Posts about
Clinical Documentation Specialist (3)
Engaging the Reluctant Clinician: Making Clinical Documentation Improvement Relevant for All Doctors
July 3, 2025
Clinical Documentation Improvement (CDI) programs are designed to enhance the accuracy, clarity, and usefulness of clinical records—not just for..
Reflecting on ACDIS Inspire 2025: Lessons for the Evolving CDI Landscape in ICD-10-AM Countries
May 21, 2025
As the curtain closes on ACDIS Inspire 2025, held in Orlando, Florida, it’s an opportune moment to reflect - not only on the impressive scale and..
An Opportunity to Increase Awareness
May 15, 2025
Doctor Engagement with CDI: An Opportunity to Increase Awareness Despite the critical role that clinical documentation plays in healthcare delivery..
Beyond Nursing Checklists
April 3, 2025
Beyond Nursing Checklists: Why Comprehensive Nursing Documentation Matters In modern healthcare, nursing documentation is a fundamental aspect of..
Remote CDI- Is It Really Effective?
March 7, 2025
Onsite Clinical Documentation Improvement (CDI) programs are designed to enhance the accuracy, completeness, and specificity of medical..
CDI: It's Not About Who
January 28, 2025
At a recent conference, I was exposed to several thought-provoking conversations about who should ‘own’ clinical documentation improvement (CDI). Who..
I'm a CDS, Now What? - Transitioning into the CDS Role
October 25, 2021
Experienced Clinical Documentation Nurse Consultant Samantha Ryan reflects on the leap from clinical nurse to CDS.
CDS - Scope Creep
June 17, 2021
Are people in your hospital asking you to work beyond the scope of your clinical documentation specialist (CDS) role? You may be experiencing scope..
What Is a Leading Query?
June 14, 2021
It is disheartening that there are still misconceptions about what a leading query is. In my last article, “The Query Conundrum,” I briefly talked..