Health Information Administrator - Toronto, Canada - University Health Network

University Health Network

Verified Company

Toronto, Canada

2 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

HEALTH INFORMATION ADMINISTRATOR (NACRS)
Posting #: 929128

Union:
Non-Union

Site:
Toronto General Hospital

Department:
UHN Data & Analytics

Reports to:
Manager

Hours: 15.0 hours per week

Salary:
$25.98 to $32.48 hourly (To commensurate with experience and consistent with UHN compensation policy)

Status:
Temporary Part-Time, 12 Months

Posted Date:
February 23, 2024

Closing Date:
March 22, 2024

The University Health Network, where "above all else the needs of patients come first", encompasses Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute and the Michener Institute of Education.

The breadth of research, the complexity of the cases treated, and the magnitude of its educational enterprise has made UHN a national and international resource for patient care, research and education.

With a long tradition of ground breaking firsts and a purpose of "Transforming lives and communities through excellence in care, discovery and learning", the University Health Network (UHN), Canada's largest research teaching hospital, brings together over 16,000 employees, more than 1,200 physicians, 8,000+ students, and many volunteers.

UHN is a caring, creative place where amazing people are amazing the world.

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 decision-making 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.

(1) 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)

(2) 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.

(3) 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.

(4) Other pertinent information

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.

(5) 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.

(6) 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 r