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Rn Rac Auditor Jobs (NOW HIRING)

... auditing expertise on MDS, PDPM, Medicaid CMI, and CMS quality measures. Key Responsibilities ... RAC-CT certification preferred. * Minimum of 5 years of MDS experience in a skilled nursing or ...

Summary The RN Nurse Auditor is a key member of the Clinical Appeals team and reports directly to the Clinical Appeals Manager. This role is responsible for conducting clinical reviews of payer audit ...

Registered Nurse licensed in New York preferred. 3+ years' experience in hospital setting preferred. Auditing experience preferred. Knowledge of CPT/HCPCS procedural coding and Charge Description ...

MDS Coordinator (RN)

Arlington, VA

$42.50 - $51.50/hr

RAC Certification is preferred. Major Duties and Responsibilities * Coordination of the facility ... Auditing medical records for the presence of supporting documentation for all items coded on the ...

MDS Coordinator (RN)

Arlington, VA · On-site

$42.50 - $51.50/hr

RAC Certification is preferred. Major Duties and Responsibilities * Coordination of the facility ... Auditing medical records for the presence of supporting documentation for all items coded on the ...

MDS Coordinator (RN)

Arlington, VA · On-site

$42.75 - $51.75/hr

RAC Certification is preferred. Major Duties and Responsibilities * Coordination of the facility ... Auditing medical records for the presence of supporting documentation for all items coded on the ...

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How much do rn rac auditor jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for rn rac auditor in the United States is $32.99, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $36.06 per hour, depending on experience, location, and employer.

What is an RN RAC Auditor job?

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 in the Rn Rac Auditor position, and why are they important?

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.

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What cities are hiring for Rn Rac Auditor jobs? Cities with the most Rn Rac Auditor job openings:
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Infographic showing various Rn Rac Auditor job openings in the United States as of June 2026, with employment types broken down into 61% Full Time, and 39% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $68,617 per year, or $33 per hour.
Charge Auditor Clinical - Perioperative Admin

Charge Auditor Clinical - Perioperative Admin

CHRISTUS Health

San Antonio, TX

Full-time

Posted 4 days ago


CHRISTUS Health rating

6.6

Company rating: 6.6 out of 10

Based on 516 frontline employees who took The Breakroom Quiz

558th of 872 rated healthcare providers


Job description

Description

Summary:

The Charge Auditor Clinical is a Registered Nurse who performs the primary functions of coordinating the process of capturing observation charges and other direct care/nursing department charges. The Charge Auditor oversees the documentation and billing of the observation patients to ensure compliance with all standards and guidelines as set forth. The Charge Auditor adheres to the philosophy of CHRISTUS, showing concern and the spirit of teamwork to visitors, patients, and fellow associates.

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Responsible for performing all functions to accomplish the abstracting of patient and procedure information to provide correct billing information.
  • Reviews surgical records within one business day of surgery date to identify opportunities for documentation by nursing and other clinical personnel.
  • Ensures timely entering of surgical charges.
  • Develops and implement plans for both formal and informal education of nursing and other clinical associates regarding documentation and related observation charging and billing.
  • Participates in charge audits and reviews as necessary. (i.e., RAC audit, Patient requested audit, etc.).
  • HealthStream (HLC) modules completed by the assigned date.
  • Maintain licensure or certification without lapse.
  • Maintain BCLS/ACLS certification, if required for the Job.

Job Requirements:

Education/Skills

  • Graduate from an accredited school of Nursing required.

Experience

  • 2 years clinical nursing experience required.
  • Experience in Surgical Services setting preferred.

Licenses, Registrations, or Certifications

  • Active RN Licensure in the State of employment required
  • BLS required

Work Schedule:

Varies

Work Type:

Full Time

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About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999