Health Information Professional
3 months ago
**Summary of Duties**
The Health Information Professional is responsible for the appropriate analysis, coding and abstracting of Inpatient and Ambulatory Care clinical information from the patient records. The position also ensures that information is submitted to the Canadian Institute for Health Information (CIHI) in a timely manner, according to guidelines set by CIHI/MOHLTC and the hospital. Specific tasks include:
- Applies National Rehabilitation Reporting System (NRS) coding standards to Inpatient admissions and discharges according to CIHI reporting requirements
- Applies MOHLTC/NACRS Clinic Lite coding standards related to Ambulatory Care discharge visits
- Abstracting information according to standards from MOHLTC/CIHI (NRS and NACRS Clinic Lite), and hospital abstracting guidelines
- Ensures that all visits to be coded are done and balance at the end of each month/quarter
- Document productivity in accordance with departmental protocols
- Perform regular audits on coded/abstracted data to ensure quality of coded data and adherence to coding standards
- Other related duties as assigned
**Qualifications/Skills**
- Graduate from a recognized Health Information Management/Professional program.
- Current active CHIMA member in good standing and maintained on an annual basis.
- Certification with the Canadian Health Information Management Associate (CHIMA).
- 1 year previous experience in inpatient NRS coding
- An in-depth knowledge and understanding of RCG, RPG and expected length of stay
- Demonstrated coding competency in Inpatient and Outpatient records.
- Demonstrated excellent organizational and communication skills.
- Keyboard speed of 40 wpm
- Ability to work independently.
- Ability to exercise tact and discretion.
- Good organizational and time-management skills.
- Ability to work under pressure and meet deadlines.
- Demonstrated ability to function in a changing and sometimes stressful work environment
- Be willing and able to travel between Sunnybrook Campuses as required
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