The Clinical Documentation Improvement Specialist (CDIS) is
responsible for competency in coordinating and performing day to day operations
, providing concurrent and/or retrospective review, and improving documentation of all conditions, treatments, and care plans to ensure highest quality of care is provided to the …
How much do clinical documentation specialists make?
| Annual Salary Monthly Pay | Top Earners $103,500 $8,625 | 75th Percentile $90,000 $7,500 | Average $76,299 $6,358 | 25th Percentile $60,000 $5,000 |
|---|
What does a clinical documentation specialist do?
The Clinical Documentation Improvement Specialist (CDIS) is
responsible for competency in coordinating and performing day to day operations
, providing concurrent and/or retrospective review, and improving documentation of all conditions, treatments, and care plans to ensure highest quality of care is provided to the …
How do I become a clinical documentation specialist?
- Step 1: Complete an undergraduate program. …
- Step 2: Get licensed or certified. …
- Step 3: Gain work experience. …
- Step 4: Become a clinical documentation specialist. …
- Step 5: Earn CCDS certification. …
- Step 6: Maintain your licensure or certification.
What does clinical documentation improvement do?
CDI (Clinical Documentation Improvement) has been described as
the process of improving healthcare records to ensure improved patient outcomes, data quality, and accurate reimbursement
. Hospitals began CDI programs as a response to the advent of DRGs (Diagnosis Related Groups) as a form of reimbursement.
What is a clinical quality documentation specialist?
A CDS is
a registered nurse who manages, assesses, and reviews a patient’s medical records
to ensure that all the information documented reflects the patient’s severity of illness, clinical treatment, and the accuracy of documentation.
What is a documentation specialist?
A Documentation Specialist is
an individual responsible for the writing, distribution, collection, storage, and maintenance of a company’s documentation
. In highly regulated industries, these activities are a requirement for regulatory compliance.
What is documentation job description?
A Documentation Specialist is
an administrative professional who is responsible for maintenance of company documents
. Their job is to store, catalogue and retrieve documents. This may involve maintaining paper files, electronic files, or even databases.
How much do clinical documentation nurses make?
The highest salary for a RN Clinical Documentation Specialist in United States is
$111,488 per year
. The lowest salary for a RN Clinical Documentation Specialist in United States is $37,835 per year.
How do I get Cdip certified?
To be eligible for CDIP certification, you must first
earn an associate or bachelor’s degree
. You also need at least three years of clinical documentation integrity experience (CDI) and coursework in medical terminology, and anatomy, and physiology.
What is a clinical documentation educator?
Clinical Documentation Improvement Educator
Promotes efforts to improve clinical documentation
and provide an accurate clinical picture of the patient including severity of illness, risk and resource utilization.
What is a CDEO certification?
The Certified Documentation Expert Outpatient (CDEO
®
) credential
validates expertise in reviewing outpatient documentation for accuracy to support coding, quality measures, and clinical requirements
.
What is considered clinical documentation?
Clinical documentation (CD) is the
creation of a digital or analog record detailing a medical treatment, medical trial or clinical test
. Clinical documents must be accurate, timely and reflect specific services provided to a patient.
How can clinical documentation be improved?
- Define professional standards. …
- Expand education. …
- Create peer-to-peer support systems. …
- Review information. …
- Allow patients greater access to EHRs.
Why clinical documentation improvement is so important to hospitals?
Clinical documentation improvement (CDI) helps
ensure that the events of the patient encounter are captured accurately and the electronic health record properly reflects the services
that were provided. … CDI also ensures that all members of the care team receive information on a patient, AHIMA added.
How much do CDI nurses make?
| Annual Salary Hourly Wage | Top Earners $108,000 $52 | 75th Percentile $90,000 $43 | Average $81,296 $39 | 25th Percentile $67,500 $32 |
|---|
