Auditing in Health Information Management: Documentation, Coding and Clinical Audits


The accuracy of clinical coding is vitally important for all groups who use the resulting databases for the purposes of health services research, allocation of funding, evaluation of health services and clinical interventions, and health services planning. A variety of quality improvement techniques are used to assess the accuracy of clinical morbidity coding, and to introduce changes such as coder and clinician education, clinical documentation integrity, software edits, and coding standards, all of which aim to address issues identified in the accuracy assessment process.

Audits are performed by various organizations including health authorities and other funders/payers (such as Ministry of Health, CBAHI, PHAP, insurance companies), research groups, individual health services, and other agencies with a vested interest in coded data quality (such as the National Health Information Center NHIC, and the Case-mix Center of Excellence CCoE). These audits include statistical analysis of morbidity databases, using Performance Indicators for Coding and Documentation Quality, to identify compliance with coding standards, and medical record recoding audits which also assess code selection and sequencing based on medical record content.

Important Note:
To obtain CME credits ( 7 CME hours) you need to attend 70% of the course live.


By the end of the course, learners will be able to:
- Discuss Compliance, Law and Ethics in healthcare
- Describe Fraud in Healthcare and why audit
- Describe Clinical Documentation Audit, Clinical Coding Audit and Clinical Audits and how they differ
- Recognize the purpose of internal and external audits
- Recognize the characteristics of a good auditor
- Identify the steps and goals of a clinical coding audit
- Discuss audit tools and audit reporting in clinical coding

Main theme

Live interactive sessions

This Course For :

Student / Intern
Nursing and Midwifery
Dentistry and Related Specialties
Resident / Fellow
Occupational Therapy
Clinical Laboratory Sciences
Healthcare & Hospital Administration
Health Informatics
Technicians and Health Assistants ( Medical Coding )


Course Fee

Full Course

345 SR
VAT Included
See Registration Policies, Cancellations & Refunds

Contact Information

Organization : Virtual Medical Academy
Phone : 920008161
Email :

345 SR
    VAT Included

  • 01 Dec 2020    To    02 Dec 2020
  • 08:00 PM  To  10:00 PM
  • Certificate Available
  • SCFHS 7 CME hours
  • Online Click Here
  • 82
  Add to Calendar 12/01/2020 08:00 PM 12/02/2020 10:00 PM Asia/ Riyadh Auditing in Health Information Management: Documentation, Coding and Clinical Audits Auditing in Health Information Management: Documentation, Coding and Clinical Audits