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AHIMA CDIP Exam Syllabus Topics:

Section	Weight	Objectives
Clinical Coding Practice	22–26%	- Principal and secondary diagnosis identification - Payer requirements and reimbursement models - DRG, CPT, and HCPCS code assignment - ICD-10-CM/PCS coding conventions and guidelines - Coding software and reference resources
Compliance	4–8%	- Legal and ethical documentation practices - Compliance monitoring and reporting - Fraud and abuse prevention - AHIMA standards and regulatory requirements
Leadership	17–22%	- CDI program development and promotion - Provider engagement and communication - Interdisciplinary collaboration - Policy and procedure creation
Research & Education	11–15%	- Regulatory and guideline updates - Documentation improvement training materials - Provider and staff education - Best practice research and implementation
CDI Metrics & Statistics	14–18%	- DRG comparison and denial analysis - Benchmarking and reporting - Query response and volume tracking - Quality audits and compliance monitoring
Record Review & Document Clarification	24–28%	- Compliance with query standards - Identify documentation gaps and specificity issues - Ethical provider query development - Query tracking and follow-up - POA, HAC, SOI, ROM clarification

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

Question #1

A 56-year-old male patient complains of feeling fatigued, has nausea & vomiting, swelling in both legs.
Patient has history of chronic kidney disease (CKD) stage III,
coronary artery disease (CAD) & hypertension (HTN). He is on Lisinopril. Vital signs: BP 160/80, P 84, R 20, T 100.OF. Labs: WBC 11.5 with 76% segs, GFR 45. CXR showed slight left lower lobe haziness. Patient was admitted for acute kidney injury (AKI) with acute tubular necrosis (ATN). He was scheduled for hemodialysis the next day. Two days after admission patient started coughing, fever of 101.8F, CXR showed left lower lobe infiltrate, possible pneumonia. Attending physician documented that patient has pneumonia and ordered Rocephin IV. How should the clinical documentation integrity practitioner (CDIP) interact with the physician to clarify whether or not the pneumonia is a hospital-acquired condition (HAC)?

A. Dr. Adair, please indicate if the patient's pneumonia was present on admission (POA) based on the initial chest x-ray?
B. Dr. Adair, in your clinical opinion, do you think that the patient's acute kidney injury with ATN exacerbated the patient's pneumonia?
C. No need to interact with the physician because it is obvious the pneumonia developed after admission, therefore, not present on admission.
D. No need to query the physician because even if the pneumonia is considered a HAC and cannot be used as an MCC, ATN is also an MCC.

Answer: A