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Applied Health Diploma in Clinical Documentation Improvement for Medical Professionals

Please note: This program only accepts new students in fall and spring semesters (not in summer semesters).

Clinical documentation is utilized throughout the healthcare field to provide accurate recording of patient care. Clinical documentation improvement (CDI) is a growing sector within the health information management industry (HIM), which serves to validate healthcare that is provided and to optimize medical claims processing. As the medical landscape shifts and becomes more specialized, and more detailed levels of documentation and medical coding are required, the clinical documentation specialist (CDS) is essential for promoting quality documentation and medical record integrity.

Developed in conjunction with professionals from NYU Langone Medical Center, the Diploma in Clinical Documentation Improvement for Medical Professionals is a blended program that offers students with a clinical background the opportunity to develop the critical skills required of CDI specialists, including knowledge of coding guidelines and principles. At the completion of this diploma, students have familiarity with the role of CDS and the function of CDI programs, understand query concepts, and are able to formulate physician queries and facilitate improvement in the overall quality of documentation.

As a student in this program, you will be prepared to develop provider queries by responding to case studies. Based upon the case examples, you will present target documentation needs for provider education, demonstrating knowledge of CDI and the ability to communicate with providers, executive leaders, and peers.

Note: Because of the specialized nature of this program, students applying for admission must hold an RN license with more than two years of clinical experience, or they must hold an MD or DO license with more than two years of clinical experience. Students with a foreign medical degree and two years of experience in a clinical setting also may apply.

Job Skills

  • Knowledge of coding concepts and principles
  • Comprehension of medical terminology and clinical knowledge (anatomy and physiology, pathophysiology, and pharmacology)
  • The ability to read and analyze data in a patient health record
  • The aptitude to establish and maintain strong verbal communication with clinicians and providers

 

Potential Job Titles

  • Clinical Documentation Improvement Specialist
  • Clinical Documentation Improvement Coordinator

 

The Diploma is awarded to students who successfully complete the five required courses within two years, though most will be able to complete the program within one semester.

Must be completed within

2 years

You'll Walk Away With

  • An understanding of the role of the CDS and the function of CDI programs in hospitals
  • Proficiency in applying ICD-10 coding
  • The ability to apply clinical knowledge to analyze and to interpret medical records
  • An understanding of query concepts and the ability to formulate physician queries
  • The skills to facilitate improvement in the overall quality of documentation

Program Curriculum

COURSES THAT GIVE YOU THE SKILLS AND TRAINING YOU NEED TO START YOUR NEW CAREER

Program Curriculum

COURSES THAT PROVIDE FOUNDATIONAL INFORMATION IN THE FIELD WITH OPTIONS TO SPECIALIZE IN AN AREA RELEVANT TO YOUR NEEDS

REQUIRED

All Courses Required

Principles of Clinical Documentation Improvement

Gain an understanding of the purpose of clinical documentation improvement (CDI) and the role of the clinical documentation specialist (CDS).

1 section

CDI: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

Enhance your accuracy and ability to code so that you reach the highest level of specificity required by ICD-10-CM using realistic case studies.

1 section

CDI: International Classification of Diseases, 10th Revision, Procedure Classification System (ICD-10-PCS)

Enhance your accuracy and ability to code to the highest level of specificity required by ICD-10-PCS using realistic case studies.

1 section

Reimbursement Methodology

Learn the basics of medical insurance billing and current payment methodologies to apply in various healthcare settings.

2 sections

Applied CDI

Develop your ability to apply clinical knowledge in the analysis and the interpretation of medical records.

1 section

OPTIONAL

Complete 0

JobFocus: CDI for Medical Professionals

Gain a better understanding of long-term career management topics in clinical documentation improvement (CDI).

1 section

General Admission Requirements

  • Resume
  • Two references
  • Essay
  • An RN license and more than two years of clinical experience, an MD or DO license and more than two years of clinical experience, or a foreign medical degree and two years of experience in a clinical setting

Principles of Clinical Documentation Improvement

Gain an understanding of the purpose of clinical documentation improvement (CDI) and the role of the clinical documentation specialist (CDS).

1 section

CDI: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

Enhance your accuracy and ability to code so that you reach the highest level of specificity required by ICD-10-CM using realistic case studies.

1 section

CDI: International Classification of Diseases, 10th Revision, Procedure Classification System (ICD-10-PCS)

Enhance your accuracy and ability to code to the highest level of specificity required by ICD-10-PCS using realistic case studies.

1 section

Reimbursement Methodology

Learn the basics of medical insurance billing and current payment methodologies to apply in various healthcare settings.

2 sections

Applied CDI

Develop your ability to apply clinical knowledge in the analysis and the interpretation of medical records.

1 section

JobFocus: CDI for Medical Professionals

Gain a better understanding of long-term career management topics in clinical documentation improvement (CDI).

1 section