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Pdpm Audit Jobs (NOW HIRING)

Peaks Healthcare

PDPM Support Specialist

Denver, CO · On-site

Audit skilled residents' charts to confirm accurate documentation supporting PDPM and CMS requirements. * Audit Medicare Part A (Med A) and managed care residents for accuracy and compliance. * Audit ...

Broad River Rehabilitation

Regional MDS Nurse/RN

Asheville, NC · On-site

$35.25 - $42.50/hr

Oversee and audit MDS 3.0 assessments for accuracy, timeliness, and compliance * Ensure proper PDPM classification, ICD-10 coding, and reimbursement optimization * Provide education, mentoring, and ...

Calvado Care

MDS Coordinator Per Diem

Buffalo, NY

$35 - $50/hr

Strong knowledge of RAI Manual, PDPM, CMS regulations and audit processes * Proficient in using laptops, mobile devices; well-versed in standard office software applications * Must be a road warrior ...

HiredFirst

DIRECTOR OF REHABILITATION (DOR)

Waldorf, MD · On-site

$72K - $93K/yr

Ensure Medicare/PDPM and regulatory compliance * Manage therapy scheduling, caseloads, and productivity * Coordinate interdisciplinary resident care plans * Oversee quality improvement, audits, and ...

HiredFirst

DIRECTOR OF REHABILITATION (DOR)

Marysville, CA · On-site

$150K - $180K/yr

Ensure Medicare/PDPM and regulatory compliance * Manage therapy scheduling, caseloads, and productivity * Coordinate interdisciplinary resident care plans * Oversee quality improvement, audits, and ...

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All JobsPdpm Audit Jobs

Pdpm Audit information

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$61K

$120.2K

$157.5K

How much do pdpm audit jobs pay per year?

As of Aug 17, 2026, the average yearly pay for pdpm audit in the United States is $120,236.00, according to ZipRecruiter salary data. Most workers in this role earn between $104,000.00 and $136,500.00 per year, depending on experience, location, and employer.

What is a PDPM audit?

A PDPM audit is an evaluation process that reviews how a skilled nursing facility implements the Patient-Driven Payment Model (PDPM). Auditors examine clinical documentation, coding, and billing practices to ensure compliance with Medicare regulations and to verify that residents are being accurately assessed and classified for payment. The goal is to identify errors or discrepancies that could lead to improper payments or regulatory issues, and to help facilities improve their processes for accurate reimbursement. Regular PDPM audits can help facilities avoid penalties and maintain financial stability.

What are the key skills and qualifications needed to thrive as a PDPM auditor?

To thrive as a PDPM Auditor, you need a solid understanding of Medicare reimbursement systems, MDS (Minimum Data Set) assessments, and skilled nursing facility regulations, typically supported by clinical credentials such as RN, LPN, or certification in MDS/RAI. Familiarity with electronic health record (EHR) systems, PDPM calculation software, and audit tools is essential. Strong analytical thinking, attention to detail, and effective communication skills help ensure accuracy and clarity when reviewing records and providing feedback. These skills are vital to optimize reimbursement, maintain regulatory compliance, and support quality patient care.

What are some common challenges faced by professionals conducting PDPM audits in skilled nursing facilities?

Professionals performing PDPM (Patient-Driven Payment Model) audits often encounter challenges such as ensuring accurate clinical documentation, keeping up with frequent regulatory changes, and effectively communicating findings to interdisciplinary teams. They must carefully review MDS assessments, therapy documentation, and nursing notes to verify compliance and reimbursement accuracy. Additionally, working collaboratively with clinical and administrative staff is crucial for implementing corrective actions and maintaining ongoing compliance.

What is the difference between Pdpm Audit vs Pdpm Compliance Officer?

AspectPdpm AuditPdpm Compliance Officer
Primary RoleConducts audits to ensure adherence to Pdpm standards and regulationsEnsures organizational compliance with Pdpm policies and external regulations
CertificationsOften requires auditing or quality assurance certificationsRequires compliance or regulatory certifications
Work EnvironmentAuditing in various departments, often in a review or assessment capacityMonitoring and implementing compliance measures across the organization
Industry UsageCommon in healthcare, manufacturing, and service sectorsPrevalent in healthcare, finance, and regulated industries

While both roles focus on adherence to Pdpm standards, Pdpm Audits primarily evaluate compliance through assessments, whereas Pdpm Compliance Officers develop and oversee compliance programs to ensure ongoing adherence.

More about Pdpm Audit jobs

What cities are hiring for Pdpm Audit jobs?

Cities with the most Pdpm Audit job openings:

What states have the most Pdpm Audit jobs?

States with the most job openings for Pdpm Audit jobs include:

What job categories do people searching Pdpm Audit jobs look for?

The top searched job categories for Pdpm Audit jobs are:

Pdpm Audit jobs near you
Infographic showing various Pdpm Audit job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 90% Full Time, 5% Part Time, 1% Temporary, and 3% Contract. Highlights an 86% Physical, 6% Hybrid, and 8% Remote job distribution, with an average salary of $120,236 per year, or $57.8 per hour.

PDPM Support Specialist

Peaks Healthcare

Denver, CO • On-site

Full-time

Posted 18 days ago

Job description

Position Summary

The PDPM Support Specialist is responsible for auditing, monitoring, and supporting skilled nursing facility documentation and processes to ensure compliance with the Patient Driven Payment Model (PDPM). This role focuses on accurate coding, regulatory adherence, education of staff, and communication with facility leadership to optimize compliance and reimbursement while meeting CMS guidelines.

Essential Job Duties and Responsibilities

  • Auditing and Documentation Oversight

    • Audit skilled residents’ charts to confirm accurate documentation supporting PDPM and CMS requirements.

    • Audit Medicare Part A (Med A) and managed care residents for accuracy and compliance.

    • Audit documentation supporting HIPPS code assignments.

    • Audit for MAC and RAC compliance to confirm documentation is accurate and error-free.

  • Education and Feedback

    • Provide education to staff on best practices in accordance with CMS guidelines.

    • Provide timely feedback to staff and MDS coordinators on PDPM capture opportunities and deficiencies.

    • Provide PDPM section data in a timely manner to facilities and oversee managers to ensure utilization of the information.

    • Offer feedback and recommendations to MDS coordinators to strengthen PDPM accuracy.

    • Work closely with facility leadership to foster compliance-focused education and culture.

  • Collaboration and Reporting

    • Partner with the billing department to ensure timely completion of billing processes related to PDPM.

    • Collaborate with interdisciplinary team members to ensure accurate documentation for PDPM reimbursement.

    • Provide ongoing communication to facility and regional leadership regarding audit results and trends.

  • Travel

    • Required to travel to each facility at least once per quarter to conduct on-site audits, provide education, and review compliance processes.

Knowledge, Skills, and Experience Requirements

  • Licensure/Education

    • RN license preferred; LPN license accepted.

    • Compact state license required or ability to obtain within 1 month of hire.

  • Experience

    • Minimum of 1 year of experience in PDPM and skilled resident management.

    • Experience in auditing skilled nursing facility documentation preferred.

    • Experience in supporting and educating MDS coordinators preferred.

  • Certification

    • RAC-CT certification preferred, but not required.

  • Knowledge & Skills

    • Knowledge of RAI (Resident Assessment Instrument) process.

    • Strong understanding of PDPM, CMS guidelines, HIPPS codes, and compliance requirements.

    • Proficient written and verbal communication skills with ability to provide clear education and feedback.

    • Strong organizational skills and ability to manage multiple audits across multiple facilities.

    • Ability to interpret and apply CMS regulations to facility-level documentation.

Physical Requirements

  • Ability to sit for extended periods while auditing records.

  • Ability to lift up to 20 lbs occasionally (records, laptop, files).

  • Must be able to travel to assigned facilities by car or plane.

  • Visual acuity to review detailed documentation and data.

All work must be performed in compliance with HIPAA, CMS, state Department of Health regulations, and facility compliance programs. The PDPM Support Specialist is responsible for reporting any identified compliance risks, discrepancies, or potential fraud/waste/abuse through appropriate channels.