Health Information Management Professional I

As a Clinical Coding Specialist (CCS), you will review clinical documentation from patient health records and assign diagnoses and intervention codes using the ICD-10-CA/CCI classification systems in accordance with provincial, jurisdictional directives and CIHI rules and guidelines. In this position, you will use your thorough attention to detail to ensure validity, integrity and reliability of coded data and maintain a high standard of quality. You will have the opportunity to participate and contribute to data quality initiatives and workflow efficiencies. *Applicants will be required to write and pass a provincial coding proficiency test with a score of 70% prior to advancing to the interview. *Consent will be requested for contacting References and sharing of coding tests results to AHS if needed. *If eligible, opportunity to work hybrid (on/off site). Key accountabilities include, but are not limited to: Reviews clinical documentation and applies diagnoses, interventions, and coding conventions to ensure the accuracy and completeness of coded data. Reviews and remediates edits and warnings. Identifies issues related to patient encounters, clinical documentation, coding and abstracting and escalates for guidance and resolution. Runs and reconciles various reports. The Employee shall maintain confidentiality of all Covenant Health information in accordance with Health Information Act, Freedom of Information and Privacy and other privacy legislation in effect and shall comply at all times with Covenant Health’s Information Privacy and Information Security policies.

Description: The Health Information Management Professional I is responsible for reviewing patient records for the purpose of classifying diagnoses and interventions, collecting and maintaining patient data. This position is covered by the terms and conditions of the HSAA Paramedical Professional/Technical Collective Agreement.

Required Qualifications

Required Qualifications: Graduate from a Canadian College of Health Information Management (CCHIM) recognized program for Health Information Management Professionals required. Registration with the Canadian Health Information Management Association (CHIMA) is required.

Additional Required Qualifications

Knowledge of current Canadian Coding Standards and Discharge Abstract Database (DAD) and National Ambulatory Care Reporting Standards (NACRS) Abstracting Manuals for the collection of diagnoses, interventions and specific data elements. Experience with Microsoft Office applications (Outlook, MS Teams, Word, Excel, PowerPoint) and a demonstrated pattern of professional and personal development. Ability to work independently with strong organizational, time management, analytical, and technical skills to effectively handle demands of workload and deadlines, working effectively under pressure and showing good judgment. Effective interpersonal and communication skills (verbal and written). Ability to work with minimal supervision under considerable stress. Able to work as a team member to achieve area and department goals. Demonstrated ongoing professional and personal development. Knowledge of the Health Information Act.

Preferred Qualifications

1-year minimum coding experience with ICD-10-CA/CCI. Consideration given to those who have not coded within 2 years but have a certificate from a CCHIM approved Coding Refresher or Coding Specialist Program. Experience with Connect Care (EPIC) & 3M HDM abstracting system. Certified Coding & Classification Specialist (CCCS) certification with CCHIM.