Applied Health Diploma in Clinical Documentation Improvement for Medical Professionals
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.
- 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
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