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Ethics
Beyond the Physician Note: Why Every Clinician’s Documentation Matters in Saudi Arabia
February 10, 2026
As a Clinical Documentation Specialist with 13 years experience in CDI, and as the Director of Clinical Documentation Improvement Australia (CDIA), I..
The Same Mission in Different Systems: A Clinical Documentation Specialists Experience of Public and Private Healthcare
January 27, 2026
Clinical Documentation Improvement (CDI) has grown into an important part of both the public and private healthcare system. Over the past several..
From Bedside to CDI: Why Nursing Documentation Matters
January 20, 2026
Clinical Documentation Integrity (CDI) is often framed as a technical process involving coding accuracy, medical documentation, and hospital funding...
Is Fever and Tachycardia in the Face of Infection Truly Sepsis?
December 18, 2025
Fever and tachycardia are common physiological responses to infection. While these symptoms can indicate an underlying illness, their presence alone..
AI-Assisted Coding Is Advancing, But Accurate Clinical Documentation Remains the Foundation
December 4, 2025
Artificial intelligence is accelerating change across the healthcare industry, and one area drawing particular attention is clinical coding...
Targeting complexity: Real-time clinical documentation improvement in a tertiary hospital
November 24, 2025
Rationale Standardised and reliable best practice in clinical documentation improves the quality, completeness and accuracy of the medical record...
The Story of the Chicken and the Egg: An Allegory for Purpose in Industry
November 10, 2025
The ancient anecdote of the chicken and the egg poses a fundamental question: which comes first? This proverbial query serves as a metaphor for..
Surviving the Wild World of Doctors: A CDS Guide to Resilience, Perseverance, and a Bit of Wit
October 29, 2025
Being a Clinical Documentation Specialist (CDS) is a bit like being a wildlife ranger, except your “species” wear stethoscopes and sometimes think..
The Dangers of Overextending Clinical Documentation and Coding
October 7, 2025
Clinical documentation and coding are vital for accurate patient records, appropriate billing, and ensuring that healthcare providers are reimbursed..