English Overview
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Every CHI-regulated provider in the Kingdom of Saudi Arabia must complete an initial internal clinical coding audit by 31 December 2026, then four audits a year, one in each calendar quarter, with annual external audits beginning 1 January 2027 through CHI-approved vendors. From 1 January 2028, DRG-based reimbursement becomes mandatory for all admitted care — and from that point the clinical record drives the code, the code drives the DRG, and the DRG determines what the provider is paid for care already delivered. The Kingdom does not have enough coding auditors to meet that obligation. This program equips health information management professionals to meet it: to audit a medical record against the published CHI Clinical Coding Audit Methodology V2.0, to score it with arithmetic a provider can reproduce by hand, and to produce a report the facility can defend. The five sessions carry the participant from the regulatory framework through the Standardized Coding Audit Template, the eighteen published error codes and their fixed deductions, the accuracy and completeness scoring model, sampling by provider category, and grading against the 80% certification threshold. Every session carries applied work on real, de-identified Saudi medical records spanning inpatient, outpatient, day case and emergency encounters. |
This Activity for
All Audience, But the greatest benefit will be to these Professions.
- Other health care provider
- Respiratory Therapy
- Psychology
- Podiatry
- Physiotherapy
- Optometry
- Clinical Nutrition
- Nursing and Midwifery
- Dentistry and Related Specialties
- Resident / Fellow
- Physician
- Pharmacy
What I will learn?
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1. Apply the CHI Clinical Coding Audit Methodology V2.0 to a full medical record, by independently re-coding the encounter from the documentation before reading the submitted codes, and by recording the variance between the two positions. 2. Assign the eighteen published error codes with their correct severity and fixed deductions, by distinguishing accuracy errors from completeness errors and applying the four assignment principles to each finding. 3. Calculate a record result by holding the accuracy and completeness positions separately from a starting point of 100, and combining them at the published weighting of 70% and 30% — rather than applying the lower-of-two rule. 4. Determine an audit sample from a facility's provider category, by identifying the annual claim volume band, applying the published sample size, and allocating it across inpatient, day case, outpatient and emergency encounters using the published ratios. 5. Interpret a facility audit result against the 80% certification threshold, by assigning the correct grade and stating the consequence that follows — including the 90-day re-audit where a provider falls below the minimum. 6. Draft a compliant, non-leading physician query from an audit finding, by stating the documentation that exists and asking a specific clinical question, so that the query produces a defensible record rather than a leading response. |
Course format
This is a five-evening live interactive bootcamp, delivered online through the Virtual Medical Academy (VMA) platform, in Arabic and English, with ten hours of live instruction across five two-hour sessions.
Activities — the program is weighted toward applied work rather than lecture. Participants audit real, de-identified Saudi medical records across all four encounter types: inpatient, outpatient, day case and emergency.
...Additional Materials
Speakers 1 Distinguished Speakers
Activity Program
Prices Details
| Optional Details | Fee |
|---|---|
| Clinical Coding Audit Program - CCAP Level 1 | 1999 SAR |
Additional items to the activity
| Optional Details | Type | Fee |
|---|---|---|
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Clinical Coding Audit Program - CCAP Level 1
Certificate |
Certificate | Free |
