Clinical Coding Specialist

The Trauma and Burn Health Information Management Professional is responsible for the coding and abstracting of records of personal health information in accordance with CIHI guidelines and standards.

The individual is responsible to ensure that data quality activities are carried out prior records being submitted. The individual will have an excellent understanding of the CIHI coding guidelines and standards. The HIM professional will be able to work independently, be well organized, and able to prioritize workload to ensure quarterly deadlines are met. The individual will have excellent knowledge of coding and abstracting software, and experience in the electronic health record environment. The individual will demonstrate flexibility, be adaptable, demonstrate initiative, identify opportunities for improvement, and have excellent communication skills. The individual will maintain patient confidentiality and have knowledge and understanding of privacy principles.

1. Graduate of a recognized Health Information Management Program
2. Certified with Canadian College of Health Information Management and must be an active member in good standing
3. Member of the Ontario Health Record Association is preferred
4. Experience in ICD-10/CCI coding system and CMG, RIW assignment methodology
5. Experience with coding and abstracting software preferably Med2020
6. Minimum of one year experience in coding and abstracting all modules preferred.
7. Experience in an electronic health record environment
8. Experience in hospital information systems preferably EPIC, Clinical Connect, Gen 6
9. Computer proficiency in the MS-Suite of Windows applications
10. Excellent communication skills and good judgment
11. Self-directed and the ability to work independently and under occasional interruptions