Coding Specialist

Job Responsibility: :

The Coding Specialist must have experience and knowledge of all types of acute care coding as well as coding standards. The Coding Specialist must have a working knowledge of the HBAM and Pay-for-Results funding methodologies. They will accurately code from the patients records to best reflect the care provided to patients. The Coding Specialist is responsible for the accuracy and quality of the health record whilst safeguarding the integrity of the health record.

The Coding Specialist is responsible for the timely and accurate coding and abstracting of patient health and demographic information, which directly:

• Contributes to and impacts RVH funding per the Ministry of Health and Long-Term Care (MOHLTC) funding formula and Health-Based Allocation Model (HBAM)

• Supports allocation of resource weights to cases

• Informs and guides research projects

• Determines the health care needs for the delivery of services in the community

• Supports obtaining resources for new programs

The Coding Specialist is responsible for the completion of this data for the Canadian Institute for Health Information (CIHI), MOHLTC, and Cancer Care Ontario (CCO) in accordance with firm deadlines set by these entities.

As a qualified candidate you will have the following:

EDUCATION:

• Must be a graduate of an accredited Health Information Management program
• Certification with the Canadian Health Information Management Association (CHIMA) in good standing is required
• Secondary School Diploma or Equivalent

EXPERIENCE:

• About 2 years of experience in coding all patient services while also applying ICD-10/CA, ICD-0 and CCI coding conventions, anatomy, physiology and medical terminology
• Must know hospital funding methodologies (HBAM, QBP, CMG/CACS, RIW, ACW, DPGs, HBAM HIG, and Pay-For-Results)
• About 2 years of experience demonstrating the application of knowledge from Health Information Management program to the practical work environment

COMPETENCIES:

• In depth knowledge and understanding of ICD-10/CA, ICD-0 and CCI coding conventions, anatomy, physiology and medical terminology,
• Must know and understand hospital funding methodologies (HBAM, QBP, CMG/CACS, RIW, ACW, DPGs, HBAM, HIG and Pay-For-Results)
• Proficiency with electronic abstracting and computer applications (Word and Excel)
• Experience with Meditech Expanse and Med2020 would be an asset
• Must have excellent skills for case analysis and interpretation for the ICD-10 coding classification
• Ability to apply quality practices and standards to coding and abstracting
• Ability to work independently, prioritize workload, meet deadlines, work effectively under pressure, and show good judgment
• Must be familiar with relevant legislative requirements for the release of personal information (Personal Health Information Protection Act, Mental Health Act, Public Hospital Act, Freedom of Information Act, Coroners Act, etc.)
• Excellent customer service, interpersonal, and communication skills are required
• Excellent organization and time management skills
• Demonstrated ability to attend work on a regular basis is required