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  2. Clinical documentation improvement - Wikipedia

    en.wikipedia.org/wiki/Clinical_documentation...

    Clinical documentation improvement (CDI), also known as "clinical documentation integrity", is the best practices, processes, technology, people, and joint effort between providers and billers that advocates the completeness, precision, and validity of provider documentation inherent to transaction code sets (e.g. ICD-10-CM, ICD-10-PCS, CPT, HCPCS) sanctioned by the Health Insurance ...

  3. Medical transcription - Wikipedia

    en.wikipedia.org/wiki/Medical_transcription

    AHDI also offers the credential of Registered Healthcare Documentation Specialist (RHDS). According to AHDI, RHDS is an entry-level credential while the CHDS is an advanced level. AHDI maintains a list of approved medical transcription schools. [9] Generally, certified medical transcriptionists earn more than their non-certified counterparts.

  4. Clinical coder - Wikipedia

    en.wikipedia.org/wiki/Clinical_coder

    Clinical coder. A clinical coder —also known as clinical coding officer, diagnostic coder, medical coder, or nosologist —is a health information professional whose main duties are to analyse clinical statements and assign standardized codes using a classification system. The health data produced are an integral part of health information ...

  5. Registered health information administrator - Wikipedia

    en.wikipedia.org/wiki/Registered_Health...

    Registered health information administrator. Registered health information administrator (RHIA), previously known as registered record administrator, is a professional certification administered by the American Health Information Management Association (AHIMA) in the United States. Passing the exam results in certification for health ...

  6. The American Health Information Management Association (AHIMA) is a professional association for health professionals involved in the health information management needed to deliver quality health care to the public. Traditionally focused mainly on hospitals and paper medical records, the field presently covers all health information technology ...

  7. List of professional designations in the United States

    en.wikipedia.org/wiki/List_of_professional...

    A professional doctoral degree for naturopathic practitioners in the United States. Holders of the ND or NMD degree are known as naturopathic physicians in states where they may be licensed. The designation NMD is used in Arizona. Doctor of Business Administration. DBA or DrBA. Doctor of Education.

  8. Health information management - Wikipedia

    en.wikipedia.org/wiki/Health_information_management

    Health information management (HIM) is information management applied to health and health care. It is the practice of analyzing and protecting digital and traditional medical information vital to providing quality patient care. With the widespread computerization of health records, traditional (paper-based) records are being replaced with ...

  9. Point of care - Wikipedia

    en.wikipedia.org/wiki/Point_of_care

    Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices. [11]