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Bridging the Gap Between Clinical Documentation and Coding
How do your skills measure up?
- How effective are you at querying providers to extract complete and correct information from the documentation in the medical record?
- Do you understand 7th character usage and the difference between initial and subsequent?
- Can you identify all the components necessary in the documentation to code to the highest degree of specificity?
- Have you minimized the use of unspecified codes?
- Are you aware of the risks and potential consequences with copy/paste and cloning records that result in improper reimbursement?
Healthcare providers must ensure that the claims submitted to Federal healthcare programs are true and accurate.
This class will help medical coders work with clinical providers to assess and gather the information needed in the documentation to support appropriate code assignments.
Learning objectives
- Review clinical documentation requirements for ICD-10-CM and identify problems with clinical documentation.
- Develop strategies for maintaining effective communication and positive professional interactions between clinicians and coders.
- Understand the documentation impact of patient quality care and importance of establishing guidelines for documenting and coding to the greatest level of specificity.
- Review the scope and steps for an effective compliance plan and know what to do if you have information about fraud or abuse.
- Gain confidence by engaging with documentation examples and practicing writing different forms of physician queries.
Full Schedule
Program times are Central unless otherwise noted.
| Session | Date | Time | Instructor |
|---|---|---|---|
| 1 | April 09, 2026 | 11:00 am - 2:00 pm | Audrey Coaxum |
Fee: $239.00
Can't attend live? Click here for On Demand option.
CEUs:
- PMI — 3
Target Audience
Course content is relevant for medical office professionals responsible for accurate medical coding and billing in an outpatient healthcare setting. This program is designed for coders, auditors, providers, clinical, and practice staff involved in medical coding. Consultants, compliance officers, and office managers may also benefit.
Prerequisites
Content assumes basic level knowledge of outpatient coding and reimbursement.
Access to a current ICD-10-CM code set manual or resource is required for full participation and completion of included clinical scenario exercises.
PMI's Virtual Classroom experience allows for optimal interaction. Get your questions answered by the instructor in real time and build a network with your peers.
Registration includes live instructor-led online class instruction plus companion digital materials. A meeting link will be provided by email a few days prior to the event.
