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Temporary Medicare Rac Audit Jobs in Wisconsin (NOW HIRING)

Eden Senior Care

MDS Coordinator

Oshkosh, WI · On-site

$80K - $90K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Chart Reviews/Audits as needed * Assist IDT during Survey process Qualifications: * Must hold an ... RAI, Minimum Data Set, Medicare, Insurance, Medicaid, RNAC, AANAC, RAC-CT, RNAC-CE

GovernmentJobs.com

MDS Coordinator (BV)

Appleton, WI · On-site

$32.50 - $41.75/hr

Be highly involved in determining skilled level of care for Medicare villagers and procuring ... Audit and improve staff education/competency as needed to ensure accurate and timely completion of ...

Outagamie County

MDS Coordinator (BV)

Appleton, WI · On-site

$80K - $90K/yr

  • PTO

... Medicare payment and Medicaid reimbursement systems. The MDS Coordinator serves as the expert ... RAC-CT preferred This position does require successful completion of a Post Offer Pre Employment ...

Outagamie County, WI

MDS Coordinator (BV)

Appleton, WI · On-site

$80K - $90K/yr

  • Medical

  • PTO

Audit and improve staff education/competency as needed to ensure accurate and timely completion of ... RAC-CT preferred * This position does require successful completion of a Post Offer Pre Employment ...

Outagamie County, WI

MDS Coordinator (BV)

Appleton, WI · On-site

$80K - $90K/yr

  • Medical

  • PTO

Audit and improve staff education/competency as needed to ensure accurate and timely completion of ... RAC-CT preferred * This position does require successful completion of a Post Offer Pre Employment ...

ThedaCare

Coding Auditor

Appleton, WI · On-site

$26 - $29.50/hr

... Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education ... audits and inquiries including CMS, Medicaid, RAC, HRSA, and PERM to ensure appropriate ...

ThedaCare

Coding Auditor

Appleton, WI · On-site

$26.50 - $30.25/hr

... Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education ... audits and inquiries including CMS, Medicaid, RAC, HRSA, and PERM to ensure appropriate ...

Dove Healthcare

MDS Coordinator - Infection Control

Lodi, WI · On-site

$34.25 - $43.75/hr

  • Medical

  • Vision

  • Life

  • PTO

... PPS schedulesEnsure documentation supports Medicare, Medicaid, and insurance ... MDS certification (RAC-CT)Infection Preventionist training or certification (IP, CIC, or equivalent ...

Dove Healthcare

MDS Coordinator - Infection Control

Lodi, WI · On-site

$34.25 - $43.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ensure documentation supports Medicare, Medicaid, and insurance reimbursement * Collaborate with ... Perform audits and implement quality improvement initiatives * Communicate updates on infection ...

Dove Healthcare

MDS Coordinator - Infection Control

Lodi, WI · On-site

$34.25 - $43.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ensure documentation supports Medicare, Medicaid, and insurance reimbursement * Collaborate with ... Perform audits and implement quality improvement initiatives * Communicate updates on infection ...

Dove Healthcare

MDS Coordinator - Infection Control

Lodi, WI · On-site

$34.25 - $43.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ensure documentation supports Medicare, Medicaid, and insurance reimbursement * Collaborate with ... Perform audits and implement quality improvement initiatives * Communicate updates on infection ...

All JobsMedicare Rac Audit JobsTemporary Medicare Rac Audit JobsTemporary Medicare Rac Audit Jobs in Wisconsin

Temporary Medicare Rac Audit information

What is a temporary Medicare RAC audit?

Temporary Medicare RAC (Recovery Audit Contractor) Auditors are professionals hired on a short-term basis to review Medicare claims and identify instances of overpayments, underpayments, and billing errors. They analyze medical records and billing data to ensure compliance with Medicare regulations. These auditors help recover funds for the Medicare program and may work for government agencies or private firms contracted by the Centers for Medicare & Medicaid Services (CMS). Their work is crucial for reducing improper payments and improving the integrity of the Medicare system.

What does a temporary Medicare RAC audit professional do?

In a Temporary Medicare RAC (Recovery Audit Contractor) Audit role, your primary responsibilities include reviewing medical records, identifying improper Medicare payments, and preparing reports on audit findings. One common challenge is staying current with frequently updated Medicare regulations and ensuring compliance throughout the audit process. The role often involves working both independently and collaboratively with billing, coding, and compliance teams to resolve discrepancies and clarify documentation. Success in this position requires strong analytical skills and meticulous attention to detail, as well as effective communication with healthcare providers to explain audit outcomes and recommendations.

What skills and qualifications are needed for a temporary Medicare RAC audit professional?

To thrive as a Temporary Medicare RAC Audit professional, you need a solid background in healthcare compliance, medical coding, and a strong understanding of Medicare regulations, often supported by credentials like RHIA, RHIT, or CPC. Familiarity with audit management software, electronic health records (EHRs), and Medicare claims processing systems is typically required. Analytical thinking, attention to detail, and effective written communication are essential soft skills for reviewing records and reporting findings. These competencies ensure accurate claim evaluations, regulatory compliance, and effective collaboration with healthcare organizations during audit processes.

What is the difference between Temporary Medicare Rac Audit vs Medicare Billing Specialist?

AspectTemporary Medicare Rac AuditMedicare Billing Specialist
CredentialsKnowledge of RAC processes, compliance standardsMedical billing certifications, coding knowledge
Work EnvironmentAuditing firms, healthcare compliance departmentsHospitals, clinics, billing companies
Industry UsageFocuses on audit and compliance reviewsHandles billing, coding, and claims processing

While both roles involve healthcare finance, a Temporary Medicare RAC Audit focuses on reviewing and ensuring compliance with Medicare audit standards, whereas a Medicare Billing Specialist manages billing and coding processes to submit claims. The audit role emphasizes compliance and audit procedures, while the billing specialist concentrates on accurate claim submission and reimbursement.

What are popular job titles related to Temporary Medicare Rac Audit jobs in Wisconsin?

For Temporary Medicare Rac Audit jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Temporary Medicare Rac Audit jobs in Wisconsin look for?

The top searched job categories for Temporary Medicare Rac Audit jobs in Wisconsin are:

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Cities in Wisconsin with the most Temporary Medicare Rac Audit job openings:

Temporary Medicare Rac Audit jobs near you

MDS Coordinator

Eden Senior Care

Oshkosh, WI • On-site

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 12 days ago

Job description

Eden Senior Care, founded in 2016, is a growing Healthcare Management company focused on managing and operating Skilled Nursing, Rehabilitation and Assisted Living communities in Minnesota, Wisconsin, Illinois, Ohio, Pennsylvania, Indiana and Alabama. Our mission with each community is to support their success by providing strong leadership, corporate support, and the resources and tools to realize their goals. Eden Senior Care promotes and encourages the success of each of its employees and values the individual experience of its guests and their families.


Edenbrook of Oshkosh is a skilled nursing facility located in Oshkosh, Wisconsin, as part of the Eden Senior Care network. We are looking for a dedicated MDS Coordinator to become a valued member of our compassionate and skilled team.


Position: MDS Coordinator ($10,000 SIGN-ON BONUS)

  • $10,000 SIGN-ON BONUS paid in 4 quarters.
  • Monday–Friday schedule.
  • No on‑call requirements, no shift coverage, and no call rotation
  • AAPACN membership support

Salary is negotiable and based on experience and skill set. Looking for someone with MDS experience.

Candidates must be well-versed in MDS, RAI, and Clinical Reimbursement. Prior experience with Point Click Care (PCC) preferred.


Essential Duties and Responsibilities:

  • MDS scheduling, set up and completion
  • New admission authorizations, updates, communication with family/insurance providers, communication with case managers
  • ICD 10 coding for all new admissions and continual updating for LTC population
  • Participate in the implementation, updating and review of the resident care plan
  • Attend/communicate with family’s and residents on current plan of care, insurance needs, and discharge needs – attend care conferences
  • Educate IDT on needs of the MDS, Assessments and Skilled care service requirements
  • Run Utilization Review Meetings and ensure PDPM scores and rates are validated
  • Review and Educate IDT/Staff to ensure proper documentation is maintained
  • Maintain Insight/Participation to facility Quality Measures and QAPI process
  • Chart Reviews/Audits as needed
  • Assist IDT during Survey process

Qualifications:

  • Must hold an active LPN or RN license in the state of Wisconsin.
  • Strong knowledge of the MDS process- 3+ years’ experience preferred.
  • Strong knowledge of ICD 10 coding/coding guidelines, Medicare Chapter 8 Manual, RAI Manual
  • Possesses good organization skills-
  • Excel document, Teams, or Zoom platform experience a plus!
  • Excellent in written and oral communication skills.

Benefits:

  • Health, Dental, and Vision benefits
  • Vacation/Holiday/Sick time
  • 401k with company match
  • Tuition Reimbursement
  • Supportive working environment and culture

Keywords:

MDS, Reimbursement. RAI, Minimum Data Set, Medicare, Insurance, Medicaid, RNAC, AANAC, RAC-CT, RNAC-CE