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Pdpm Audit Jobs (NOW HIRING)

RAM Recruiting

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 ...

RAM Recruiting

MDS Coordinator

Pittsburgh, PA · On-site

$33.25 - $42.50/hr

... PDPM, CMS regulations, and facility policies. * Monitor deadlines, coding accuracy, and documentation requirements. * Participate in quality improvement initiatives, care plan meetings, and audits.

Care-One

MDS Specialist RN

Morristown, NJ · On-site

$83K - $120K/yr

PDPM & Reimbursement Strategy: Strategically schedule ARDs and audit clinical documentation to capture true resident acuity, optimizing PDPM components, nursing tiers, and NTA scores. Quality Measure ...

Care-One

MDS Specialist RN

Whippany, NJ · On-site

$83K - $120K/yr

PDPM & Reimbursement Strategy: Strategically schedule ARDs and audit clinical documentation to capture true resident acuity, optimizing PDPM components, nursing tiers, and NTA scores. Quality Measure ...

McGuire

MDS Lead RN

Williamsville, NY · On-site

$36 - $37/hr

You'll also provide education and support to facility staff while overseeing MDS processes and assisting with reimbursement-related audits and reviews. If you have experience with MDS, PDPM, and ...

Bear Creek Nursing

RN, MDS Coordinator

Hudson, FL · On-site

$29.25 - $35.25/hr

This is a high-level, hands-on role for someone who understands the full scope of MDS, from PDPM ... Support survey readiness, audits, and QAPI initiatives What We're Looking For (Required) * Active ...

Bear Creek Nursing

RN, MDS Coordinator

Hudson, FL · On-site

$33.25 - $40/hr

This is a high-level, hands-on role for someone who understands the full scope of MDS, from PDPM ... Support survey readiness, audits, and QAPI initiatives What We're Looking For (Required) * Active ...

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All 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 Jul 2, 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.
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Pdpm Audit jobs near you
MDS Director (Registered Nurse)

MDS Director (Registered Nurse)

Cobble Hill LifeCare

Brooklyn, NY • On-site

$140K - $160K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

Cobble Hill Health Center is seeking an experienced RN Director of MDS to lead and oversee all aspects of the MDS process in our well-established, not-for-profit long-term care facility.

This is a key leadership role responsible for ensuring accurate assessments, regulatory compliance, and optimal reimbursement outcomes.

Responsibilities
  • Oversee all MDS assessments and submissions
  • Monitor and improve Case Mix Index (CMI)
  • Perform PDPM reviews on admission and prior to submission
  • Ensure accurate MDS coding and documentation
  • Collaborate with rehab and interdisciplinary teams
  • Review UB04s and coordinate with billing
  • Manage ADR responses, audits, and appeals
  • Track and present Quality Measures
  • Run Medicare Part B reports
  • Participate in QAPI, Utilization Review, Therapy, and Medical Board meetings
Requirements
  • Active RN License – New York
  • 3+ years experience as MDS Coordinator or MDS Director
  • Strong knowledge of PDPM, Medicare, and Medicaid
  • Experience with CMI optimization and compliance
  • Excellent communication and leadership skills
Preferred:
  • RAC-CT Certification
  • Prior leadership experience
Benefits
  • Referral bonuses
  • Free meals during shifts
  • Medical, dental, vision, life insurance
  • Retirement plan + employer contribution + 403(b)
  • Employer-paid deductible contribution
  • 16 paid holidays + 31 PTO days (including your birthday)

Job Posted by ApplicantPro