Inpatient Coding Specialist
3 months ago
**Job Description**:
The Inpatient Coding Specialist must have experience and knowledge of all types of acute care coding as well as coding standards. The Inpatient Coding Specialist must also have a working knowledge of the HBAM and HIG funding methodologies. They will accurately code from the patients records to best reflect the care provided to patients. The Inpatient Coding Specialist is responsible for the accuracy and quality of the health records whilst safeguarding the integrity of the Health Record.
The Inpatient 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 Ministry of 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 Inpatient 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.
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:
- Minimum of 2 years of experience preferred for competency for Discharge Abstract Database (DAD) coding (Inpatient visits)
- Must know hospital funding methodologies (HBAM, QBP, CMG/CACS, RIW, ACW, DPGs, HBAM HIG, and Pay-For-Results)
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)
- 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 work independently, prioritize workload, meet deadlines, work effectively under pressure, and show good judgement
- 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
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