--- title: Clinical Documentation Audits - Clinical Documentation Improvement Australia description: Our audits are conducted by doctors and senior nurses who review the medical record to identify clinically implied diagnoses. More information here.... --- [![Enquire about the Pursuit Program](https://no-cache.hubspot.com/cta/default/7743902/interactive-198623012014.png)](https://www.cdia.com.au/hs/cta/wi/redirect?encryptedPayload=AVxigLKQ2wi%2FudOqjt67qFFsZBBDyyfJSvn67bANzgXDiyhOSyCBPok1q57HbE%2B5z9XaoS58xyVWM1ZUth0Z%2BIDV63G%2BVISlwzGF3ZECBADffmUWOmPcdK6p3RGlvN0VKMpoSof0BH673fZYd4YRRuN186plYB%2BqMKV42FJMhEeZJq%2F%2F01sMIyny05wC6tgejVyhkvM1F4fx1qJd5tnaIUL7krQ%3D&webInteractiveContentId=198623012014&portalId=7743902&hsLang=en) [Saudi Arabia](https://www.cdia.com.au/cdi-specialist-training-certification-course-for-saudi-arabia?hsLang=en) [![CDIA](https://www.cdia.com.au/hubfs/Imported%20sitepage%20images/logo.svg "CDIA")](https://www.cdia.com.au/?hsLang=en) - [About](https://www.cdia.com.au/about-us/) - CDI Consulting - [CDI Audits](https://www.cdia.com.au/clinical-documentation-audits/) - [CDI Training & Education](https://www.cdia.com.au/pursuit-program/) - CDI Courses - [Foundations of CDI](https://www.cdia.com.au/foundations-of-cdi-course) - [CDS training program](https://www.cdia.com.au/pursuit-program/) - [Certification Course for Saudi Arabia](https://www.cdia.com.au/cdi-specialist-training-certification-course-for-saudi-arabia) - [CDS Certification](https://www.cdia.com.au/cds-certification/) - [CDIA Assessment Portal](https://cdia.app.axcelerate.com/learner/login) - [Level 1 Certification](https://www.cdia.com.au/level-1-certification) - [Level 2 Certification](https://www.cdia.com.au/level-2-certification) - [Level 3 Certification](https://www.cdia.com.au/level-3-certification) - [CCDS Reference Guide](https://cdia.app.axcelerate.com/showDoc.cfm?DocID=339364) - [Contact](https://www.cdia.com.au/contact-us/) - [About](https://www.cdia.com.au/about-us/) - CDI Consulting - [CDI Audits](https://www.cdia.com.au/clinical-documentation-audits/) - [CDI Training & Education](https://www.cdia.com.au/pursuit-program/) - CDI Courses - [Foundations of CDI](https://www.cdia.com.au/foundations-of-cdi-course) - [CDS training program](https://www.cdia.com.au/pursuit-program/) - [Certification Course for Saudi Arabia](https://www.cdia.com.au/cdi-specialist-training-certification-course-for-saudi-arabia) - [CDS Certification](https://www.cdia.com.au/cds-certification/) - [CDIA Assessment Portal](https://cdia.app.axcelerate.com/learner/login) - [Level 1 Certification](https://www.cdia.com.au/level-1-certification) - [Level 2 Certification](https://www.cdia.com.au/level-2-certification) - [Level 3 Certification](https://www.cdia.com.au/level-3-certification) - [CCDS Reference Guide](https://cdia.app.axcelerate.com/showDoc.cfm?DocID=339364) - [Contact](https://www.cdia.com.au/contact-us/) MENU ![cdia-audits-circle-logo](https://www.cdia.com.au/hubfs/cdia-audits-circle-logo.svg) # Clinical Documentation Audits #### To meet ongoing auditing requirements, many hospitals are moving away from traditional coding audits to clinical documentation audits, conducted by clinicians. Our proven results have led to CDIA being the preferred choice to undertake these audits. [Enquire about Clinical Documentation Audits](https://www.cdia.com.au/clinical-documentation-audits/?hsLang=en#clinical-audits-form) ### Distinct from coding audits, our CDI audits are conducted by doctors and senior nurses who review the medical record to identify diagnoses that are implied but cannot be coded due to the documentation not meeting the Australian Coding Standards. If you are interested in partnering with CDIA to perform regular clinical documentation audits to both assess the quality of your clinical documentation, whilst optimising your revenue, please [contact us today](https://www.cdia.com.au/contact-us/?hsLang=en). ![blue-icon1](https://www.cdia.com.au/hubfs/blue-icon1.svg) ### Documentation Analysis CDIA audits have found that documentation deficiencies can be present in up to 50% of records. Whilst not all of these deficiencies move the DRG alone, they all potentially impact the quality of care delivered to the patient. CDIA audits comprehensively analyse the quality of your documentation. ![blue-icon2](https://www.cdia.com.au/hubfs/blue-icon2.svg) ### Guaranteed Results CDIA audit’s produce significant results, even for records that have already undergone a traditional coding audit. This is because CDIA auditors are clinical and approach the audit through an entirely different lens. Our team of clinicians generate ethical and comprehensive documentation queries that reduce the administrative burden associated with regular coding audits. ![blue-icon3](https://www.cdia.com.au/hubfs/blue-icon3.svg) ### Return On Investment CDIA targets episodes via a systematic approach for episode selection. Our proven algorithm ensures that hospitals experience an immediate return on their investment. ![blue-icon4](https://www.cdia.com.au/hubfs/blue-icon4.svg) ### Customisable Audits CDIA can assist in determining the most appropriate size for your audit based on the size and casemix of your hospital. Audits can be conducted on written and electronic records, both on site and remotely. ![blue-icon5svg](https://www.cdia.com.au/hubfs/blue-icon5svg.svg) ### CDIA Pursuit Program Integration CDIA audits can be conducted independently, or integrated into the CDIA Pursuit Program. Our audits assess the quality of your clinical documentation, providing an in-depth analysis, feedback and recommendations that pave the way to a successful CDI program. ![blue-icon6-1](https://www.cdia.com.au/hubfs/blue-icon6-1.svg) ### Trusted Partner CDIA has performed clinical documentation audits for a large number of major public and private hospitals across Australia and New Zealand. Our guaranteed results and exceptional customer experience has resulted in enduring relationships with our partners. ### Enquire about CDIA Clinical Documentation Audits [![CDIA](https://www.cdia.com.au/hubfs/raw_assets/public/Cdia_July2020/images/logo-white.svg "CDIA")](https://www.cdia.com.au/?hsLang=en) 1300 496 678 - [Home](https://www.cdia.com.au) - [About](https://www.cdia.com.au/about-us/) - [Pursuit Program](https://www.cdia.com.au/pursuit-program/) - [Audits](https://www.cdia.com.au/clinical-documentation-audits/) - [FOUNDATIONS OF CDI](https://www.cdia.com.au/foundations-of-cdi-course) - [CDS CERTIFICATION](https://www.cdia.com.au/cds-certification/) - [CONTACT US](https://www.cdia.com.au/contact-us/) C/O 12/15 Linden Street Mascot NSW 2020 [![linked](https://www.cdia.com.au/hubfs/raw_assets/public/Cdia_July2020/images/linked-in-icon.svg "linked")](https://linkedin.com/company/clinical-documentation-improvement-australia) [![youtube](https://www.cdia.com.au/hubfs/raw_assets/public/Cdia_July2020/images/youtube.svg "youtube")](https://www.youtube.com/channel/UCIxC2TihMW5OfNapQj7Xp5Q) © 2025 All Rights Reserved Clinical Documentation Improvement Australia PTY LTD. [Privacy Policy](https://www.cdia.com.au/privacy-policy/?hsLang=en), [Disclaimer](https://www.cdia.com.au/disclaimer/?hsLang=en), [Terms & Conditions](https://www.cdia.com.au/terms-conditions/?hsLang=en). ```json { "@context" : "https://schema.org", "@type" : "Event", "description" : "Be a part of history and join leading minds to explore clinical documentation's impact on patient safety, financial sustainability, and data integrity, in Australia's inaugural CDI conference.", "endDate" : "2021-05-18T09:00-03:30", "eventAttendanceMode" : "https://schema.org/MixedEventAttendanceMode", "eventStatus" : "https://schema.org/EventScheduled", "image" : [ "https://az659834.vo.msecnd.net/eventsairaueprod/production-bccm-public/19719f44f3c84e0298cf5099af318f82" ], "location" : [ { "@type" : "VirtualLocation", "url" : "https://portalapp.bccm.eventsair.com/VirtualAttendeePortal/2021-cdia-clinical-documentation-improvement-australia/2021cdiaconference" }, { "@type" : "Place", "address" : { "@type" : "PostalAddress", "addressCountry" : "Australia", "addressLocality" : "Randwick", "addressRegion" : "NSW", "postalCode" : "2031", "streetAddress" : "Alison Rd" }, "name" : "Royal Randwick Racecourse" } ], "name" : "CDIA 2021 Transforming Health Care", "offers" : { "@type" : "Offer", "price" : "750", "priceCurrency" : "AUD", "url" : "https:https://www.cdia.com.au/clinical-documentation-improvement-australia-conference-2021" }, "organizer" : { "@type" : "Organization", "name" : "BCC Management", "url" : "https://bccm.com.au/" }, "startDate" : "2021-05-17T08:30-05:30" } ```