Every patient encounter is a story waiting to be told, and clinical documentation captures those important details. For documentation to truly reflect each patient’s health, it needs to be clear, accurate, and complete.
Strong clinical documentation integrity (CDI) programs help translate a patient’s health status into coded data that supports everything from quality reporting to medical research. This blend of clinical care, documentation, and coding keeps care teams informed and helps guide decisions for patient care, both now and in the future.
AHIMA provides education, certification (CDIP® credential), and resources for CDI professionals at all stages. Whether you’re new to CDI or looking to expand your skills, our tools and training are here to support you.
1 COURSE | 7.5 CEUS
This course will help CDI professionals to think critically and evaluate patient encounters for accurate diagnostic capture and coding. The online lessons also help CDI professionals to better gather data and analyze public and internal reports.
1 COURSE | 18 CEUS
The American Health Information Management Association (AHIMA) Certified Documentation Integrity Practitioner (CDIP) credential is recognized as a symbol of a CDI professional’s outstanding clinical and coding competency, leadership skills, and commitment to excellence. The CDIP preparation course is a comprehensive series of five modules that represent the five domains tested on the CDIP exam.
1 COURSE | 4 CEUS
The CDI and Quality Outcomes course provides information on the impact CDI programs have on quality reporting within various healthcare settings. This course is composed of three modules, each focuses on a specific healthcare setting.
1 COURSE | 8 CEUS
This course was designed for clinicians working in CDI who are preparing to take the Certified Coding Specialist (CCS) exam. The course delivers a comprehensive overview of the CCS exam as well as a practice exam.
18 CEUs | 18 Contact Hours
Becoming an AHIMA-Approved Clinical Documentation Integrity (CDI) Trainer can help you take your CDI career to the next level. Learn how to train others using CDI best practice standards. There is no travel required with the purchase of this digitally delivered, on demand course.
Hardcover | First Edition
This book is for experienced CDI professionals to test their knowledge regarding high-quality documentation and prepare to sit for AHIMA's CDIP exam.
Practice Brief | Available for download
Download the Brief to learn best practice standards for the clinical documentation integrity query process. The new AHIMA-ACDIS practice brief serves as an essential resource for coding and clinical documentation integrity (CDI), and other healthcare professionals with the underlying goal of validating the clinical documentation within the health record to accurately represent the clinical status of the patient.
The CDI Progression Ladder represents and supports all stages of a CDI professionals career, including the educational level of each product.
A compliant query process is an essential element of a CDI program. AHIMA has developed a query template library that includes more than 140 templates covering documentation needs in both inpatient and outpatient settings.
Are you struggling to maintain consistency and accuracy in clinical validation within your organization? Clinical validation is a crucial process that demands seamless collaboration between providers, clinical documentation integrity (CDI) specialists, and coding professionals. We understand the challenges when it comes to identifying diagnoses that lack clinical evidence. That's why we're excited to introduce our new Clinical Validation Practice Brief! Get started with essential guidance and tools to incorporate clinical validation seamlessly into your daily workflow.
Managing a Clinical Documentation Integrity (CDI) department comes with its own unique challenges. By recognizing these challenges, leaders may proactively address them to ensure the success and sustainability of the CDI department. The intent of this toolkit is to provide a foundational knowledge base to address common CDI leadership challenges.
This toolkit is beneficial to healthcare professionals including CDI professionals, providers, hospital administrators, health information (HI) professionals, nursing staff, and others in a variety of healthcare settings. Understanding the background, purpose, and functionality of a CDI department will be key to the success of a department.
Members Only Content
This practice brief is focused on the key performance indicators (KPIs) that can be evaluated to measure the performance of clinical documentation integrity (CDI). KPIs are measurements specific for an organization or department being evaluated. KPIs are critical to track progress toward an intended result.
For more CDI products and resources please visit www.acdis.org. The Association of Clinical Documentation Integrity Specialists (ACDIS) is premier healthcare community for CDI specialists.