Clinical Coding Specialist

2 weeks ago


Toronto, Canada Unity Health Toronto Full time

Unity Health Toronto, comprised of Providence Healthcare, St. Joseph¿s Health Centre and St. Michael¿s Hospital, works to advance the health of everyone in our urban communities and beyond. Our health network serves patients, residents and clients across the full spectrum of care, spanning primary care, secondary community care, tertiary and quaternary care services to post-acute through rehabilitation, palliative care and long-term care, while investing in world-class research and education. Join our team in our mission to continue to put patients and families at the centre of everything we do, in the role of Clinical Coding Specialist - Health Data and Coding.

The Coding Specialist will be responsible for accurately coding, using ICD-10-CA/CCI, and abstracting clinical information from outpatient records (emergency, day surgery, clinics) in accordance with national (CIHI) and provincial (MOHLTC) standards and reporting requirements. The Coding Specialist will continuously promote coding data quality and ensure accuracy and integrity of the information collected.

DUTIES & RESPONSIBILITIES:

- Collects a predefined data set and applies the ICD-10-CA/CCI classification methodology for statistical and clinical data
- Codes and abstracts for the National Ambulatory Care Reporting System (NACRS) - Focus on emergency visits
- Accurately reflects, through coding methodology, resource usage for cases
- Ensures quality and consistency in coding/abstracting cases
- Thoroughly analyzes patient clinical records
- Assigns appropriate diagnostic and intervention codes following Canadian Coding Standards
- Abstracts specialized data sets of information applicable to outpatient admissions
- Performs routine data quality audits and checks to ensure data quality and integrity
- Meets St. Michael's turn-around-times for data submission
- Attends educational seminars and conferences, as required, and for on-going self-development
- Participates on committees and working groups, as required

QUALIFICATIONS:

- Graduate of an approved Health Information Management Program
- Certified member of the Canadian Health Information Management Association (CHIMA)
- Proven knowledge of ICD-10-CA/CCI coding nomenclature
- Proven knowledge of current NACRS Abstracting and Canadian Coding Standards (v2015)
- Thorough understanding of ambulatory grouping and weighting methodologies (CACS)
- Knowledge of the MOHLTC Health System Funding Reform (HSFR) methodology and Quality Based Procedures (QBPs)
- 2-3 years¿ previous DAD and NACRS coding/abstracting experience preferred
- Working knowledge of MS Word, Excel
- Ability to work independently, as well as collaboratively, within a team environment
- Strong interpersonal, communication and organizational skills
- Must have an excellent attendance record

***Length of Temporary Contract: 16 months**

LI-MR1



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