Health Records Technician-health Records

**Work Type: Part Time**

Home to seven regional programs and comprehensive health-care services, Waterloo Regional Health Network (WRHN, pronounced wren) is committed to meeting the current and emerging needs in Waterloo-Wellington and beyond.

WRHN is redefining the health-care experience through collaboration and innovation, addressing barriers to access, advancing care delivery, and setting new standards in compassionate, empowered community-driven health care.

At WRHN, every patient is at the centre of everything we do as we strive to improve lives, inspire healing, and build healthier, stronger communities. By listening to patients and partners, we strive to connect communities to the right care, at the right place, and at the right time.

**Please Note**:New employees must provide documentation/proof of COVID-19 vaccination status, a 2-step TB test, as well as proof of immunity to measles, mumps, rubella, and varicella (chickenpox) prior to their start date at Waterloo Regional Health Network (WRHN). New Employees will require clearance from Employee Health, Safety and Wellness before they are able to begin any position within WRHN.

**Position Summary**:
Reporting to the Manager of Health Information Management, The Health Records Technician is responsible for accurately coding and abstracting inpatient (DAD) and ambulatory (NACRS) health records according to the International Classification of Diseases and Health-Related Problems - 10th Revision, Canada (ICD-10-CA) and the Canadian Classification of Health Interventions (CCI) in accordance with Canadian Coding Standards and CIHI (Canadian Institute for Health Information) guidelines. This role ensures high-quality coded data that supports hospital funding, research, and quality improvement initiatives while maintaining compliance with provincial and national health data reporting requirements

**Responsibilities**:

- Applies appropriate codes to patient records according to ICD-10 and CCI specifications, Canadian Coding Standards, Ontario Ministry of Health and Long-Term Care mandates and SMGH specific requirements as required.
- Completes CIHI abstracts and corrections applicable to records coded, as required.
- Ensure proper sequencing of codes for optimal reimbursement and compliance
- Work closely with HIM Team to maintain coding consistency across settings
- Coordinate with health data analysts to improve coding accuracy and efficiency. Participate in department meetings to discuss coding trends, policy updates, and process improvements
- Stay updated on ICD-10-CA/CCI, CIHI Guidelines and Canadian Coding Standard Changes, Case Mix Methodologies - Maintain coding certifications ( e.g, CHIM, CCS) through continuing education
- Participate in professional organizations (e.g, CHIMA, CIHI Training Sessions)
- Other Duties as assigned

**Position Requirements**:

- Certified Health Information Management (CHIM) credential from the Canadian College of Health Information Management (CCHIM).
- Successful completion and Graduate of an accredited Health Information Management (HIM) program.
- Member in good standing with Canada’s Health Information Management Association (CHIMA).
- Minimum 1-3 years of coding experience in an acute care, outpatient, or rehabilitation setting.
- Extensive knowledge of ICD-10-CA and CCI coding classifications and Canadian Coding Standards.
- Experience coding using CIHI guidelines, Case Mix Group (CMG), Comprehensive Ambulatory Classification System (CACS), Health Indicator Group (HIG) Weights, and Resource Intensity Weights (RIW).
- Proficiency in Cerner PowerChart and 3M Codefinder for electronic health records (EHR) and computer-assisted coding (CAC).
- Strong skills in Microsoft Office (Excel, Word, Outlook, PowerPoint) for data reporting and analysis.
- Ability to work closely with physicians, CDI specialists, health data analysts, and hospital administration.
- Strong analytical and problem-solving skills to resolve coding discrepancies and documentation queries.Effective verbal and written communication skills for collaboration and provider education.

**Application Instructions**:
**EMPLOYEES OF LEGACY ST. MARY’S GENERAL HOSPITAL ARE REQUIRED TO SUBMIT THEIR APPLICATION ELECTRONICALLY USING INFOR.**

**Waterloo Regional Health Centre is committed to fair and equitable employment and in our recruitment and selection practices. We strongly believe in inclusion and diversity within our organization, and welcome all applicants including, but not limited to racialized communities, all religions and ethnicities, persons with disabilities, LGBTQ2S+ persons, Indigenous people, and all others who may contribute to the further diversification of our Hospital community. We are committed to providing and fostering a respectful workplace for all employees, free from violence and harassment.**

**Accommodations are available during all stages of the recruitment process in accordance with the Human Rights Code. WRHN is committe