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Rn Rac Auditor Jobs in Wisconsin (NOW HIRING)

Lifespace Communities

MDS Coordinator

Mequon, WI · On-site

$78K - $108K/yr

If you're an RN or LPN/LVN with MDS experience who enjoys combining clinical expertise, regulatory ... Generate and review CASPER reports and other regulatory and quality auditing tools. * Partner ...

Lifespace Communities

MDS Coordinator

Brown Deer, WI · On-site

$78K - $108K/yr

If you're an RN or LPN/LVN with MDS experience who enjoys combining clinical expertise, regulatory ... Generate and review CASPER reports and other regulatory and quality auditing tools. * Partner ...

Lifespace Communities

MDS Coordinator

Mequon, WI · Hybrid

$78K - $108K/yr

If you're an RN or LPN/LVN with MDS experience who enjoys combining clinical expertise, regulatory ... Generate and review CASPER reports and other regulatory and quality auditing tools. * Partner ...

Entyre Care

Registered Nurse

Milwaukee, WI · On-site

$100K/yr

... delivery, auditing daily records, and documenting any changes needed • Serve on the Quality ... RN license (or multistate compact privilege) • Experience in home care, personal care, or ...

Entyre

Registered Nurse

Milwaukee, WI · On-site

... delivery, auditing daily records, and documenting any changes needed • Serve on the Quality ... RN license (or multistate compact privilege) • Experience in home care, personal care, or ...

Entyre Care

Registered Nurse

Milwaukee, WI · On-site

... delivery, auditing daily records, and documenting any changes needed • Serve on the Quality ... RN license (or multistate compact privilege) • Experience in home care, personal care, or ...

Entyre

Registered Nurse

Milwaukee, WI · On-site

... delivery, auditing daily records, and documenting any changes needed • Serve on the Quality ... RN license (or multistate compact privilege) • Experience in home care, personal care, or ...

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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 Wisconsin?

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

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

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

Rn Rac Auditor jobs near you
Infographic showing various Rn Rac Auditor job openings in Wisconsin as of August 2026, with employment types broken down into 3% As Needed, 56% Full Time, 13% Part Time, and 28% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

MDS Coordinator

Lifespace Communities

Mequon, WI • On-site

$78K - $108K/yr

Other

Re-posted 2 days ago

Lifespace Communities rating

7.8

Company rating: 7.8 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

Job description

Community:

Newcastle Place

Address:  

12600 N PortMequon, Wisconsin 53092

Pay Range

$78,900.00-$108,500.00+ Annual Sign-on Bonus $5k

Bring your MDS expertise to a role where accuracy matters, your clinical judgment is valued, and flexibility is part of how we work.

Lifespace Communities is seeking an experienced MDS Coordinator to lead the Resident Assessment Instrument process and help ensure exceptional, person-centered care for our residents.

We know MDS professionals need focused time for documentation, assessment review, and regulatory work. That's why this position offers a flexible work schedule and hybrid work environment, providing the opportunity to work both onsite and remotely based on community and resident needs.

If you're an RN or LPN/LVN with MDS experience who enjoys combining clinical expertise, regulatory knowledge, collaboration, and resident advocacy, let’s talk.

What You'll Do

As our MDS Coordinator, you'll play an important role in clinical quality, reimbursement accuracy, compliance, and resident care. You will:

  • Coordinate the community's MDS/RAI process in accordance with federal and state requirements.

  • Complete MDS assessments accurately and within required timeframes.

  • Coordinate admission, quarterly, annual, significant-change, and Medicare assessments.

  • Develop and oversee individualized care plans with measurable goals and resident-centered interventions.

  • Establish ARD schedules and partner with the interdisciplinary team to ensure timely completion of MDS sections and Care Area Assessments.

  • Lead care plan and weekly Medicare meetings and complete Medicare certifications and recertifications.

  • Support PDPM, PPS, Medicare, reimbursement, and documentation requirements.

  • Participate in resource utilization and triple-check processes prior to billing.

  • Monitor resident progress and identify changes that may affect care plans or PDPM classifications.

  • Ensure medical records, physician orders, diagnoses, assessments, and supporting clinical documentation are complete and accurate.

  • Transmit assessments and monitor validation through required CMS systems.

  • Generate and review CASPER reports and other regulatory and quality auditing tools.

  • Partner closely with nursing leadership, physicians, residents, families, and the interdisciplinary team.

  • Mentor and educate nursing team members on MDS, documentation, and care planning best practices.

  • Participate in QAPI and other clinical quality initiatives.

What You'll Bring

  • Nursing diploma or associate degree in nursing from an accredited program required; bachelor's degree preferred.

  • Current RN or LPN/LVN license as required by the state.

  • At least one year of MDS/RNAC experience.

  • Working knowledge of MDS, RAI, Medicare, care planning, and regulatory requirements.

  • RAC certification preferred.

MDS expertise + meaningful work + greater flexibility.

Lifespace has successfully served older adults for 50 years, and this is just the beginning. With new opportunities, continued growth, and the support from your Lifespace team members, get ready to ignite your life and experience Our Space.

COMPANY OVERVIEW:

Lifespace Communities, headquartered in Dallas, Texas, is one of the nation's largest nonprofit senior living organizations. For over 50 years, we have been dedicated to creating vibrant communities across the country where older adults are empowered to live their aspirations with purpose, independence, and peace of mind. Driven by a commitment to exceptional service, innovation, and meaningful connections, our team members work together to enrich the lives of our residents every day. At Lifespace, you'll find more than a career, you'll find an opportunity to make a lasting impact while growing professionally in a collaborative, mission-driven organization.

Equal Opportunity Employer


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