Educator Preview • GME

Intermediate Level

For residents and fellows

Develop documentation skills for workflow efficiency, accurate coding, and independent clinical practice.

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Preview the first two slides of each module. Register for full access.

No learner tracking

Progress, assessments, certificates, and CE credit are not recorded.

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This preview does not represent an enrolled learner account.

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Explore GME Modules

Introduction to EHR Educational Series

Understand the role of EHRs in modern clinical practice and patient outcomes
Identify common challenges and limitations of current EHR systems
Recognize opportunities to improve personal EHR use throughout the series

Preview Module

Effective Use of EHRs

Apply responsible EHR use principles in clinical documentation
Understand residents' roles in maintaining data quality
Balance efficiency with accuracy in EHR workflows

Preview Module

High Yield Notes

Create concise, high-quality clinical notes that support patient care and billing accuracy
Optimize use of EHR documentation tools without compromising clarity or relevance
Improve communication among care team members through effective note structure

Preview Module

Coding and Billing: Office Workflow

Understand how office workflow impacts coding and reimbursement
Recognize documentation's role in regulatory compliance
Identify opportunities to improve efficiency within the revenue cycle

Preview Module

Medical Procedure and Visit Coding

Identify and differentiate between CPT and E/M codes and their appropriate use.
Apply correct modifiers to CPT and E/M codes based on clinical documentation.
Recognize common coding errors that can impact reimbursement and compliance.

Preview Module

Diagnosis Coding and Billing: ICD-10 and How to Build a Diagnosis

Explain the structure and purpose of the ICD-10-CM coding system.
Accurately assign diagnosis codes based on clinical documentation.
Identify common causes of claim denials related to diagnosis coding errors.

Preview Module

Documenting Social Determinants of Health

Identify the five core Social Determinants of Health and their impact on patient outcomes
Apply best practices for screening and documenting SDOH within the EHR
Use SDOH data to support care planning, referrals, and population health goals

Preview Module

Mock EHR Clinical Encounter

Illustrated educator overview

The Mock EHR Clinical Encounter places learners in a real-life patient scenario designed to test their knowledge of EHR review and documentation.

Learners review the patient's electronic record, watch the simulated encounter, and document their findings in a structured clinical note.

Review a realistic chart

Examine prior visits, nursing notes, vitals, medications, results, and procedures.

Complete the encounter

Enter a clinical note using the information gathered from the chart and patient encounter.

Clear and try again

Learners can clear a submission and repeat the encounter if they want another attempt.

Compare with an ideal note

Learners may review an ideal note beside their own work for reflection and comparison.

Practice-focused—not graded

The encounter is not graded or scored. It is designed for practice, self-review, and improvement.

Screenshot Walkthrough

See How the Mock EHR Encounter Works

Select any image to open the full-resolution screenshot in a new tab.

Open an assigned encounter. Learners begin with an assigned simulated patient encounter from the case studies page. — Open an assigned encounter
Learners begin with an assigned simulated patient encounter from the case studies page.

Review the patient’s EHR. The chart includes previous visits, nursing notes, vitals, history, medications, results, imaging, and procedures. — Review the patient’s EHR
The chart includes previous visits, nursing notes, vitals, history, medications, results, imaging, and procedures.

Watch the encounter and begin the note. Learners use the simulated patient interview and EHR review to complete a structured physician note. — Watch the encounter and begin the note
Learners use the simulated patient interview and EHR review to complete a structured physician note.

Complete the clinical documentation. The note includes medications, allergies, physical exam, assessment, diagnosis, and plan or orders. — Complete the clinical documentation
The note includes medications, allergies, physical exam, assessment, diagnosis, and plan or orders.

Review the note or try again. After submitting, learners can view their note or clear the submission and repeat the encounter. — Review the note or try again
After submitting, learners can view their note or clear the submission and repeat the encounter.

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