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Rn Rac Auditor Jobs in Wisconsin (NOW HIRING)

RN, Denials Management

Menomonee Falls, WI · On-site

$36.38 - $56.39/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... party auditors. Assists the case managers with utilization review issues, and provides ... Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from ...

MDS Coordinator - Infection Control

Lodi, WI · On-site

$34.25 - $43.75/hr

  • Medical

  • Vision

  • Life

  • PTO

We are seeking a detail-oriented and proactive Registered Nurse (RN) to serve in a dual role as MDS ... MDS certification (RAC-CT)Infection Preventionist training or certification (IP, CIC, or equivalent ...

MDS Coordinator - Infection Control

Lodi, WI

$34.25 - $43.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are seeking a detail-oriented and proactive Registered Nurse (RN) to serve in a dual role as MDS ... MDS certification (RAC-CT) * Infection Preventionist training or certification (IP, CIC, or ...

MDS Coordinator - Infection Control

Lodi, WI · On-site

$34.25 - $43.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are seeking a detail-oriented and proactive Registered Nurse (RN) to serve in a dual role as MDS ... MDS certification (RAC-CT) * Infection Preventionist training or certification (IP, CIC, or ...

MDS Coordinator - Infection Control

Lodi, WI · On-site

$34.25 - $43.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are seeking a detail-oriented and proactive Registered Nurse (RN) to serve in a dual role as MDS ... MDS certification (RAC-CT) * Infection Preventionist training or certification (IP, CIC, or ...

Showing results 41-60

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:

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.

RN EDUCATOR COORD CENTER, FH - COORDINATION CENTER

Froedtert Health

Menomonee Falls, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago


Job description

Discover. Achieve. Succeed. #BeHere
Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility.
This job is HYBRID.
FTE: 0.400000
Standard Hours: 16.00
Shift: Shift 1
Shift Details: 4 shifts total every two weeks:3 Educator/Coordinator shifts (9:00-5:30)1 Staff RN shift (day/time varies based on department need).1 assigned holiday shifts annually
Job Summary:
The Coordination Center RN/Educator is both a practitioner and educator. As an Educator, they are responsible for assessing learning needs and learning performance/competence of staff in the Coordination Center. The Coordination Center RN/Educator is responsible for developing, implementing, and evaluating educational needs for the Coordination Center teams, including but not limited to onboarding, competency, regulatory education, supporting professional development, just-in-time education, and performance improvement initiatives. This role supports ongoing quality compliance through call auditing. The Coordination Center RN/Educator acts in the role of collaborative partner and educational leader, facilitator, instructor, subject matter expert, change agent, mentor, consultant, and advocate. They partner with System Educator-RN/Organization Learning as needed. The Coordination Center RN/Educator is available for weekdays and weekend staff, based on individual educational needs. As a practitioner, the Coordination Center RN/Educator facilitates (1) emergency and non-emergency patient transfers across the Froedtert South Region by coordinating requests promptly, courteously, and in accordance with established workflows and protocols. This role requires the ability to prioritize transfers based on patient acuity and clinical information, while utilizing strong problem-solving and decision-making skills in a fast-paced environment (2) manage real-time bed management and patient placement strategies across the organization, collaborating with physicians, nursing leaders, admitting, and hospital administration to ensure safe, efficient, and appropriate patient placement. In addition, the Coordination Center RN/Educator staffs the department at a minimum of four times monthly.
EXPERIENCE DESCRIPTION:
A minimum of 2 years of applicable clinical practice experience as a licensed registered nurse in an acute care setting. The ability to effectively assess staff members' educational needs, design programs to meet identified needs, and to oversee instruction for staff members. Excellent communication, teaching, and presentation skills. Experience in applying adult learning principles and instructional/curriculum design preferred. Experience in precepting or training in clinical setting, preferred.
EDUCATION DESCRIPTION:
Degree in Nursing (Baccalaureate or Graduate) is required. Professional knowledge of nursing theory, educational theories, and principles to assist in the process of providing education to professional staff is required. Masters Degree in Nursing, preferably in education.
SPECIAL SKILLS DESCRIPTION:
Advanced communication and interpersonal skills with all levels of internal and external customers. Excellent written/verbal communication skills, critical thinking, creative problem solving, proficient organization and planning. Proficient in Microsoft applications and computer skills, required. Must be self-directed.
LICENSURE DESCRIPTION:
Current State of Wisconsin Registered Nurse License or a Multi-state Nursing License from a participating state in the NLC (Nurse Licensure Compact).
Perks & Benefits at Froedtert Health
Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:
  • Paid time off
  • Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
  • Academic Partnership with the Medical College of Wisconsin
  • Referral bonuses
  • Retirement plan - 403b
  • Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
  • Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.

Froedtert logo

About Froedtert

Sourced by ZipRecruiter

Froedtert is a world-class healthcare organization based in Milwaukee, WI, United States. The company operates within the healthcare and wellness industry, providing a broad spectrum of medical services to the residents of southeastern Wisconsin and beyond. Froedtert was founded in 1980 and is an academic health network, which ripples an integrated affiliation with the Medical College of Wisconsin. The company prides itself on its cutting-edge treatments, sophisticated technology, and groundbreaking research. Froedtert’s mission is to advance health in the communities they serve, with a profound commitment towards patient care, education, research and community outreach.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Milwaukee, WI, US

Year founded

1980