidates the cost for initial AANAC RAC-CT certification and ...

Carle Health

RN - Patient Advisory

Champaign, IL · On-site

... RN's are the key to making sure our patients are cared for 24/7. By providing the ideal blend of ... Assists with department tracking, auditing, and reporting feedback for opportunities of improvement.

County of DuPage, CO

MDS Coordinator

Wheaton, IL · On-site

$83K - $95K/yr

This position requires possession of a current license in Illinois as a Professional Registered Nurse (RN) * AANAC RAC-CT certification is required within six (6) months of employment. The DuPage ...

County of DuPage, CO

MDS Coordinator

Wheaton, IL · On-site

$83K - $95K/yr

This position requires possession of a current license in Illinois as a Professional Registered Nurse (RN) * AANAC RAC-CT certification is required within six (6) months of employment. The DuPage ...

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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.

Coding Auditor - Professional

Sarah Bush Lincoln

Mattoon, IL • On-site

$23.87/hr

Other

Re-posted 8 days ago

Sarah Bush Lincoln rating

7.7

Company rating: 7.7 out of 10

Based on 43 frontline employees who took The Breakroom Quiz

159th of 887 rated healthcare providers

Job description

Coding Auditor - Professional

Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.

Department: Physician coding

Hours: Full-Time, 40 hours a week required

Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire

Pay: Based on experience, starting at $23.87/hour

Location: Remote or onsite: At this time, you must reside in one of the following locations:

Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas

Responsibilities

Assists coders with coding questions., Conducts the collection and reporting of provider and coder audit results and education. Works with coders and providers to ensure appropriate documentation for clinic services. Reports results to Coding Supervisor - Professional., Demonstrates ability to code all types of encounters., Meets quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded. Ensures data quality and optimum reimbursement allowable under the federal and state payment systems., Refers trend patterns of coding and documentation to Coding Supervisor – Professional., Responsible for coding quality audits for E/M Audit Program. Analyze and confirm assigned encounters for provider's selection of EM code level utilizing EM code levelselection auditing tool are accurate. Analyze and confirm assigned encounters for coder's selection of diagnoses and procedures codes are accurate., Reviews record thoroughly to ascertain all diagnoses/procedures. Codes all diagnoses/procedures in accordance to ICD-CM and CPT coding principles, official guidelines and regulations., Trains new coding staff on coding systems and processes.

Requirements

High School (Required)CEMA - Certified Evaluation & Management Auditor (within 6 months) - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, CPMA - Certified Professional Medical Auditor (within 1 year) - Sarah Bush Lincoln, Registered Health Information Technician (RHIT) - American Health Information Management Association or Registered Health Info Administrator (RHIA) - American Health Information Management Association - American Health Information Management Association

Compensation

Estimated Compensation Range

$23.87 - $37.00

Pay based on experience

What Sarah Bush Lincoln employees say

Pay

Benefits

Hours and flexibility

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