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Rn Rac Auditor Jobs in Virginia (NOW HIRING)

Gentiva Hospice

Afterhours Care Manager RN

Fairfax, VA · On-site

$85K - $107K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical administrative responsibilities, workflow auditing, and survey readiness support are also ... Current RN license in the state of employment * Graduate of an accredited nursing program * Minimum ...

Gentiva Hospice

Afterhours Care Manager RN

Lynchburg, VA · On-site

$85K - $92K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical administrative responsibilities, workflow auditing, and survey readiness support are also ... Current RN license in the state of employment * Graduate of an accredited nursing program * Minimum ...

Heartland Hospice

Afterhours Care Manager RN

Fairfax, VA · On-site

$85K - $107K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical administrative responsibilities, workflow auditing, and survey readiness support are also ... Current RN license in the state of employment * Graduate of an accredited nursing program * Minimum ...

Gentiva Hospice

Afterhours Care Manager RN

Harrisonburg, VA · On-site

$64K - $80K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical administrative responsibilities, workflow auditing, and survey readiness support are also ... Current RN license in the state of employment * Graduate of an accredited nursing program * Minimum ...

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Rn Rac Auditor information

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How much do rn rac auditor jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for rn rac auditor in Virginia is $32.71, according to ZipRecruiter salary data. Most workers in this role earn between $28.61 and $35.77 per hour, depending on experience, location, and employer.

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 Virginia?

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Rn Rac Auditor jobs near you
Infographic showing various Rn Rac Auditor job openings in Virginia as of August 2026, with employment types broken down into 3% As Needed, 49% Full Time, 21% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $68,029 per year, or $32.7 per hour.

RN MDS Coordinator - Full-time - Smithfield Lifelong Health

Riverside Health System

Smithfield, VA • On-site

$36.50 - $50.23/hr

Other

Re-posted 3 days ago

Job description

Smithfield, Virginia
Hiring Range
$36.50 - $50.23/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.
Overview
Works under the supervision of the Administrator. Oversees the entire Resident Assessment Instrument (RAI) process focusing on delivery of care, resident outcomes, reimbursement, and quality assurance of the RAI process. Ensures accurate and timely completion of all areas of the assessment, Care Area Assessment(CAA) completion, and Care Plan development.
What you will do

  • Report status of Minimum Data Set(MDS) assessments due to Administrator on a weekly basis. Assures timely scheduling of MDS and timely completion per regulatory requirements.
  • Utilize auditing tools to manage RUG, ADL score, 5 Star, QRP, and QM trends.
  • Communicate with Accounts Receivable analyst regarding Prospective Payment System(PPS) assessments ready to be billed. Completes required percentage of MDS from previous month by monthly deadline for timely billing.
  • Participate in meetings and training events provided by Quality/Reimbursement team. Provides in house training for direct care staff to ensure accurate documentation of provision of care.
  • Participate in monthly facility Quality Assurance(QA) meetings (with focus on QM/5 Star/QRP). Serves as a resource to QA team with development of QAPI plans related to QM/5 Star reports.
  • Work with nursing administration, providers, and rehab to determine best course of action regarding quality care and provision of care with appropriate implementation of plan of care.
Qualifications
Experience
  • 2 years Long-term care or Skilled Nursing experience (Preferred)
Licenses and Certifications
  • Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) or licensed in a compact state Upon Hire(Required)
  • BLS/CPR/AED - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) within 30 Days(Required)
  • Certified MDS Assessment Coordinator (CMAC) (Preferred)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

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