ZipRecruiter

Log In

1

Pdpm Audit Jobs (NOW HIRING)

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 ...

HiredFirst

Director of Rehabilitation (DOR)

Petaluma, CA · On-site

$104K - $135K/yr

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

Pacificare Health Management

RAI MDS Specialist

Los Angeles, CA · On-site

$37 - $47.25/hr

Support PDPM accuracy through review of clinical documentation and identification of potential missed opportunities. * Assist with audits, Quality Measure reviews, and identification of documentation ...

previous pagenext page

Showing results 21-40

All JobsFinance and Insurance JobsAccounting JobsAuditor JobsPdpm Audit Jobs

Pdpm Audit information

See salary details

$61K

$120.2K

$157.5K

How much do pdpm audit jobs pay per year?

As of Sep 7, 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 92% Full Time, 5% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $120,236 per year, or $57.8 per hour.

Regional Clinical Reimbursement Consultant - State Veterans Homes

STG International, Inc.

Charlotte, NC

Full-time

Re-posted 28 days ago

Job description

THIS IS FOR A FUTURE OPENING

Regional Clinical Reimbursement Consultant  â€“ State Veterans Homes     

STGi is seeking qualified candidates for this position in connection with an active Request for Proposals (RFP).   Hiring for this role is contingent upon STGi’s selection as the successful awardee.

JOB SUMMARY: 

The Regional Clinical Reimbursement Consultant (RCRC) provides leadership and oversight of clinical reimbursement processes across multiple long-term care facilities within an assigned region. This role ensures accurate and compliant MDS completion, optimized reimbursement under PDPM, regulatory compliance, and consistent application of best practices while partnering with clinical, financial, and operational leaders to drive outcomes.  Travel is required and is extensive throughout assigned region.

ESSENTIAL FUNCTIONS: 

Clinical Reimbursement & PDPM Oversight 

  • Oversee clinical reimbursement operations across multiple skilled nursing facilities 

  • Ensure accurate, timely, and compliant completion of MDS assessments in accordance with CMS requirements 

  • Monitor PDPM performance, case-mix accuracy, and reimbursement trends 

  • Identify opportunities to optimize reimbursement while maintaining clinical integrity and compliance 

MDS & Documentation Support 

  • Provide guidance and oversight to MDS Coordinators and facility leadership 

  • Ensure interdisciplinary documentation supports clinical conditions, diagnoses, and care needs 

  • Support MDS scheduling, care area assessments (CAAs), and care planning processes 

Compliance & Audit Management 

  • Ensure compliance with federal and state regulations, RAI Manual, and payer requirements 

  • Support internal and external audits, including medical record reviews and ADRs 

  • Lead corrective action plans related to MDS, documentation, and reimbursement findings 

Education & Training 

  • Develop and deliver ongoing education related to PDPM, MDS, ICD-10 coding, and documentation standards 

  • Support onboarding and competency development of MDS and clinical reimbursement staff 

  • Stay current on CMS updates, rule changes, and industry best practices 

Reporting & Analytics 

  • Review and analyze reimbursement and quality data, including PDPM components, case-mix indices, and revenue impacts 

  • Provide regular reporting and recommendations to regional and corporate leadership 

  • Partner with business office and clinical teams to resolve billing, denials, and reimbursement issues 

Collaboration & Leadership 

  • Work closely with Regional Clinical, Operations, and Finance leadership 

  • Serve as a regional resource for reimbursement-related questions and problem resolution 

  • Promote a culture of compliance, accuracy, and continuous improvement 


Required Skills

REQUIRED EXPERIENCE AND SKILLS: 

Required 

    STG International logo

    About STG International

    Sourced by ZipRecruiter

    STG International is a leading organization in the field of Professional Services, providing a wide variety of solutions in healthcare staffing, executive level personnel, technical expertise and project management among others. The company, which began operations in 1997, is headquartered in Arlington, Virginia. STG International is underpinned by a strong mission to provide the highest quality of professional services to meet the evolving needs of its clientele in both public and private sectors, uniquely coupling innovative solutions with a client-focused approach.

    Industry

    Hospitals

    Company size

    1,001 - 5,000 Employees

    Headquarters location

    Arlington, VA, US

    Year founded

    1997

    Social media

    FacebookTwitter

    View All STG International Jobs

    Apply