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Rn Rac Auditor Jobs in Wisconsin (NOW HIRING)

Entyre GmbH

Registered Nurse

Milwaukee, WI · On-site

$80 - $100/hr

As an RN Supervisor, you are the clinical backbone of that model -- you assess clients in their ... delivery, auditing daily records, and documenting any changes needed * Serve on the Quality ...

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

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 ...

Eye Clinic of Wisconsin

WI · On-site

$60 - $80/hr

Play an active role in the QAPI program by auditing and monitoring for safe practices, continually ... Current RN License in the state of Wisconsin * BLS and CPR certification is required * ACLS ...

MDS Solutions

REMOTE MDS Coordinator

Milwaukee, WI · Remote

$33.75 - $43/hr

RAC-CT preferred * RN Required * Thorough understanding of PDPM requirements * Able to negotiate through EMR and possess strong computer skills * Promotes and demonstrates excellence in customer ...

MDS Solutions

REMOTE MDS Coordinator

Green Bay, WI · Remote

$33.25 - $42.50/hr

RAC-CT preferred * RN Required * Thorough understanding of PDPM requirements * Able to negotiate through EMR and possess strong computer skills * Promotes and demonstrates excellence in customer ...

MDS Solutions

REMOTE MDS Coordinator

Milwaukee, WI · On-site +1

$33.75 - $43/hr

RAC-CT preferred * RN Required * Thorough understanding of PDPM requirements * Able to negotiate through EMR and possess strong computer skills * Promotes and demonstrates excellence in customer ...

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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 September 2026, with employment types broken down into 3% As Needed, 57% Full Time, 15% Part Time, 1% Temporary, and 24% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

Registered Nurse - Compliance Partner

Appleton, WI • On-site

The Ensign Group Inc
See more jobs at The Ensign Group Incexternal

$100K - $110K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Ensign Group rating

6.5

Company rating: 6.5 out of 10

Based on 168 frontline employees who took The Breakroom Quiz

613th of 898 rated healthcare providers

Job description

Registered Nurse - Compliance Partner
Position Type: Full Time, Employee.
Salary: $100,000 to $110,000 annually, DOE.
Location: This is a field-based position that requires regular travel to assigned facilities. Candidates must live within close proximity to a major airport in either Green Bay, WI; Norfolk, NE; or Kansas City, KS.
Schedule: Typically, business hours but may vary depending on workload and travel needs - 40 hours/week.
About the Company:
Ensign Services, Inc. ("ESI") is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees.
ESI is known as the "Service Center" and provides the facilities and leaders it serves with "back-office" support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people.
We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership ("CAPLICO") seriously. We want an individual in this role who will demonstrate these values through actions and words.
About the Opportunity:
Ensign Services, Inc.'s (ESI) Compliance Department is seeking a Registered Nurse - Compliance Partner. Must be a Registered Nurse with 1-2 years of nursing experience in the skilled nursing environment. Primary responsibilities will involve performing clinical compliance audits, conducting internal investigations under direction of associate and chief compliance officer, reviewing and analyzing medical records and/or claims to detect possible compliance or quality issues.
Our compliance philosophy is to work as closely with field facilities, agencies and resources as possible to develop solid relationships that allow us to enhance and foster compliance throughout the organization. We not only provide training, oversight and auditing functions, but we also serve as partners to our providers to assist them in building successful businesses in an ethical and compliant manner.
Job Duties and Responsibilities include, but are not limited to:
  • Creates and presents regular training on, clinical compliance and general healthcare compliance topics.
  • Performs clinical systems compliance audits.
  • Reviews medical records to detect possible compliance or quality issues and works to assist operations to develop a corrective action plan to resolve the same.
  • Conducts internal investigations involving general compliance and clinical issues under the direction of a lead compliance partner or the Chief Compliance Officer.
  • Travel required 70% of the time within Wisconsin, Nebraska, Kansas, and surrounding areas/states.
Preferred Qualifications:
  • Registered Nurse.
  • A minimum of 1 to 2 years of leadership experience in a skilled nursing facility required, 3-5 years is preferred.
  • Understanding of the legal and regulatory framework governing the skilled nursing industry.
  • Excellent communication skills.
Desired Skills:
  • Superior interpersonal communication skills.
  • Strong writing skills.
  • Works well independently in a home office environment on long term projects and as a member of an interdisciplinary team.
  • An engaging and informative teacher for regular training of facility personnel.
  • Possesses and conveys high degree of credibility and integrity.
  • Understands and accepts the unpredictable nature and needs of the compliance function in a large organization.
Additional Information:
  • Pre-employment criminal background screening required.

What We Offer:
We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee's professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com.
Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616.
Job ID 1647

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