Acute Coding Review 

Clinical Documentation Integrity (CDI)

Clinical Documentation Integrity (CDI) – Services & Staffing

 

A strong Clinical Documentation Integrity (CDI) program improves quality measures and supports accurate reimbursement. HIA provides both CDI consulting services and CDI staffing solutions to help hospitals and physician groups reduce denials, strengthen documentation, and improve appeal outcomes with support from experienced clinical documentation specialists.

Clear, complete, and timely clinical documentation ensures an accurate reflection of the patient’s condition and care. In today’s healthcare landscape, effective CDI program support directly impacts coding accuracy, quality reporting, reimbursement, and long-term patient outcomes. With the right CDI professionals in place, your organization can stay compliant and perform at its best.

HIA's remote CDI staffing features: 

  • Formal quality assurance and continuing education program  
  • On-demand reporting and online scheduling with Nucleus
  • Seamless client onboarding process  

Explore what our CDI services offer on demand in Nucleus, the secure portal for HIA clients:

  • Listing of all accounts where CDI was involved on the encounter with or without potential CDI query opportunities
  • Consolidated summary of CDI accuracy rates
  • Detailed listing of individual CDI accuracy breakdown
  • Overview of CDI opportunities with potential query opportunity accuracy rates
  • Missed query opportunities or invalid queries, if any
CDI Summary Worksheet Dashboard 2
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HOW WE CAN HELP

Our comprehensive approach

HIA’s CDI review services ensure ICD-10-CM, ICD-10-PCS, and CPT codes accurately reflect documented clinical indicators, diagnoses, and procedures. Our clinical documentation specialists identify education opportunities for CDI staff, providers, and other stakeholders to support continuous improvement and documentation accuracy.

Conversions/Upgrades

Backlogs

Overflow Needs

Vacation/FMLA


Atom Audit - Medical Coding Audit Platform from Health Information Associates

Education

 

Following a comprehensive CDI review, HIA offers a multi-pronged approach to educating the relevant stakeholders in your organization. It all starts with an executive summation conference to discuss overall findings. This is followed by an educational session involving your coding team, CDI specialists, providers and any others from your organization that you wish to include. In order to minimize interruption to daily production, these sessions are usually one to two hours in duration and focus heavily on common trends and opportunities. Individual educational needs are met with a coder specific action plan drawn from review findings and supported by HIA's proprietary learning management system. All facets offer opportunities to gain CEU's and represent a comprehensive solution to meet educational needs. 
  • Executive summation conference  
  • CDI Specialist education sessions
  • Coding Education
Free Medical Coding Course

Looking to Elevate Your Coding Team's Performance?

HIAlearn.com is our coding education platform with over 200 courses accepted by AHIMA for CEUs, with a selection also accepted by AAPC. Courses are designed to cover topic areas that impact coding, have been the frequent source of errors by coders and usually affect DRG assignments.

If you are interested in purchasing a subscription or training plan, please visit HIAlearn.com. Group discounts are available for your organization.

To see HIAlearn.com in action, sign up for a sample course below.

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Settings we serve

Settings

Here’s a brief, but by no means exhaustive, list of the settings we serve most often:  

Acute

  • Short-term acute  
  • Long-term Acute  
  • General med/surg  
  • Pediatric  
  • Academic/teaching  
Other Solutions and Services 

Solutions

Ready to take the next step?

Whether you have questions or want to explore your options, we're here to help. Reach out to us and let's see how we can assist you. Contact us today!

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