Specialization in this in-demand field is on the rise. Are you an RN, LPN, RHIT, RHIA or CCS looking for a new but related career path? Clinical Documentation Improvement uses your skills in medical coding, clinical care and health record documentation. This Certificate’s curriculum covers the CDIP exam domains and will prepare students for taking the CDIP exam.
Acceptance into this program also requires one of the following credentials: RHIA, RHIT, RN, LPN, CCS. This certificate equips students with a working knowledge of clinical documentation improvement (CDI) tasks, procedures, policies, philosophy, and value. A focus will be placed on mastering documentation concepts as it relates to reimbursement and medical necessity. Courses will immerse students in real-world scenarios and processes, giving the student experience that simulates work experience in the field. A case study practicum is the final course and will require students to demonstrate high-level CDI knowledge and skills.
BIO 212 Anatomy and Physiology3 credits
BIO 215 Pathophysiology3 credits
HCA 105 Medical Terminology3 credits
HIM 205 Reimbursement Methodologies3 credits
HIM 210 Clinical Classification Systems I3 credits
HIM 211 Clinical Classification Systems II3 credits
This Certificate is 33 credits and 15 of these credits must be completed at Charter Oak. All courses must be completed with a grade of 'C' or better.
HIM 371 Revenue Cycle and CDI3 credits
HIM 373 CDI Operational Process3 credits
HIM 475 Compliance and Medical Necessity3 credits
HIM 477 Mastering Documentation3 credits
HIM 491 CDI Case Study Practicum3 credits
Students who complete a certificate in Clinical Documentation Improvement will be able to:
- analyze coded diagnoses and procedures related to reimbursement methodologies and billing;
- analyze patient health records in the current EHR environment for documentation that meets accepted coding guidelines;
- query physicians for documentation clarification and interpretation;
- identify ethical, legal, and compliance issues as they relate to documentation, coding and reimbursement;
- evaluate the relationship between financials and clinical documentation that drives the operational revenue cycle performance;
- utilize the principles of chart review and clinical documentation improvement tools within the EHR;
- relate medical necessity to the criteria for quality documentation and communication of patient care and bidirectional clinical indicators;
- demonstrate the ability to communicate, interact, and engage providers in the standards of documentation as an integral part of the practice of medicine.
Why Charter Oak State College?
- 100% online
- Credit for credentials
- Six (6) start dates
- Expert Faculty