HIT 400 - Clinical Documentation Improvement

2.00 Credit(s)

This course will introduce health information management professionals to the challenges of detailed clinical documentation in the electronic health record as the healthcare industry transitions to ICD-10-CM. The course will focus on the clinical terminologies needed to assign accurate coding which avoids potential reimbursement losses. Facilitation and coordination between the medical coding department and clinicians by means of the standard physician query process will be examined. Clinical Documentation Improvement (CDI) is not about how to code, but rather knowing what to look for in medical records as well as how to ask for clarification provided by physicians. 39.6 Lec. Hrs.

Prerequisite(s): A minimum grade of C- in HIT 312 , HIT 422 , HIT 485 , and HIT 596.