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Pdpm Audit Jobs (NOW HIRING)

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 ...

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

MDS Coordinator

Rochester, NY

$33.75 - $43.25/hr

... PDPM reimbursement. * Collaborate with nursing, therapy, dietary, and social work to gather supporting information. * Participate in care plan meetings and quality improvement initiatives. * Audit ...

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Pdpm Audit information

See salary details

$61K

$120.2K

$157.5K

How much do pdpm audit jobs pay per year?

As of Jun 8, 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 May 2026, with employment types broken down into 100% Full Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $120,236 per year, or $57.8 per hour.

MDS Coordinator

Palm Beach Nursing

Lake Worth, FL

$45 - $47/hr

Full-time

Posted 29 days ago


Job description

Job Title: MDS Coordinator
Facility: Palm Beach Nursing Center
Location: Lake Worth, Florida
Shift: Full-Time | Day Shift, 9:00 AM – 5:00 PM
Pay Rate: $45–$47 per hour (based on experience)

Join Our Team!

Palm Beach Nursing Center is seeking a skilled and detail-oriented MDS Coordinator to oversee the Resident Assessment Instrument (RAI) process. The ideal candidate will be well-versed in PDPM and Medicare documentation, ensuring compliance with state and federal regulations while supporting exceptional resident care.

Key Responsibilities:
  • Accurately complete and coordinate all MDS assessments in compliance with regulations.

  • Develop and maintain individualized care plans based on assessment outcomes.

  • Collaborate with interdisciplinary teams to ensure continuity and quality of care.

  • 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 inspections.

  • Submit assessments electronically and maintain organized records and schedules.

  • Educate staff on MDS/PDPM updates and best practices.

Requirements:
  • Active RN license in the state of Florida.

  • Proven experience with PDPM and Medicare documentation.

  • Minimum of 2 years’ experience in a skilled nursing facility preferred.

  • Strong knowledge of MDS 3.0, care planning, and RAI processes.

  • Excellent communication, leadership, and organizational skills.

Benefits:
  • Generous Paid Time Off (PTO)

  • Comprehensive Medical & Dental Insurance

  • Company Perks and Employee Discounts

  • Employee Recognition Programs

  • Supportive, Team-Oriented Atmosphere

Ready to make an impact? Apply today and grow your career with Palm Beach Nursing Center!

https://info.flclearinghouse.com

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