2026 Clinical Documentation Integrity for ICD-10-CM and Procedure Coding

• Optum Edge — HCC and QPP Icons. Symbols at the code level identify codes associated with CMS quality payment program (QPP) measures, and CMS hierarchical condition categories (HCC) alert you to assist in code selection. 
• Optum Edge — Medication Lists. Locate medications that may be applicable for medical conditions to assist you in the documentation review. 
• Diagnosis and Procedure Documentation. Review documentation requirements for CPT®, HCPCS, and ICD-10-CM coding. Enhance your code selection accuracy for all three coding systems. 
• Physician Documentation Training. Show physicians what they need to document. Training includes 21 detailed checklists for the most common and complex medical conditions. Teach them what you need for optimal code assignment.
• Key Terms. Confirm accurate code selection for every chapter of ICD-10-CM. 
• Terminology Translator. Be confident you are using correct terminology with this unique feature included at the code level.
• Streamline the Query Process. Show physicians which medical terms are essential to assigning ICD-10-CM and CPT codes. Includes best practice query forms that get results without unduly influencing clinicians. 

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Leanne Patterson, CPC
Leanne Patterson has more than 20 years of experience in the health care profession. She has an extensive background in professional component coding, with proven expertise in assignment of E/M codes, general surgery coding, interventional procedures, medical record documentation improvement, and HIPAA compliance. Her experience includes serving as Director of Compliance, Practice Management, conducting chart-to-claim audits, and physician education activities. She has been responsible for coding and denial management in large multi-specialty physician practices and has been part of a team that develops content for products related to ICD-10-CM. Leanne is credentialed by and is a member of the AAPC.

Laura Anderson is a Registered Nurse and CDI Specialist/Educator with more than 20 years of experience in the health care profession. She obtained her BSN at the University of Minnesota and spent most of her bedside nursing career on Medical-Surgical care units. Her clinical documentation experience began in 2007, covering CDI specialist training, education development, and physician engagement. She has served as a CDI Team Lead and consultant, working with senior leadership to incorporate CDI work into documentation compliance and quality metrics. Laura also has a BS degree in Biology (Winthrop University), with research experience in liver cancer and radiation-induced leukemia. She has presented at the state and national levels for the Association of Clinical Documentation Integrity Specialists (ACDIS) and has served as a co-lead for the Minnesota state chapter.