Health Information Coding & Records Specialist

Kingston Health Sciences Centre; Kingston; Hybrid; CAD 46,000 - 50,000; Full time

Job summary

Kingston Health Sciences Centre is seeking a Health Information Management professional to code, abstract, and audit patient records within inpatient, ED, and clinic settings at Kingston General Hospital site.

You will apply ICD-10-CA/CCI coding, ensure data integrity, and support CIHI/MOH reporting, while upholding confidentiality and contributing to hospital data quality initiatives.

Qualifications

• Graduate of an approved Health Information Management program – 2 year Community College or Canadian Hospital Association Correspondence Program.
• Certified member of the Canadian College of Health Information Management.
• Active membership with Canadian Health Information Management Association.
• One year coding experience in the last 5 years, as a Health Record Practitioner in an acute care institution.
• Demonstrated ability with computerized abstracting systems, preferably Med2020.
• Demonstrated ability and knowledge with ICD-10-CA and CCI or ICD-O coding practices.
• Computer literacy and keyboarding skills with Windows, Microsoft Office Suite – Excel, Access, Word, etc.
• Thorough knowledge of the functions within the Patient Records Department.
• Knowledge of the Public Hospitals Act, Mental Health Act, Personal Health Information Protection Act.
• Excellent attendance record and punctuality.
• Excellent interpersonal, oral and written communication skills.
• Demonstrated ability to communicate effectively with physicians and hospital staff.
• Must safeguard the confidentiality of patients’ personal health information.

Responsibilities

• To accurately assign diagnosis and intervention codes for inpatient, ED, day surgery and clinics per ICD-10-CA/CCI/ICD-O and CIHI/MOH guidelines.
• To abstract data elements from patient charts into Med2020 Winrecs per CIHI MOH hospital requirements.
• To prepare, edit and correct abstract data for CIHI/CCO submission and perform monthly data transfers.
• To ensure accurate CMG RIW and complexity assignment for resource utilization analysis.
• To identify missing reports and notify relevant leaders; maintain chart deficiencies in the system.
• To assist physicians with chart completion and re-audit deficient charts.
• To maintain confidentiality of patient information and ensure restricted access.
• To coordinate with departments and train staff on chart deficiency processes.
• To participate in orientation/training of new employees or Health Information Management students.
• To support quality assurance programs within Patient Records and hospital-wide initiatives.

Skills

ICD-10-CA coding

CIHI coding standards

Data abstraction

Interpersonal communication

Education

Health Information Management program

Certified member of the Canadian College of Health Information Management

Active membership with Canadian Health Information Management Association

Tools

Med2020 Winrecs

Microsoft Office Suite (Excel/Word/Access)

Job description

Kingston Health Sciences Centre is seeking a Health Information Management professional to code, abstract, and audit patient records within inpatient, ED, and clinic settings at Kingston General Hospital site.

You will apply ICD-10-CA/CCI coding, ensure data integrity, and support CIHI/MOH reporting, while upholding confidentiality and contributing to hospital data quality initiatives.