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Clinical Documentation Improvement Analyst
Scope of PositionThe Clinical Documentation Improvement Analyst (CDIA) is a nurse or other clinically qualified individual who is responsible for concurrent review of inpatient medical records to identify opportunities for improving the quality of medical record documentation. Opportunities include identification of cases where diagnoses and procedures are either absent, not stated in appropriate terminology, or are not appropriately recorded. The CDIA will confer with the appropriate caregiver on the additional documentation that may be required. The Documentation Specialists goal is to achieve a complete medical record by the time of patient discharge in order to ensure quality documentation that reflect the patients diagnoses, treatments, and severit
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