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.


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

This Course For :

Resident / Fellow
Clinical Laboratory Sciences
Clinical Pharmacy
Other health care provider
Public and Community Health
Medical Education
Emergency Medical Services
Radiological Technology
Social Service
Dental Technology and Assistants
Medical Technology
Cardiac Perfusion
Technicians and Health Assistants ( Medical Coding )
Speech Disorder
Health Informatics
Health Education
Student / Intern
Respiratory Therapy
Clinical Nutrition
Nursing and Midwifery
Dentistry and Related Specialties
Occupational Therapy
Non Health Care Provider
Healthcare & Hospital Administration


Course Fee

Full Course

345 SR
VAT Included
See Registration Policies, Cancellations & Refunds

Contact Information

Organization : Virtual Medical Academy
Phone : 920008161
Email : [email protected]

345 SR
    VAT Included

  • 10 May 2022    To    11 May 2022
  • 08:00 PM  To  10:00 PM
  • Certificate Available
  • SCFHS 7 CME hours
  • Online
  • 67
  • Premium
  Add to Calendar 05/10/2022 08:00 PM 05/11/2022 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