Inaccurate inpatient clinical documentation can lead to misdiagnosis, improper treatment, and compromised patient safety. Inconsistencies in documentation can cause communication breakdowns among healthcare providers, and delayed documentation affects continuity of care. Not only can incomplete records impact patient care quality it can also have contribute to financial compliance risks. Yet for many coders and clinical documentation integrity specialists (CDISs) high workloads, time constraints, and insufficient organizational support often hampers clinical documentation integrity (CDI) efforts.

Join expert Angela Comfort, MBA, RHIA, CDIP, CCS, CCS-P, as she offers practical strategies and tools to enhance CDI. Angela will introduce standardized templates, checklists, and advanced EHR systems improve efficiency and accuracy. She will also address knowledge gaps in CDI principles and regulatory requirements, providing essential continuous education resources. Participants will gain actionable insights to improve documentation quality, patient care, compliance, and financial outcomes.

Why This is Relevant:

Attendance is essential for healthcare professionals looking to enhance documentation skills. Participants will implement precise documentation practices, use standardized templates, and leverage advanced EHR systems. They will understand how to avoid errors and stay compliant with regulations. This knowledge will improve patient care, ensure accurate billing and reimbursement, and reduce audit risks. Attendees will leave with practical tools and strategies for immediate use.

Learning Objectives:

• Define CDI and explain its importance in healthcare.
• Identify and apply clinical documentation principles such as accuracy, specificity, consistency, timeliness, and completeness.
• Recognize frequent documentation errors and implement strategies to improve documentation practices.
• Explore best practices and tools for enhancing CDI.
• Access resources and strategies for ongoing professional development in CDI.

Who Should Attend:

Clinical documentation integrity specialists, clinical documentation integrity managers/directors, inpatient coding professionals, inpatient coding managers, HIM directors