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Pdpm Audit Jobs (NOW HIRING)

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 ...

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

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

Monitor PDPM requirements and ensure documentation supports Medicare claims. * Review and analyze QI/QM reports, implementing corrective actions when necessary. * Participate in surveys, audits, and ...

Ensure Medicare, PDPM, and regulatory compliance * Manage therapy scheduling, caseloads, productivity * Coordinate interdisciplinary care for geriatric residents * Drive staff training, audits, and ...

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Pdpm Audit information

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$61K

$120.2K

$157.5K

How much do pdpm audit jobs pay per year?

As of Jul 27, 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 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.

What are the key skills and qualifications needed to thrive as a PDPM Auditor, and why are they important?

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 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.
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:
Infographic showing various Pdpm Audit job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 94% Full Time, and 4% Part Time. Highlights an 98% In-person, and 2% Hybrid job distribution, with an average salary of $120,236 per year, or $57.8 per hour.

MDS PDPM Coordinator Case Manager

Westside Oaks

Jacksonville, FL

$29.25 - $37.50/hr

Full-time

Posted 16 days ago


Job description

MDS PDPM Coordinator/Case Manager -  RN 

Wages are negotiable 

Job Description:

To plan, organize and direct the MDS process in accordance with federal and state standards, guidelines, and regulation that govern our facility.

Responsibilities:

  • Monitor and document the management of the Medicare and Managed Care residents in collaboration with facility team members.
  • Maintain and update schedules of MDS’s.
  • Oversee the coordination and participate in the completion of the Resident Assessment Instrument (MDS, CAA’s and Care Plan)
  • Assist in completion of the Resident Assessment with the Interdisciplinary Team.
  • Assure that MDS, RAI process and Care plans are completed and transmitted timely.
  • Assist in audits, denials and ADRs as requested.

Requirements/Qualifications:

  • Valid license as an LPN or RN in the state of Florida
  • 1+ years of nursing experience in similar setting.
  • 6+ months of experience as a MDS Coordinator

Excellent opportunity - no on call, no MOD and no being pulled to the floor to work a med cart!!

Please note, salaries quoted on our ads may be Indeed Self-Aggregated and not correct. We offer competitive salary commensurate with education, experience and credentials.

For more Information regarding the HB531 Florida Agency for Health Care Administration, please visit: https://info.flclearinghouse.com