The Certified Documentation Expert Inpatient (CDEI) ™ credential validates expertise in reviewing inpatient documentation for accuracy to support coding and clinical requirements.
Full Answer
What is certified documentation?
With a CDEO credential, you have:
- Expertise in reviewing medical documentation for accuracy
- The ability to identify and communicate documentation deficiencies to providers to improve documentation for accurate risk adjustment coding
- A sound knowledge of medical coding guidelines and regulations, including compliance and reimbursement. ...
How to become a clinical documentation specialist?
Top Colleges for Clinical Documentation Improvement Specialists
- Duke University
- University of Pennsylvania
- Yale University
- University of Michigan - Ann Arbor
- Georgetown University
- University of North Carolina at Chapel Hill
- University of Virginia
- Columbia University in the City of New York
- Johns Hopkins University
- Vanderbilt University. Develop your cost-effective and future-proof documentation strategy... ...
What should the CDI specialist do?
- Know your numbers. If you don't know the problem areas, you won't be able to make the necessary adjustments to improve and move the needle in areas that influence your ...
- Hone the query process.
- Communication & Collaboration.
- The right technology.
- Explore other opportunities for CDI.
How can I become a clinical documentation specialist?
How to Become a Documentation Specialist
- Understand the job description and responsibilities of a Documentation Specialist. What does a Documentation Specialist do? ...
- Learn best tips to become a Documentation Specialist. Here are some tips to become a Documentation Specialist. ...
- View best colleges and universities for Documentation Specialist
What is a certified documentation expert inpatient?
The Certified Documentation Expert Inpatient (CDEI)™ credential validates expertise in reviewing inpatient documentation for accuracy to support coding and clinical requirements.
How do I become a CDI?
Eligibility RequirementsMinimum of two (2) years of clinical documentation integrity experience.Associate's degree or higher in a health care or allied health care discipline.Completion of coursework in the following topics: Medical terminology. Human anatomy and physiology. Pathology. Pharmacology.
What is Cdei certification?
Program Overview The Certified Distance Education Instructor Program. The CDEI™ program is designed to be used by persons preparing to teach professional and academic education courses via a variety of distance education delivery methods such as Internet, CBT, and video-conferencing.
How do you become a documentation specialist?
How to become a document specialistEarn a high school diploma. Some employers require candidates to earn at least a high school diploma or GED to perform more basic tasks involved in the role. ... Continue your education. ... Gain hands-on training. ... Receive your certification. ... Maintain your certification.Mar 22, 2021
How do I become a CDI nurse?
TBT: Six steps to help you join the CDI ranksLearn as much as you can. When Shiloh A. ... Attend a local chapter meeting. If you have a local chapter in your area, call or email the leadership and ask if you can attend a meeting. ... Job shadow CDI staff. ... Analyze your skills. ... Train yourself. ... Apply for the job.Jun 22, 2017
What is clinical documentation?
Clinical documentation specialists understand a wide range of specialized disciplines, including education in anatomy and physiology, pathophysiology, and pharmacology; knowledge of official medical coding guidelines, CMS, and private payer regulations related to the Inpatient Prospective Payment System; an ability to analyze and interpret medical record documentation and formulate appropriate physician queries; and an ability to benchmark and analyze clinical documentation program performance.
What is CCDS-O credential?
The CCDS-O credential represents a mark of excellence for CDI professionals operating in outpatient settings, and provides employers with a baseline of competency for existing staff or potential hires.
What is ACDIS CDI?
The ACDIS CDI Apprenticeship is a certificate program comprised of foundational CDI education paired with a review of core compliance and ethical principles. Candidates who pass the final exam receive a certificate of CDI foundational training and are allowed to designate themselves as an ACDIS-Approved CDI Apprentice.
What is CCDS O?
The Certified Clinical Documentation Specialist-Outpatient (CCDS-O) provides a trusted baseline of competency for CDI in the outpatient setting, which includes physician practices, hospital clinics, and the emergency department, among other settings.
What is ACDIS CDI Apprentice?
Designation as an ACDIS CDI Apprentice demonstrates to potential employers that an individual has foundational knowledge of CDI.
What is a CDEI course?
Designed for the experienced coder or auditor, AAPC's CDEI online training course covers the benefits of clinical documentation improvement (CDI) programs, documentation requirements, quality measures, payment methodologies, and clinical conditions including common signs and symptoms, typical treatment, documentation tips and coding concepts. A minimum of two years coding or medical auditing experience is strongly suggested prior to taking this course.
How many years of coding experience is required for a coding program?
Minimum of two years coding experience and coding certification strongly recommended.
How long is a CDEI voucher valid?
The CDEI ® exam voucher is valid for 12 months from date of purchase. Membership is required to take any AAPC examination.
How to advance as a clinical documentation specialist?
One way to advance a career as a clinical documentation specialist is to gain work experience in the health and medical records industry. This helps a candidate prepare for more advanced certifications, gaining the experience necessary for more leadership responsibilities, which are typically requisite in candidates being considered for positions in upper management or as clinical directors.
What is clinical documentation?
A clinical documentation specialist, also known as a documentation improvement specialist, is responsible for ensuring that official standards of healthcare recording and documentation are upheld. The discipline is closely related to the field of medical claims billing in the sense that both fields rely on a deep knowledge of medical codes. Clinical documentation professionals use government-sponsored professional coding systems such as ICD-10-CM and CPT to report on patient records, diagnoses, the quality of their care, and any other services provided.
How many jobs will be created in clinical documentation in 2021?
The Bureau of Labor Statistics (BLS 2021) reports that the clinical documentation-related field of medical records and health information technicians is set to grow 8 percent between 2019 and 2029, adding 29,000 jobs. The BLS notes that the required entry-level education for a clinical documentation specialist is a postsecondary nondegree award.
What is accreditation in healthcare?
Accreditation ensures that a school’s standards (or those of a specific educational program) has met a set of peer-reviewed guidelines. There are several programmatic accreditation bodies, which approve educational programs related to clinical documentation in healthcare.
What are the daily tasks of a physician?
Daily tasks include reviewing and analyzing health documents to properly record relevant diagnoses and procedures for patients, staying abreast of federal and state regulations, keeping informed of changes in treatment modes and new procedures, and performing coding when physician documentation is vague or missing.
Why is clinical documentation important?
Clinical documentation jobs exist at all levels of healthcare, and as paperwork (or its digital equivalent) will never go away, certified clinical documentation specialists are critical to healthcare businesses so that their profiling, reimbursement, quality measure reporting, and quality control standards are consistently upheld.
What is the Arkansas Tech certificate?
The health information technology technical certificate from Arkansas Tech university can be extremely useful to an aspiring clinical documentation specialist. In just one year, students can gain the necessary skills to understand the origin, use, content, and format of health records. The 2018/2019 graduating class from this program had an impressive 100 percent pass rate on the Registered Health Information Technician (RHIT) exam.
Clinical Documentation Improvement Specialist - Inpatient Re..
Educates physicians and key healthcare providers regarding clinical documentation improvement.
Clinical Documentation Improvement Specialist
Participating at the organizational level in clinical documentation improvement initiatives.
Clinical Documentation Specialist I
Queries providers and medical team members caring for the patient to clarify clinical documentation.
CLINICAL SYSTEMS ANALYST - Epic Inpatient Clinical Documenta..
Knowledge of current issues and trends in health care and clinical operations in a health care system.
Inpatient Clinical Documentation Specialist - HIM CDI
The Clinical Documentation Specialist is responsible for analyzing and auditing medical records concurrently to ensure that the clinical information within the…
Epic Application Analyst – Inpatient Clinical
Epic analyst positions supporting inpatient nursing and ambulatory clinical Epic modules and third-party applications, clinical experience is preferred.