Health Records Technician

**Company Bio**
- Southlake is building healthy communities through outstanding care, innovative partnerships, and amazing people. We deliver a wide range of healthcare services to the communities of northern York Region and southern Simcoe County. Our advanced regional programs include Cancer Care and Cardiac Care and serve a broader population across the northern GTA and into Simcoe-Muskoka._
- Our team of nearly 6,000 staff, physicians, volunteers, students and Patient and Family Advisors are committed to creating an environment where the best experiences happen. As a recognition of our commitment to quality and patient safety, we have received the highest distinction of Exemplary Standing from Accreditation Canada._

**Job Summary**

The Coder will work with physicians and allied health care providers toward a common understanding of CIHI grouper methodology and its relationship to documentation funding and decision making. Maintains effective interpersonal skills to work with physicians, co-workers and staff in a positive co-operative manner. He/she role models organizational core competencies.

**Skills & Abilities**
- Two years current coding of inpatient, day surgery, oncology and or emergency records using ICD-10 CA and CCI
- Complexity Analysis
- Competent in software - MS Office, Outlook, Excel and PowerPoint is an asset
- Ability to maneuver through Meditech, Med2020 WinRecs, Folio
- Ability to focus and concentrate in a busy, often loud environment
- Demonstrated initiative, leadership and teamwork skills
- Demonstrated commitment to professional development
- Demonstrated excellence in communication, both written and verbal
- Demonstrated analytical and problem assessment skills
- Demonstrated commitment to customer service and teamwork
- Demonstrated individual leadership skills
- Demonstrates understanding and complies with patient and staff safety policies and procedures that foster a safe and inclusive environment for all.
- Commitment to providing an exceptional experience for staff and clients within a challenging and exciting health care environment.
- Models behaviour that is aligned with the values of Southlake Regional Health Center.
- Always with compassion
- Power of many
- Serve with purpose
- Every voice matters
- Courage to think differently

**Qualifications**
- Health Information Management diploma
- Canadian Health Information Management Association certification (CHIMA)

**Closing Statement**

**_ Regular and reliable attendance is an expected requirement of this position._**

At Southlake, we are committed to fostering an inclusive and accessible environment. We are dedicated to building a workforce that reflects the diversity of the community in which we live and serve, including those with disabilities. Southlake is committed to providing accommodations in all parts of the hiring process. If you require an accommodation, we will work with you to meet your needs.

It is the responsibility of all Southlake employees to work in a safe manner and promote health and safety in the workplace.

**Primary Responsibilities**
- Using ICD-10 CA and CCI classification to assign codes to inpatient, day surgery, oncology and or emergency patients
- Entering data (abstracting) into Med2020 WinRecs system
- Perform the above functions on a concurrent basis with accuracy
- Must have excellent knowledge of medical terminology
- Must have a good understanding of anatomy and physiology along with disease processes
- Self-driven to keep up the above noted knowledge
- Perform all quality, correction functions associated with above functions
- Performs other duties consistent with the job classification, as required.
- Work with physicians to affect change in documentation on the chart such that CMGs and expected length of stay are correctly assigned.