Bridging the gap between coding and clinical documentation improvement (CDI)
Anneleah Williams-Bridges
HIM professionals, coders, and clinical documentation improvement specialists (CDIS) nold essential roles in healthcare as guardians of PHI and advocates for continuity of care through consistent documentation and accurate code assignment. The CDIS ensures that the medical record is complete, there is clinical validation to support diagnoses, and the medical record is consistent without conflicting or obscure documentation. HIM professionals and coders, are responsible for abstracting data from the medical record and assigning the appropriate codes to accurately report the patient's clinical picture Without the two teams working hand in hand to improve the medical record's documentation, billing errors could ensue, and the quality of patient care is at risk. Today, organizations are calling for their CDIS to learn the fundamentals of coding and for coders to review the medical record with clinical eyes. Which is why this resource proves invaluable! Whether you're already skilled in coding but desire to add CDI expertise to your resume, or an existing CDIS looking to update your coding skillset this publication will be of good use to you!
- No. Panggil 616 WIL b
- Edisi
- Pengarang Anneleah Williams-Bridges
- Penerbit [s.l] [s.n] 2020
