Clinical Documentation and Coding

The following are a series of articles prepared by the professional coders in the medical records department at Shands Hospital.  Check back to this site for additional articles that are designed to help you as you transition into your own practice.  They will also help you in maximizing your billing.

For more information or questions, please contact the CDI Team at 352.265.0680 ext. 48769 or 44130 or stop by our office in the Health Information Management (Medical Records) Department, first floor Shands North Tower.

1.  Introduction to Documentation and Coding:  Coding Tips (1)

2.  Documentation Tips:  Coding Tips (2)

3.  Top 10 Clinical Documentation Tips for Hospital Admissions:  Coding Tips (3)