Welcome to CAIN Health

Susan A Klein

• Masters Nursing Informatics; Bachelors Science Nursing
• AHIMA Certified Coding Specialist (CCS); Certified Clinical Documentation Improvement
Specialist (C-CDI)
Professional Experience:
• Director, Clinical Documentation and Coding
• Consultant – Specializing in DRG, Coding and Revenue Cycle Improvement
• Director, Health Information
Relevant Experience:
• Designed and implemented Hospital-wide Clinical Documentation & Coding Management
Program (CDCM) to improve hospital case-mix
• Designed and implemented inpatient concurrent coding process on all patient units
• Developed inpatient clinical teams consisting of a clinical documentation specialist nurse
and concurrent coding specialist. Received best practice commendation from outside
national auditing agency
• Developed and implemented education program initiative related to coding &
documentation improvement for medical staff, physician residency program, and nursing
ancillary staff
• Integrated CDCM Program with Case Management Medicare Length of Stay. Performance
Improvement, PRO Quality initiatives, and nursing unit core measure compliance which
improved hospital quality reporting
• Serves as a faculty member for Medical Teaching Service
• Integrated Compliance Program with Case Management Length of Stay and Performance
Improvement Quality initiatives
• Designed and implemented Hospital Emergency Room Charge Process
• Decreased Hospital admission denials through improved medical record documentation
• Designed and implemented training program for physician, nursing, coding staff to ensure
appropriate reimbursement for Rehabilitation and Psychiatric Prospective Payment System