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Pdpm Audit Jobs in Indiana (NOW HIRING)

Newburgh Health and Rehab

Director of MDS (RN)

Newburgh, IN

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Monitor PDPM case mix, clinical categories, and reimbursement accuracy * Lead and coordinate interdisciplinary care plan meetings * Conduct internal audits to ensure documentation supports coding and ...

The Milton Home

MDS Coordinator RN Preferred

South Bend, IN · On-site

$33.50 - $43/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Manage PDPM case mix including clinical categories, NTA scoring, and therapy minutes * Lead or co ... Conduct internal MDS audits to ensure coding accuracy and compliance * Educate nursing staff on ...

Healthbridge Staffing

Corporate MDS Traveler

Indianapolis, IN · Hybrid

$88K - $97K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Ensure compliance with state and federal regulations, Medicare requirements, PDPM, case-mix ... audits, survey preparation, and periods of high census. * Travel throughout the assigned region ...

NexDine

Regional Nutrition Care Manager

Fort Wayne, IN · On-site

$80K - $90K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Familiar with the Patient-driven Payment Model (PDPM) and the value and impact of identifying those ... Assists with the team's QAPI program by executing audits and adhering to the established standards ...

All JobsPdpm Audit JobsPdpm Audit Jobs in Indiana

Pdpm Audit information

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.

What are popular job titles related to Pdpm Audit jobs in Indiana?

For Pdpm Audit jobs in Indiana, the most frequently searched job titles are:

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

The top searched job categories for Pdpm Audit jobs in Indiana are:

Pdpm Audit jobs near you
Infographic showing various Pdpm Audit job openings in Indiana as of August 2026, with employment types broken down into 1% Internship, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 85% Physical, 6% Hybrid, and 9% Remote job distribution.

Director of MDS (RN)

Newburgh Health and Rehab

Newburgh, IN

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 16 days ago

Job description

Newburgh Health and Rehab (formerly Newburgh Healthcare) is seeking an experienced Director of MDS (RN) to lead the clinical assessment and reimbursement process within our skilled nursing and rehabilitation facility.

This position plays a critical role in ensuring accurate assessments, regulatory compliance, strong interdisciplinary care planning, and optimized reimbursement under PDPM.

THIS POSITION IS NOT PART OF THE ON CALL ROTATION!

Key Responsibilities

  • Oversee completion, accuracy, and timeliness of all MDS assessments

  • Supervise and support one MDS nurse, providing guidance, auditing, and education

  • Ensure compliance with CMS, state, and federal regulations

  • Monitor PDPM case mix, clinical categories, and reimbursement accuracy

  • Lead and coordinate interdisciplinary care plan meetings

  • Conduct internal audits to ensure documentation supports coding and reimbursement

  • Educate nursing and IDT staff on documentation standards

  • Identify opportunities to improve case mix and reimbursement outcomes

  • Support survey readiness and participate during surveys and audits

  • Participate in QAPI and performance improvement initiatives

Qualifications

  • Active Indiana RN license or Compact license REQUIRED

  • RAC-CT certification preferred

  • Minimum 1 year MDS experience in skilled nursing

  • Strong knowledge of PDPM, CMS guidelines, and care planning regulations

  • Experience supervising or mentoring clinical staff preferred

  • Strong analytical, organizational, and communication skills

What We’re Looking For

We want someone who is:

  • Detail-driven and clinically strong

  • Confident in MDS coding and regulatory interpretation

  • Comfortable balancing hands-on work with light leadership

  • Proactive in identifying reimbursement and documentation opportunities

  • A collaborative partner to nursing, therapy, and billing teams

What We Offer

  • Competitive salary based on experience

  • Leadership role with direct impact on quality and reimbursement

  • Supportive leadership team

  • Health, dental, and vision benefits

  • Paid time off and holidays

  • 401(k)

Ready to make a difference?
Apply today and join a team where your dedication is recognized and rewarded!

EEOC

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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