Despite clinical documentation specialists and coding professionals working diligently toward common objectives—accuracy, transparency, availability, compliance, information integrity—there is often a disconnect between applications of code methodology.
Outside of the US, CDI programs are being implemented, leading to increased demand for CDI specialists and a keen interest in the CDIP credential.
CDI professionals need physicians who are willing to provide the key documentation that shows the severity of their patients’ illnesses.
CDI concurrent review efforts result in better accuracy of severity of illness and form the foundation for quality outcomes, fiduciary accuracy, and healthcare team communication during the inpatient stay.
An Investigative Approach: How Clinical Documentation Teams Improve Communication, Documentation Outcomes and Patient Care
Clinical documentation programs’ success is a result of the healthcare team keeping a constant vigil on communication while operationalizing outcomes and instilling provider support.
It is crucial for clinical documentation improvement professionals to work with interdisciplinary teams.