Clinical Documentation Improvement CDI
Clinical Documentation Improvement: raising the quality and completeness of clinical documentation, drafting physician queries, and the impact of documentation on coding, diagnosis groups and quality.
About the program
What you will learn
- Review the medical record and identify documentation gaps
- Draft a compliant query for the physician
- Link documentation to ICD-10-AM coding and diagnosis groups
- Measure documentation program performance indicators
- Communicate with the clinical team to change practice
Target audience and requirements
- Target audience
- Health information specialists, coders, nurses and physicians
- Prerequisites
- Basic knowledge of medical terminology
- Simulation modality
- Computer-based simulation
- Level
- Intermediate
Course content on the platform
Pre- and post-program materials open in the learner portal after registration is confirmed.
- 1Program introduction and learning objectivesReading · 8 min
- 2Step-by-step skill demonstrationVideo · 12 min
- 3Scientific reference for the programFile · 20 min
- 4Checklist of skills to masterSkills checklist · 10 min
- 5Short pre-testQuiz · 10 min
- 6After the program: workplace application planReading · 6 min
Learner feedback
- راراكان · Nurse 4
The pre-program materials on the platform saved a lot of time on the training day.
- عاعبدالله · Intern 4
A practical, focused program, and the certificate arrived the next day.
- فافهد · Physician 4
Excellent organization and skilled instructors. I wish there were more hands-on practice time.
Program provider
Accredited by the Saudi Commission for Health Specialties (SCFHS) · Riyadh
King Saud University offers its training programs for healthcare practitioners through the platform in simulation and clinical and operational skills, with equipped halls and accredited instructors, and following the Society's standards in scenario design, debriefing, and learner assessment.
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