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Pdpm Audit Jobs (NOW HIRING)

McGuire

MDS 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 ...

Wapakoneta Manor

MDS Coordinator (RN)

Lima, OH

$35.50 - $42.75/hr

Maintain compliance with CMS guidelines * Assist with audits and survey readiness What We're Looking For: * Active RN license (required) * MDS experience required * Strong knowledge of PDPM, Medicare ...

New

Avardis Health

Director of MDS (RN)

Asheville, NC · Remote

$110K - $115K/yr

Conduct internal audits, including MDS completion, PDPM accuracy, documentation validation, care plan, Quality Measure, triple-check, reimbursement, and survey readiness reviews.Assist facilities ...

New

Avardis Health

Director of MDS (RN)

Charlotte, NC · On-site

Conduct internal audits, including MDS completion, PDPM accuracy, documentation validation, care plan, Quality Measure, triple-check, reimbursement, and survey readiness reviews. * Assist facilities ...

New

Avardis Health

Director of MDS (RN)

Asheville, NC · On-site

Conduct internal audits, including MDS completion, PDPM accuracy, documentation validation, care plan, Quality Measure, triple-check, reimbursement, and survey readiness reviews. * Assist facilities ...

New

McGuire

MDS 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 ...

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Showing results 41-60

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 Aug 17, 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?

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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What cities are hiring for Pdpm Audit jobs?

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What states have the most Pdpm Audit jobs?

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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 1% Internship, 90% Full Time, 5% Part Time, 1% Temporary, and 3% Contract. Highlights an 86% Physical, 6% Hybrid, and 8% Remote job distribution, with an average salary of $120,236 per year, or $57.8 per hour.

Director of Rehabilitation

Legacy Health Services

Wickliffe, OH • On-site

Full-time

Re-posted 29 days ago

Job description

Position Summary
The Director of Rehabilitation (DOR) is responsible for the strategic leadership, clinical oversight, and operational management of rehabilitation services within a Long-Term Care/Skilled Nursing Facility (SNF). This role ensures compliance with Medicare Part A/B regulations, PDPM reimbursement requirements, and all federal and state guidelines while driving optimal patient outcomes, functional improvement, and high-quality care.
The DOR partners closely with nursing leadership, MDS coordinators, and interdisciplinary teams to support resident-centered care and maximize clinical and financial outcomes.
Great Career Growth Opportunity for PTAs and OTAs! This role is ideal for Physical Therapist Assistants and Occupational Therapy Assistants looking to broaden their skills, gain valuable healthcare experience, and explore future advancement opportunities.
Key Responsibilities
Leadership & Program Management
  • Direct and oversee all daily operations of the rehab department (PT, OT, SLP services).
  • Lead interdisciplinary collaboration with Nursing, MDS, Social Services, and Medical Director.
  • Develop and maintain therapy programs aligned with SNF patient populations (short-term rehab & long-term residents).
  • Monitor staffing levels to ensure appropriate coverage for evaluations, treatments, and discharges.

Clinical & Regulatory Compliance
  • Ensure compliance with CMS, Medicare Part A & B, PDPM, and state LTC regulations.
  • Oversee accurate and timely documentation, including evaluations, progress notes, and discharge summaries.
  • Support compliance with Minimum Data Set (MDS) and ensure therapy documentation aligns with coding and care plans.
  • Prepare for and participate in surveys, audits, and compliance reviews.

Reimbursement & Financial Performance
  • Manage and optimize PDPM case mix index (CMI) through collaboration with MDS and clinical team.
  • Monitor therapy utilization, RUG/PDPM classifications (as applicable), and payer mix.
  • Ensure accurate billing practices for Medicare, Medicaid, and managed care plans.
  • Track and manage department productivity, labor costs, and operational budgets.

Quality Outcomes & Patient Care
  • Drive improvement in key quality metrics, including functional outcomes, rehospitalization rates, and length of stay.
  • Implement evidence-based clinical programs for geriatric populations.
  • Ensure safe discharge planning and smooth transitions of care.
  • Address complex resident needs, including fall prevention, mobility, and ADL independence.

Staff Leadership & Development
  • Recruit, hire, and retain licensed therapists and assistants.
  • Provide training on SNF-specific regulations, PDPM, and compliance requirements.
  • Conduct performance reviews and ensure staff competency.
  • Foster a culture of accountability, teamwork, and patient-centered care.

Collaboration & Communication
  • Work closely with MDS Coordinator to align therapy services with reimbursement and care planning.
  • Participate in care plan meetings and family discussions as needed.
  • Communicate effectively with residents, families, physicians, and facility leadership.

Qualifications
Required
  • Licensed Physical Therapist (PT), Occupational Therapist (OT), or Speech-Language Pathologist (SLP) in the state of Ohio.
  • Preferred 3-5 years of clinical experience in a Skilled Nursing Facility or Long-Term Care setting.
  • At least 1-2 years of rehab leadership or supervisory experience in SNF/LTC.
  • Strong working knowledge of PDPM, MDS, Medicare, Medicaid, and managed care reimbursement models.
  • Experience with rehab documentation systems and EMRs.

Preferred
  • Proven experience improving case mix index (CMI) and therapy program outcomes.
  • Experience managing Medicare Part A & B therapy programs within SNFs.
  • Familiarity with state survey process and audit preparation.
  • Certification in geriatric rehabilitation or specialty programs.

Wickliffe Country Villa - Wickliffe
Rooted in the Community:
Wickliffe Country Villa is honored to care for the Wickliffe community. Our team is passionate about making a difference in the lives of our residents and their families every day.
Our Mission:
"Our Family Caring for Yours" means treating every team member like family. We believe in creating a supportive, respectful, and growth-oriented environment where you can thrive both personally and professionally.
What We Offer Employees:
  • A strong sense of purpose and community

  • Opportunities to grow your career in skilled nursing, assisted living, rehab, long-term care, and hospice

  • Full-time nurse practitioner support and interdisciplinary collaboration

  • A workplace that values your unique contributions and encourages continuous learning

We See You as a Whole Person:
Just like our residents, our team members have physical, emotional, social, and intellectual needs. We're committed to supporting your well-being and helping you succeed.
We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, national orientation, age, sexual orientation, marital or veteran status, or non-job-related handicap or disability.

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