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Rn Rac Auditor Jobs in Wisconsin (NOW HIRING)

MDS Solutions

REMOTE MDS Coordinator

Madison, WI · On-site +1

$34.50 - $44/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 · On-site +1

$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

Madison, WI · On-site +1

$34.50 - $44/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

Madison, WI · Remote

$34.50 - $44/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 · On-site +1

$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 ...

Gainwell Technologies

WI · On-site

$80 - $100/hr

This position requires strong clinical expertise, advanced auditing experience, and experience ... Active, unrestricted RN license in the United States and the state of primary residence. * An ...

CH01 CHE Fresenius Medical Care (Schweiz) AG

WI · On-site

$80 - $100/hr

Dialysis Clinical Manager Registered Nurse - RN page is loaded## Dialysis Clinical Manager ... and auditing activities.* Accountable for completion of the Annual Standing Order Review and ...

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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.

REMOTE MDS Coordinator

MDS Solutions

Madison, WI • On-site, Remote

$34.50 - $44/hr

Full-time

Medical, Life, Retirement, PTO

Re-posted 9 days ago

Job description

Overview

MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS consulting group.  The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and coordinate the completion of the Minimum Data Set (MDS) in accordance with current Federal and State Regulations. If you are looking for something that is flexible and collaborative, come join us!  We thrive on Quality Resident Care.

This role requires a RN license, LPN will not meet the minimum qualifications. 

What do we offer you?

  • Creative, fun, and flexible working environment
  • The following benefits:
  • Competitive salaries and bonuses.
  • Comprehensive health and life insurance.
  • 401K with discretionary match
  • Mileage and licensure reimbursements.
  • Flexible Spending Account and HSA
  • Reasonable working hours.
  • CE opportunities.
  • Paid sick, holiday, and vacation leave.
  • Promotion/Transfer/Advancement opportunities.
  • Meaningful work and job satisfaction.
Responsibilities
  • MDS scheduling and coordinating to ensure timeliness of assigned sections of MDS per RAI guidelines, including coordinating care plan development and completion with the interdisciplinary team.
  • Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident.
  • Develop an individualized, comprehensive resident care plan in collaboration with the interdisciplinary team to ensure care area triggers are addressed.
  • Ensure care plans are reviewed quarterly and updated as needed to reflect current resident status with individualized problems, goals, and interventions.
  • Review and verify MDS documentation and charting requirements to support the clinical services provided for each resident.
  • Ensure timely submission of all Minimum Data Sets to the state data base and ensures that the necessary follow-up action is taken.
  • Promote highest degree of quality care through QI/QM data with facility team and identify trends to assist facility in advancing facility processes, improve resident outcomes, and optimize reimbursement.
Qualifications
  • Nursing Experience in MDS Assessment: 3+ year
  • 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 service
Employment Type: OTHER

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