Title: Coding Specialist
Department: Health Records
Hours of Work: Full-Time Position; Rotating Shifts
Pay Band: $29.25-$32.12
Union: OPSEU4106 Non-Central
Location: Hotel Dieu Hospital
To ensure the completeness, quality and accessibility of accurate health record information by coding, analyzing, assembling and abstracting data from the patients' records. To code and abstract data from the patients records which will provide support for statistical analysis, research and peer review by hospital staff, Canadian Institue of Health Information (CIHI) and Ministry of Health and Long Term Care (MOHLTC). To conduct audits and provide interpretation of the data in the Med2020 Winrecs abstracting computer system.
Within this role the employee is accountable for contributing to the delivery of the KHSC strategy. As an employee, one must demonstrate an awareness of and be responsible for actively promoting and supporting patient and family centered engagement and care in all we do.
- Review and interpret all clinical patient data from Emergency, Day Surgery, Inpatient records and accurately assign ICD-10-CA diagnosis and CCI intervention codes, according to established guidelines set by the hospital in adherence to CIHI and MOHLTC standards.
- To accurately abstract defined data elements from the patient's charts into the Med2020 computerized Winrecs abstract program in accordance with hospital standards, IHI and MOHLTC requirements.
- To prepare, edit, and correct the abstract data for accurate and timely submission to CIHI. To perform quality assurance audits to maintain data integrity. Ensure the timely correction of any errors for submission of corrections electronically.
- To ensure accurate assignment of the CMG/RIW and CACS/ACW weight to each abstract for use in the assessment of resource utilization and hospital funding. To provide coding expertise to the Decision Support and Utilization analysts. The abstract data will be extracted for quality patient care, research, education, statistical analysis, quality assurance audits, hospital decision making and funding.
- Maintain confidentiality of information handled on a daily basis in accordance with the hospital policy. Ensure that only authorized personnel are allowed access to patient records. Assists the clerical staff upon request to determine the right to access information.
- To verify and correct the ERNI data elements and ensure compliance with the ERNI wait times.
- To consistently achieve the quantitative standards on a monthly basis.
- To participate in monthly Coding Meetings.
- To participate in Hospital Committees as required.
- To develop and maintain a professional working liaison with other departments and personnel in the hospital.
- To participate in the orientation /training of new employees or Health Information Management students.
- The Employee will adhere to the worker responsibilities as set out in the Occupational Health & Safety Act, hospital safety policies, and dept/unit established procedures at all times. Where possible, take corrective action to address a hazard, otherwise report the unresolved hazard, dangerous circumstance, unsafe situation to self, other co-workers or the community, to their supervisor. Should the employee suffer a workplace injury or illness, he/she will advise their supervisor; actively participate in identifying and resolving the underlying cause(s), and participates in early and safe return to work as per Workplace Safety & Insurance Act.
- Understands and is familiar with all pertinent KGH policies and procedures including those relating to workplace conduct. Complies with the KGH Commitment to uphold the Workplace Conduct and Reporting of Inappropriate Conduct policy and behaves in a manner that is consistent with the guiding principles and expectations.
- Graduate of an approved Health Information Management program – 2 year Community College or Canadian Hospital Association Correspondence Program.
- Certified member of the Canadian College of Health Information Management
- Active membership with Canadian Health Information Management Association
- Minimum 2 years coding experience in the last 5 years, as a Health Record Practitioner in an acute care institution.
- Demonstrated ability with computerized abstracting systems, preferably Med2020.
- Demonstrated ability and knowledge with ICD-10-CA and CCI or ICD-O coding practices.
- Extensive knowledge of anatomy, physiology, microbiology, pharmacology, health records sciences and medical terminology.
- Computer literacy and keyboarding skills with Windows, Microsoft Office Suite – Excel, Access, Word, etc.
- Thorough knowledge of the functions within the Patient Records Department.
- Knowledge of the Public Hospitals Act, Mental Health Act, Personal Health Information Protection Act
- Excellent attendance record and punctuality.
- Excellent interpersonal, oral and written communication skills.
- Demonstrated ability to communicate effectively with physicians and hospital staff.
- Must safeguard the confidentiality of patients' personal health information.
- The ability to show initiative and work in an independent, organized manner.
- Proven ability to attend work regularly.
- Satisfactory Criminal Reference Check required.
We thank all applicants, but only those selected for an interview will be contacted. Kingston Health Sciences Centre is committed to inclusive and accessible employment practices. If you require an accommodation to fully participate in the hiring process, please notify the Human Resources Department.
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