The Clinical Documentation Improvement Specialist’s Complete Training Guide
Author: Laurie L. Prescott, MSN, RN, CCDS, CDIP
Your new CDI specialist starts in a few weeks. They have the right background to do the job, but need orientation, training, and help understanding the core skills every new CDI needs.
Don’t spend time creating training materials from scratch. ACDIS’ acclaimed CDI Boot Camp instructors have created The Clinical Documentation Improvement Specialist’s Complete Training Guide to serve as a bridge between your new CDI specialists’ first day on the job and their first effective steps reviewing records.
The Clinical Documentation Improvement Specialist’s Complete Training Guide is the perfect resource for CDI program managers to help new CDI professionals understand their roles and responsibilities. It will get your staff trained faster and working quicker.
This training guide provides:
- An introduction for managers, with suggestions for training staff and guidance for manual use
- Sample training timelines
- Test-your-knowledge questions to reinforce key concepts
- Case study examples to illustrate essential CDI elements
- Documentation challenges associated with common diagnoses such as sepsis, pneumonia, and COPD
- Sample policies and procedures
Table of Contents
Introduction for Managers
Induction for New Staff
Chapter 1: CDI Specialist Roles and Responsibilities
Chapter 2: Almost Everything You Need to Know About Inpatient Coding
Chapter 3: Healthcare Reimbursement
Chapter 4: Compliant Query Practices
Chapter 5: Regulatory Oversight
Chapter 6: The Art of Record Review
Chapter 7: Documentation Improvement Opportunities by Major Diagnostic Category
Chapter 8: Physician Education
Chapter 9: Evaluating Success
About the Author
Laurie L. Prescott, MSN, RN, CCDS, CDIP, is a CDI education specialist for HCPro in Danvers, Mass. In 2007, Prescott initiated and fostered a clinical documentation program at a community hospital in North Carolina. The majority of her nursing career has been spent in acute care, primarily medical-surgical, with experience in ICU, PACU, endoscopy, and one-day surgery. She has worked as unit manager of med-surg and ICU units, and served as an adjunct professor for an ADN program; later, she stepped into the role of director of education and clinical support of nursing staff. Prescott's 30 years of nursing experience encompasses large academic medical centers, small community hospitals, and physician offices. In addition, she has experience with both regulatory and compliance issues.
Published: October 2014