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Health Information Administrator NACRS

Health Information Administrator NACRS

University Health NetworkToronto, Ontario, Canada
14 days ago
Salary
CA$52,182.00–CA$65,228.00 yearly
Job description

Union : NonUnion

Site : Toronto General Hospital

Department : Coding and Abstracting

Reports to : Manager

Work Model : Hybrid

Grade : N0 : 03

Hours : 37.5 per week

Salary : $52182 to $65228 annually (To commensurate with experience and consistent with UHN compensation policy)

Status : Permanent Full Time

Closing Date : February 8 2025

Position Summary

As an integral member of the Coding and Abstracting Department the Health Information Management (HIM) Professional NACRS Coder utilizes his or her technical analytical and decisionmaking skills to make appropriate interpretations of ambulatory clinical documentation drawing upon his or her knowledge of medical and surgical terminology anatomy pathology physiology pharmacology and the national and provincial coding standards.

Duties

  • Ambulatory Coding : The HIM professional draws upon his or her knowledge of anatomy pathology physiology medical and surgical terminology pharmacology and national and provincial coding standards and conventions to make appropriate interpretations of the patient experience as described in relevant dictated and / or written clinical documentation associated with an ambulatory (emergency and day surgery) visit for the purpose of coding and abstracting all mandatory health data required to complete a National Ambulatory Care Reporting System (NACRS) abstract as per the Canadian Institute for Health Information (CIHI) guidelines Ontario Ministry of Health (MOHLTC) directives and University of Health Network (UHN) strategic initiatives. Abstracted information is entered through an electronic abstracting system.
  • Diagnosis : Interprets and determines all relevant conditions described by the physician and / or other health providers associated with the ambulatory visit being reviewed. Utilizing the International Statistical Classification of Diseases and Related Health Problems 10thedition (ICD10CA)
  • Intervention : Interprets the operative report and / or other procedure notes to determine all relevant interventions performed on the patient during their hospital stay. Uses the Canadian Classification of Health Interventions (CCI) classification system to select appropriate intervention codes.
  • Providers : Identifies all providers which includes attending physician(s) consultant(s) and allied health professional(s) associated with the patient visit. Selection of most responsible physician impacts strategic planning and program reviews.
  • Verifies and collects other relevant health data such as responsibility of payment blood transfusion data and other facilitydefined data elements such as site. Responsibility of payment identifies OutofProvince and WSIB cases. Collection of this information facilitates billing for these special cases.
  • Performs quality management responsibilities : Performs data quality review on individual patient records and evaluates clinical information from multiple source systems to ensure accuracy consistency and completeness of information in the inpatient abstract prior to CIHI submission; Communicates with physicians and / or Acute Care Nurse Practitioners (ACNP) whenever there are discrepancies or vague descriptions stated in clinical documentation; Interacts with Data Quality analyst(s) and / or Performance Measurement Analyst(s) to discuss data quality issues and provide input on how to improve reporting and flagging of cases; Performs data reconciliation on areas (cases) that are important to hospital funding at the close of each month. Examples include but are not limited to the following : Chemotherapy Radiotherapy and Brachytherapy Cataract & Surgical Oncology.
  • Performs case studies and chart audits : Engages in an interactive and iterative process to independently review a selected health record and chooses appropriate diagnosis and intervention code(s) based on understanding of the national (CIHI) and provincial (Ontario MOHLTC) coding standards; Reviews collated results for consistency and variances are discussed with manager; Participates in Continuous Quality Improvement (CQI) initiatives at UHN LHIN and provincial level.
  • Maintains professional expertise and credentials : HIM professionals are required to acquire a minimum of 36 continuing professional education (CPE) credits in a period of three years to maintain their credentials and professional standing. CPE credits are acquired through taking HIMrelated courses attending seminars conferences workshops and completing learning modules. Required to attend CIHI Coding updates as well as Ontario Ministry of Health Data Blitz sessions.
  • Maintains and protects patient confidentiality at all times.
  • Performs crossfunctional and / or other duties consistent with the department operational needs as assigned or required.

Qualifications :

  • Successful completion of 2 year Health Information Management community college diploma required
  • Successful completion of CHIMA (Canadian Health Information Management Association) a recognized HIM program required
  • Successfully challenged the CHIMA National Certification Examination or hold a valid CHIMA certificate required
  • Maintains active / inactive CHIMA membership (payment of annual dues) required
  • Demonstrated ability working with computerized abstracting systems (e.g. Med2020 WinRecs) required
  • Interest and aptitude in working with computers and specialized software required
  • Ability to read medical records to determine completeness required
  • Ability to work under pressure and manage competing priorities required
  • Ability to work independently and within a team environment required
  • Thorough understanding of medical terminology anatomy physiology pathology and diseases processes required
  • Accuracy and attention to detail required
  • Good interpersonal skills required
  • Good problem solving and analytical skills required
  • Effective verbal and written communication skills required
  • Manual dexterity and good vision required
  • Proven ability to attend work regularly required
  • All active CHIMA members must participate in mandatory Continuing Professional Education (CPE) program as defined by the governing regulations in order to continue to use their professional designation
  • One (1) year working experience with ICD10CA and CCI classification systems in an acute care institution preferred
  • Knowledge of current CIHI Coding Standards NACRS Abstracting Guidelines and Ontario Ministry of Health (MOHLTC) data quality initiatives preferred
  • Experience working in a Microsoft Windows environment preferred
  • Knowledge of Comprehensive Ambulatory Classification System (CACS) grouping methodology and Ambulatory Case Weights (ACW) methodology preferred
  • Knowledge of Day Procedure Grouping (DPG) methodology preferred
  • Active membership with the Canadian Health Information Management Association (CHIMA) preferred
  • Active membership with the Ontario Health Information Management Association (OHIMA) preferred

    • Additional Information :

    Why join UHN

    In addition to working alongside some of the most talented and inspiring healthcare professionals in the world UHN offers a wide range of benefits programs and perks. It is the comprehensiveness of these offerings that makes it a differentiating factor allowing you to find value where it matters most to you now and throughout your career at UHN.

  • Competitive offer packages
  • Government organization and a member of the Healthcare of Ontario Pension Plan (HOOPP )
  • Close access to Transit and UHN shuttle service
  • A flexible work environment
  • Opportunities for development and promotions within a large organization
  • Additional perks (multiple corporate discounts including : travel restaurants parking phone plans auto insurance discounts onsite gyms etc.)

    • Current UHN employees must have successfully completed their probationary period have a good employee record along with satisfactory attendance in accordance with UHNs attendance management program to be eligible for consideration.

    All applications must be submitted before the posting close date.

    UHN uses email to communicate with selected candidates.  Please ensure you check your email regularly.

    Please be advised that a Criminal Record Check may be required of the successful candidate. Should it be determined that any information provided by a candidate be misleading inaccurate or incorrect UHN reserves the right to discontinue with the consideration of their application.

    UHN is an equal opportunity employer committed to an inclusive recruitment process and workplace. Requests for accommodation can be made at any stage of the recruitment process. Applicants need to make their requirements known.

    We thank all applicants for their interest however only those selected for further consideration will be contacted.

    Remote Work : Employment Type :

    Fulltime

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