CDI programs still seem to “run the gamut” in terms of structure, productivity expectations, focus, and function, according to the recent results of an ACDIS survey featuring more than 500 responses of facilities of all sizes.

This position paper seeks to clarify the role of the clinical documentation improvement specialist (CDIS) and provide guidance in developing appropriate policies, procedures, and job descriptions for CDI departments. The CDIS role is complex and requires expert knowledge of clinical care and...

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